End of Life Journal Archives

Content tagged with Helen Scott

Communication Vignettes: ‘I don’t think I can cope, nurse’

Helen Scott

Dementia is a progressive, life-limiting disease (Jolley, 2010; National End of Life Care Intelligence Network, 2010; Hennings et al, 2013). Over time, people with the condition can decline, both cognitively and functionally (Schneider et al, 1999; DeKosky and Orgogozo, 2001; Tor ti et al, 2004; Hennings et al, 2013). The... Read full article

Communication Vignettes: Talking About Death in Dementia

Helen Scott

In this issue of the journal, Julie Watson highlights how people with dementia often become depersonalised. As dementia progresses, carers may stop seeing the human being behind the condition, attributing all behaviour to pathology. However, despite behavioural change and loss of cognitive function, people who have dementia retain their sense... Read full article

Communication Vignettes: ‘What if I meet “Old Nick”, Nurse?’

Helen Scott

Regardless of whether or not older people have a life-limiting illness, they are aware that they are in the final stages of their lives. The very end phase of life can be a significant cause of distress (Lloyd-Williams et al, 2007; Gott et al, 2008). Death remains a mystery and,... Read full article

Communication vignettes: ‘Being with’ a patient who is distressed

Helen Scott

Communicating with dying people means more than just imparting information. It is about being physically and emotionally present with patients. The following communication vignette deals with the issue of ‘being with’ dying patients, as defined by Dame Cicely Saunders, the founder of the modern hospice movement. Dame Cicely Saunders wrote... Read full article

Assessment Of Depression When Patients Desire A Hastened Death

Helen Scott

Patients’ mental health status is an important element of palliative and end-of-life care. However, depression is often under-recognised in terminally ill cancer patients. That is because symptoms of depression can mimic those of advanced cancer and clinicians often think that patients’ low mood is an understandable reaction to terminal illness.... Read full article

Communication vignettes: ‘What have I done to deserve this?’

Helen Scott

Patients who ask ‘What have I done to deserve this?’ are usually articulating spiritual distress. However, nurses often feel uncomfortable discussing spiritual concerns and have difficulty recording spiritual assessments (The Marie Curie Palliative Care Institute and Royal College of Physicians, 2009). That may be due, in part, to the fact... Read full article

Communication vignettes: ‘You must get her out of bed, nurse!’

Helen Scott

The advanced stages of disease can be associated with a great deal of distress for patients and their loved ones (Lobb et al, 2006; Murray et al, 2010; Candy et al, 2011). For example, families/friends of terminally ill people can become confused, fearful, experience despair and helplessness (Maher and Hemming,... Read full article

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