6- Communication @ End of Life Flashcards
In all relationship we can draw forth ______ by valuing and celebrating the humanity and uniqueness within every person we come to know,
Caring
Derived from the latin words ‘pati’ and ‘cum’ which mean “to suffer with”.
Compassion
The outward expression of compassion. It begins with a sense of shared humanity and develops through a caring relationship with the dying person & their loved ones.
Connecting
The process that expert nurses use to come to understand the lives of vulnerable patients.
Responsive use of self
3 Guidelines for listening?
SUC
Speak in normal tone of voice
Use open-ended questions
Continue to seek clarification until you understand
5 Dimensions of Listening @ End of Life
HOUDB
Hearing what is being said Opening difficult subjects Understanding their story Discovering truth Believing what is said
T/F Much focus is usually on encouraging compliance, treatments & positive outcomes. Family and friends don’t follow this role modelling.
FALSE - They do. Nobody speaks of death
Nurses need to be _______ about what is happening.
Honest
Before sharing your honesty, you need to ensure it is in line with their…
Culture & beliefs
We need to balance (2)
Giving information
Backing off
The nurse can assist pt and families to…
Ask questions they want answered
When the truth is being told people can…
Make informed decisions about how they will live and die
In encouraging decisions we should..(3)
Foster communication about decisions
Respect decisions being made
Advocate for decisions to be honored
T/F we need to set aside our own feelings and respect end-of-life decisions that competent patients render.
TRUE - may be difficult
Practicing caring perspective can be summed up in 4 principles: (Being.Paying)
Being without words
Paying attention
Being physically present
Being where they are emotionally
