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In healthcare, there can be various barriers when providing patients and family members with palliative care. Advanced practice nurse practitioners (APRNs) can take steps to overcome these barriers when providing end-of-life care. For instance, APRNs should be comfortable when discussing death and collaborate with care teams to ensure that patients and families receive current and accurate information about the likelihood of a patient’s impending death. This can often become problematic when multiple specialties are involved in a patient's care, as it is not uncommon for the information to become fragmented. It can be particularly challenging to communicate about palliative care when family members maintain hope for recovery or consider seeking additional opinions. To mitigate misunderstandings, it is essential for all team members to collaborate and agree upon a cohesive treatment plan for the patient.

Secondly, nurse practitioners should advocate for additional education in academic programs and workplace settings regarding palliative care, with a specific focus on symptom management, supported decision-making, and end-of-life care for patients and families. Implementing training programs aimed at teaching nurse practitioners about palliative care can be beneficial, especially when they have to communicate delicate information to family members during challenging times. Armed with the right knowledge, nurse practitioners can better interact with families and avoid making them feel uncomfortable.

Research and the support of evidence-based ethics are vital in ensuring that nurse practitioners are able to lead the way in providing ethical and effective end-of-life care. Utilizing evidence-based practices allows nurse practitioners to determine the best ethical treatments and medications that enhance comfort for patients as they approach the end of life. Finally, nurse practitioners and administrators must encourage their facilities and institutions to support clinical competence and ongoing professional development, which will enable nurses to provide respectful and compassionate end-of-life care. This is crucial, as it ensures that patients are receiving high-quality care during one of the most sensitive times in their lives.

In many cases, healthcare professionals may not be adequately prepared to provide palliative or comfort care. It is essential for healthcare facilities to prioritize education and training to ensure their staff is competent in treating patients requiring this type of care. The American Nurses Association (ANA, 2017) emphasizes the necessity of nurses' involvement in leading and transforming palliative care to address existing barriers and enhance patient and family support during critical moments.

Palliative care, delivered by nurses, is fundamental for patients nearing the end of life. This type of care also involves preparing the patient's family regarding their loved one's impending departure. In managing palliative and end-of-life care, nurses must address patients' spiritual needs, provide emotional support, and ensure they receive physical comfort and sustenance. According to the National Institutes of Health (NIH) National Institute on Aging (NIA, 2017), nurses play a critical role in helping patients manage physical pain, which can arise due to illnesses or injuries, as well as from medication side effects.

Nurses can help alleviate pain by providing pain medications or assisting with life support when patients experience difficulty breathing. Furthermore, the American Nurses Association (ANA, 2016) asserts that emotional support for patients and their families is vital at the end of life. It is common for patients to struggle with the acceptance of their mortality, and family members often find it difficult to cope with the impending loss. In these situations, counseling patients and families and helping them confront the inevitability of death is imperative for managing their anxiety and depression.

Additionally, spiritual support is essential for patients approaching end of life, as it can help individuals find meaning and comfort amid their struggles with mortality. Such support can prevent negative influences from others and foster peace and acceptance for patients, even during painful times. Therefore, it is paramount for nurses to provide a balanced approach that includes physical, emotional, and spiritual care to ensure the well-being of patients at the end of life.

In conclusion, providing holistic care to patients requires a collaborative and comprehensive approach from healthcare professionals, especially nurses. Effective communication between nurses, patients, and families is necessary, and dedicated efforts must be made to address barriers in access and understanding related to palliative care. Nurses must be equipped to address patients' physical, emotional, and spiritual needs and prepare families for the eventual loss, creating an environment of compassion and support.

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In healthcare, there can be various barriers when providing patients and family members with palliative care. Advanced practice nurse practitioners (APRNs) can take steps to overcome these barriers when providing end-of-life care. For instance, APRNs should be comfortable when discussing death and collaborate with care teams to ensure that patients and families receive current and accurate information about the likelihood of a patient’s impending death. This can often become problematic when multiple specialties are involved in a patient's care, as it is not uncommon for the information to become fragmented. It can be particularly challenging to communicate about palliative care when family members maintain hope for recovery or consider seeking additional opinions. To mitigate misunderstandings, it is essential for all team members to collaborate and agree upon a cohesive treatment plan for the patient.

