Chaplain + Nurse's Role in Palliative Care
Nurses
"Ideal providers" of palliative care "Palliative care is a model that is consistent with basic nursing values, which include caring for patients and their families regardless of their age, culture, socioeconomic status, or diagnoses, and engaging in caring caring relationships that transcend time, location, and circumstances."
Use of Senses
-Aroma/smell -Sound/hearing -Taste -Touch -Sight
Nurses' Role in Palliative Care
-Assessment -Nursing Diagnosis -Outcome Identification -Planning -Implementations -Evaluation
Nurses' Role in Palliative Care
-Full partners with providers from other disciplines -Symptom management -Pain advocacy -Patient/family education
Spiritual support offers
-Opportunity to share -Provide comfort where patient may not be able to explain -Respectfulness and honor to the patient -Presence without judgement -Not agenda driven -Valued as human
Palliative Care
-Patient and family centered care that optimizes quality of life by anticipating, preventing, and treating suffering -It involves addressing the physical, intellectual, emotional, social, and spiritual needs -It involved facilitating patient autonomy, access to information, and choice
Methods of Spiritual Care
-Presence -Tradition and community -Reflection -Life review -Honoring patient's beliefs -Touch and voice -For established religions, practices......communion, last rites, nature..........
Purpose of spiritual care
-To address the deep sense of isolation that accompanies serious illnesses -Help patients and loved ones find their own internal sense of comfort, strength, and balance
Spiritual Assessment
-Well-being -Distress -Lack of connectiveness
Common fears
-What is happening to me? My body? -Why is this happening to me? -What has my life meant? -How have I treated people? -How will I be remembered? -What happens next? Individuals begin to ask questions that may or may not have answers
Spirituality is
About a relationship between ourselves and the greater world
Nursing Competencies
American Association of College of Nursing: CARES, competencies and recommendations for educating undergraduate nursing students preparing nurses to care for the seriously ill and their families
Religion is
An expression of this relationship by a particular group
Primary Care
Basic skills and competencies required of all healthcare workers.
The transition into the unknown can be a daunting experience. What do you think will happen to you when you die? _________ bridge this conversation and offer comfort.
Chaplains
Domain of Quality Palliative Care
Domain 1: Structure and Processes of Care Domain 2: Physical Aspects of Care Domain 3: Psychological and Psychiatric Aspects of Care Domain 4: Social Aspects of Care Domain 5: Spiritual, Religious, and Existential Aspects of Care Domain 6: Cultural Aspects of Care Domain 7: Care of the Imminently Dying Patient Domain 8: Ethical and Legal Aspects of Care
Specialty Care
Specialist clinicians/providers and organizations that provide consultations and specialty care
