Psychological affects of end of life care

The effects of experiencing eustresswhich is positive stress, versus distresswhich is negative stress, are significant.

Psychological affects of end of life care

Abstract End-of-life nursing encompasses many aspects of care: Advocacy has been identified as a key core competency for the professional nurse, yet the literature reveals relevant barriers to acquiring this skill.

Challenges exist, such as limitations in nursing school curricula on the death and dying process, particularly in multicultural settings; differing policies and practices in healthcare systems; and various interpretations of end-of-life legal language.

Developing active listening and effective communication skills can enhance the nurse-patient trust relationship and create a healing environment. Advance directives, advocacy, comfort measures, dignity, end-of-life care, stages of grief INTRODUCTION In the United States in the 20th century, with advances in medical technology and science, the care of the dying patient shifted from family and community to health professionals.

Advocacy is a common thread of quality end-of-life EOL nursing care, encompassing pain and symptom management, ethical decisionmaking, competent culturally sensitive care, and assistance through the death and dying process.

The foundation of advocacy is the nurse-patient relationship. Advocacy has 2 parts: Patients exhibit the following traits when in need of advocacy: Trigger situations, including illness, hospitalization, or change in diagnosis, require decisionmaking and action; thus, the act of advocacy begins.

However, physicians may be hurried and not always sensitive to the needs of patients and their families.

Well-Being: Psychosocial Care

If the physician has not engaged with the patient, the relationship is technical rather than personal. Alternatively, nurses as advocates take on the role of communicator and translator of information and feelings.

They explain what the doctor said during the consultation in a different way or help the patient understand his or her feelings in the situation. When a nurse engages with a terminally ill patient and family, the ultimate aim is to work with the patient to obtain the best possible care.

Currently, no professional or ethical guidelines include the extended role of the nurse in this special area. Only then can we make progress in achieving the right intensity for each individual patient at the EOL. Nurses must be willing and able to begin the difficult dialogue with patients and their loved ones, assist them in understanding their disease state, and explore specific recommendations for care based on their personal values.

Psychological affects of end of life care

Traditionally, the physician has the responsibility for discussing advance directives with patients and families. For patients with advance directives, their surrogates often were not present to make decisions or were too emotionally overwrought to offer guidance.


Nursing professionals are essential to supporting EOL care decisions and advocating for patients and families across all healthcare settings because they spend more time with patients who are facing death than any other member of the healthcare team and are the most trusted professionals.

Another common misconception is that the term living will refers to a document dividing the assets of a deceased person among heirs. Furthermore, contrary to popular belief, a general power of attorney does not automatically confer healthcare decision-making capacity upon the agent s unless the document specifies that the agent s is authorized to make healthcare decisions for the patient.

Nurses, as patient advocates, must change these attitudes and misconceptions. Studies support the need for nurses to assume this role.

Education From an educational standpoint, the literature includes little description of how nurses learn these advocacy behaviors.

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Although most nursing schools include a core curriculum on death and dying, information is limited to a brief lecture, case study, or assigned readings. Also, current nursing texts lack information on EOL care. Consequently, educational deficiencies in nursing care of the dying exist.

Nurses rated the lack of nursing education in EOL care as an obstacle.


Because of these deficiencies, EOL dilemmas and barriers to providing high quality EOL care are common in nursing practice. Grieving Process Another problem is the failure of nurses to recognize the stages of grief during EOL decision discussions. During this stage, the individual is often very difficult to care for because of misplaced feelings of resentment and jealousy.

The usual form of the dialogue is to bargain for extended life in exchange for a reformed lifestyle. Because the depression stage enables the person to disconnect from people and objects of love and affection, attempts to cheer up the individual during this time are not recommended.Psychological and emotional changes are significant in end-of-life situations.

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The patient who is aware may be grieving his or her own passing and could be facing extreme fear of the unknown or fear of pain. Psychological Effects of End-Of-Life Care As people approach the end of their lives, they with their families and their caregivers, face many tasks and decisions.

Psychology is the science of behavior and mind, including conscious and unconscious phenomena, as well as feeling and is an academic discipline of immense scope and diverse interests that, when taken together, seek an understanding of the emergent properties of brains, and all the variety of epiphenomena they manifest.

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Where do maternal mortality rates and abortion mortality rates come from? This argument says that euthanasia is bad because of the sanctity of human life. There are four main reasons why people think we shouldn't kill human beings:
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Psychological Affects of End-of-Life Care | Free Essays - Approximately 60 percent of women who experience post-abortion sequelae report suicidal ideation, with 28 percent actually attempting suicide, of which half attempted suicide two or more times. The suicide rate associated with birth, by contrast, was half the rate of all women and less than one-sixth the rate of suicide among women who had abortions.

As a social science it aims to understand individuals and groups. Tomkins' affect theory explains human emotion, motivation, behavior, and personality elegantly, completely, and convincingly.

We owe it to him to test, retest, and apply his theory, so that we might unlock the good it can do and the truth it exposes. What is psychosocial care and how can nurses better provide it to adult oncology patients AUTHOR through to cure or palliative and end of life care, it is a long journey which is shared between psychological issues and these patients report.

Psychological affects of End-of-Life Care Essay. Psychological Effects of End-Of-Life Care As people approach the end of their lives, they with their families and their caregivers, face many tasks and decisions.

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