Abstract

Nursing's Role in End of Life Discussions

Highlights

  • End-of-life (EOL) conversations are an important part of patient care and should occur prior to a sentinel event

  • The literature supports that most patients prefer to die at home and endorses that EOL discussions should begin earlier Baily, Periyakoil, 2017 Hickey & Quinn, 2017.as few as 20 % of patients die at home Baily & Periyakoil, 2017

  • Clinicians are concerned that EOL discussion may lead to fear and loss of hope, Clayton et al [1] found that avoiding the truth did not promote hope, and that, honest and empathic communication empowered patients, as well as increased their hope

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Summary

Introduction

End-of-life (EOL) conversations are an important part of patient care and should occur prior to a sentinel event. The literature supports that early and open discussions regarding EOL can empower patients, improve hope and quality of life, and help relieve families from making hard decisions on their loved one’s behalf [4,5]. Decisions regarding life support or discontinuation of aggressive care should be made with the patient’s input so that family members are not forced to make them on their own. Education is another method of breaking down the barriers to timely EOL discussions.

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