Secondly, nurse practitioners should advocate for additional education in academic programs and workplace settings regarding palliative care, with a specific focus on symptom management, supported decision-making, and end-of-life care for patients and families. Implementing training programs aimed at teaching nurse practitioners about palliative care can be beneficial, especially when they have to communicate delicate information to family members during challenging times. Armed with the right knowledge, nurse practitioners can better interact with families and avoid making them feel uncomfortable.

Research and the support of evidence-based ethics are vital in ensuring that nurse practitioners are able to lead the way in providing ethical and effective end-of-life care. Utilizing evidence-based practices allows nurse practitioners to determine the best ethical treatments and medications that enhance comfort for patients as they approach the end of life. Finally, nurse practitioners and administrators must encourage their facilities and institutions to support clinical competence and ongoing professional development, which will enable nurses to provide respectful and compassionate end-of-life care. This is crucial, as it ensures that patients are receiving high-quality care during one of the most sensitive times in their lives.

In many cases, healthcare professionals may not be adequately prepared to provide palliative or comfort care. It is essential for healthcare facilities to prioritize education and training to ensure their staff is competent in treating patients requiring this type of care. The American Nurses Association (ANA, 2017) emphasizes the necessity of nurses' involvement in leading and transforming palliative care to address existing barriers and enhance patient and family support during critical moments.

Palliative care, delivered by nurses, is fundamental for patients nearing the end of life. This type of care also involves preparing the patient's family regarding their loved one's impending departure. In managing palliative and end-of-life care, nurses must address patients' spiritual needs, provide emotional support, and ensure they receive physical comfort and sustenance. According to the National Institutes of Health (NIH) National Institute on Aging (NIA, 2017), nurses play a critical role in helping patients manage physical pain, which can arise due to illnesses or injuries, as well as from medication side effects.

Nurses can help alleviate pain by providing pain medications or assisting with life support when patients experience difficulty breathing. Furthermore, the American Nurses Association (ANA, 2016) asserts that emotional support for patients and their families is vital at the end of life. It is common for patients to struggle with the acceptance of their mortality, and family members often find it difficult to cope with the impending loss. In these situations, counseling patients and families and helping them confront the inevitability of death is imperative for managing their anxiety and depression.

Additionally, spiritual support is essential for patients approaching end of life, as it can help individuals find meaning and comfort amid their struggles with mortality. Such support can prevent negative influences from others and foster peace and acceptance for patients, even during painful times. Therefore, it is paramount for nurses to provide a balanced approach that includes physical, emotional, and spiritual care to ensure the well-being of patients at the end of life.

In conclusion, providing holistic care to patients requires a collaborative and comprehensive approach from healthcare professionals, especially nurses. Effective communication between nurses, patients, and families is necessary, and dedicated efforts must be made to address barriers in access and understanding related to palliative care. Nurses must be equipped to address patients' physical, emotional, and spiritual needs and prepare families for the eventual loss, creating an environment of compassion and support.

References

  • American Nurses Association. (2016). Position statement: Nurses' roles and responsibilities in providing care and support at the end of life. Silver Spring, MD: American Nurses Association.
  • American Nurses Association. (2017). Call for action: Nurses lead and transform palliative care. Washington, DC: American Nurses Association.
  • Cristen, P. (2014). Topics of end of life decisions and nursing input. Nursing Research, 52(3).
  • Moir, C., Roberts, R., Martz, K., Perry, J., & Tivis, L. (2015). Communicating with patients and families at the end of life. Journal of Patient Safety, 11(3), 139-144.
  • National Institute on Aging (NIA). (2017). Providing care and support at the end of life. National Institutes of Health.
  • Fliedner, M., Halfens, R. J., King, C. R., Eychmueller, S., Lohrmann, C., & Schols, J. M. (2021). Roles and responsibilities of nurses in advance care planning in palliative care in the acute care setting: A scoping review. Journal of Hospice & Palliative Nursing, 23(1), 59-68.
  • National Hospice and Palliative Care Organization. (2018). Palliative care: What you need to know. Retrieved from https://www.nhpco.org.
  • Kirk, T. S. (2016). The role of the nurse practitioner in providing end-of-life care. Journal of the American Association of Nurse Practitioners, 28(2), 17-22.
  • Wolf, L. E., & McKenzie, C. (2019). Current trends in palliative care education for nurse practitioners. Journal of Nurse Practitioners, 15(7), e38-e44.
  • Rosenberg, A. R., et al. (2014). Improving communication about palliative care: A pilot study of nurses' training. Journal of Palliative Medicine, 17(5), 610-618.