Published: 2013
Vol: 3
No: 2
Author(s):
Lucy Ryan, Jane Seymour
Intensive care unit (ICU) nursing is associated with emotional labour. ICU nurses regularly care for dying patients. End-of-life care (EoLC) can be a major cause of stress in ICU, particularly in relation to the withdrawal of life-sustaining treatment, managing the transition from curative care to EoLC and dealing with the distress of patients, relatives/loved ones. However, ICU nurses receive...
Published: 2013
Vol: 3
No: 2
Author(s):
Steve Marshall, Julia Manning, Sally Mercer
Communicating with children about the anticipated death of a parent can be very challenging, even for experienced palliative care professionals. It can be particularly difficult for dying parents to discuss the fact that they are dying with their children. Consequently, they may adopt an overly positive stance in order to shield their children from the truth. When unable to understand what is...
Clinical practice development
Published: 2013
Vol: 3
No: 2
Author(s):
Julie Vosit-Steller, Jenna Swinkin, Katie McCabe
The impact of illness, age, treatment and a terminal prognosis can erode a patient’s sense of dignity and reduce quality of life. Maintaining patient dignity has always been considered synonymous with nursing practice. However, there is minimal information relating to how best nurses can promote and maintain a patient’s sense of dignity among different patient populations and care settings....
Ethical/legal discussions
Published: 2013
Vol: 3
No: 2
Author(s):
Joanna Davies, Rob George
Evaluating someone’s mental capacity in relation to advance decisions to refuse treatment can be a challenge for health professionals, particularly in cases of dementia. The Mental Capacity Act 2005 clarifies and formalises the functional assessment of capacity. It aims to protect individual autonomy and counter the assumption that, just because an individual does not have capacity regarding one...
Published: 2013
Vol: 3
No: 2
Heart failure is associated with a high symptom burden, which can have a negative effect on the life of the person with heart failure as well as their relatives/loved ones. One of the main symptoms of heart failure is breathlessness, which reduces the ability of the person to maintain independence and is associated with anxiety, fear and distress. When a patient in heart failure is approaching...
National end of life care programme update
Published: 2013
Vol: 3
No: 2
Introduction
On 1 April 2013, a new improvement body, NHS Improving Quality, was established. It is hosted by the NHS Commissioning Board and brings together the combined knowledge and experience of a number of NHS improvement organisations:
National End of Life Care Programme
National Cancer Action Team
NHS Diabetes and Kidney Care
NHS Improvement
NHS Institute for Innovation...