Nursing care involves the support of the general well-being of our patients, the provision of episodic acute care and rehabilitation, and when a return to health is not possible a peaceful death. Dying is a profound transition for the individual. As healthcare providers, we become skilled in nursing and medical science, but the care of the dying person encompasses much more. Certain aspects of this care are taking on more importance for patients, families, and healthcare providers. Show
Hospice care provides comprehensive physical, psychological, social, and spiritual care for terminally ill patients. Most hospice programs serve terminally ill patients from the comforts and relaxed surroundings of their own home, although there are some located in inpatient settings. The goal of the hospice care team is to help the patient achieve a full life as possible, with minimal pain, discomfort, and restriction. It also emphasizes a coordinated team effort to help the patient and family members overcome the severe anxiety, fear, and depression that occur with a terminal illness. To that end, hospice staffs encourage family members to help and participate in patient care, thereby providing the patient with warmth and security and helping the family caregivers begin the grieving process even before the patient dies. Everyone involved in this method of care must be committed to high-quality patient care, unafraid of emotional involvement, and comfortable with personal feelings about death and dying. Good hospice care also requires open communication among team members, not just for evaluating patient care but also for helping the staff cope with their own feelings. Recent studies have identified barriers to end-of-life care including patient or family member’s avoidance of death, the influence of managed care on end-of-life care, and lack of continuity of care across settings. In addition, if the dying patient requires a lengthy period of care or complicated physical care, there is the likelihood of caregiver fatigue (psychological and physical) that can compromise the care provided. The best opportunity for quality care occurs when patients facing death, and their family, have time to consider the meaning of their lives, make plans, and shape the course of their living while preparing for death. During end-of-life care, the nursing care planning revolves around controlling pain, preventing or managing complications, maintaining quality of life as possible, and planning in place to meet patient’s and/or family’s last wishes. Here are 4 nursing diagnosis for End-of-Life Care (Hospice Care) Nursing Care Plans (NCP):
1. Compromised Family CopingCompromised Family CopingNursing Diagnosis
May be related to
Possibly evidenced by
Desired Outcomes
1. Compromised Family CopingRecommended ResourcesRecommended nursing diagnosis and nursing care plan books and resources. Disclosure: Included below are affiliate links from Amazon at no additional cost from you. We may earn a small commission from your purchase. For more information, check out our privacy policy.
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More care plans related to basic nursing concepts:
What are some nursing interventions for endAs a patient approaches end-of-life care, nursing interventions include the following:. Eliciting the patient's goals for care.. Listening to the patient and their family members.. Communicating with members of the interdisciplinary team and advocating for the patient's wishes.. Managing end-of-life symptoms.. Which standard interventions might a nurse take when caring for an actively dying patient?When the nurse anticipates death in a patient, the nurse should expose the hands of the patient. The nurse should lower the side rails of the bed. The nurse should place a chair close to the bedside. The nurse should encourage the family to continue touching the patient.
Which nursing intervention would be the priority for a client in hospice care with symptoms of dyspnea?Otherwise, medical treatments/interventions for dyspnea in hospice and palliative-care settings generally focus on relieving the patient's feeling of breathlessness: Administering oxygen is usually the first line of treatment.
What is the most important nursing intervention for grief?The most important intervention that nurses can provide is active listening and offering a supportive presence. Actively listening to the bereaved helps them express their feelings and relate the emotions and feelings related to the loss.
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Which nursing intervention includes a supportive environment to a patient during the end of life
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