1. THE NURSING ROLE IN PALLIATIVE
CARE
Abu-Rakiah Riad
RN-MA
PALLIATIVE CARE SPECIALIST

2. OBJECTIVES:
 Main Areas of Practice
 The nursing role in palliative care
 Standards of care
 Communication issue
 Holistic assessment
 The family and the nurse
 Loss and nursing role

3. MAIN AREAS OF PRACTICE
 Co-ordinating of the program and
Treatment plan
 role in the multidisciplinary team
 Clinical expanded role in the symptoms
management
 Education and research

4. THE NURSING ROLE IN PALLIATIVE CARE
 Relief for physical symptoms
 Achieving quality of life
 Maintaining an independent patient
 Relief for mental anguish and social
isolation
 Family support
 Reducing isolation, fear and anxiety
 Good death or dying well

5. ANGUISH

6. STANDARDS OF CARE
 Relief of symptoms
 patient independence and
 open dialogue.
 Support patient, family, therapists and
colleagues.
 Contact with other staff members providers
power to the patient
 improved communication inter- personal

7. COMMUNICATION

8. ESSENTIAL BEHAVIORS OF THE NURSE
IN PALLIATIVE CARE
 To enable convenience
 Respond to anger.
 Respond to colleagues
 Improve quality of life until death
 Respond to family
 Be when the death occur

9. PRINCIPLES OF NEEDS ASSESSMENT
 Trust
 Identification and Classification Needs
 Order of priorities
 Multidisciplinary approach to estimate
 Diagnoses nursing care

10. PSYCHOLOGICAL NEEDS ASSESSMENT
 Communications support
 Will Information According to the patient
 Encouraging the patient to discuss
concerns and feelings
 Finding a connection between thoughts
and feelings
 Examining Solutions
 Test anxiety factors

11. SOCIAL NEEDS ASSESSMENT
 Social isolation
 loss of relationship
 change roles
 economic problems

12. SPIRITUAL NEEDS ASSESSMENT
 Finding meaning to life
 Suffering and death
 Need hope
 Need to belief in yourself ,Others and
God

13. TEAMWORK DEPENDS ON
 Level of integration between
professionals
 Degree of collective responsibility
 Membership
 Organizational structure and
administrative

14. LEADING THE TEAM
 Understanding the role of each individual
within the team
 Shared decision making
 Effective communication
 Common goals
 Set roles overlap, overload.
 conflicts solving

15. THE NURSE AND THE FAMILY
 Contact between the family nurse
 Providing access to family
 Recognition of the stress of the family
 Reference to factors related to the
environment, state, private person
 Identifying family communication patterns
 Identifying the need of family support
 family support

16. REDUCED FAMILY STRESS BY
 Convenience of the patient
 Nurse regular update on the situation
 Familiarity with the therapists
 Recognition of the uniqueness of the patient
 Caring and friendly attitude from the staff
 Privacy family with patient
 Support of family and friends
 Accessibility of social worker and
psychologist

17. INCREASED FAMILY STRESS
 Due to the patient's suffering
 Uncertainty about future
 Noise Department or environment
 Lack of privacy
 Official team and distant
 Patient not respected

18. COPING WITH LOSS –NURSING ROLE
 Climate of commitment to mental recovery
 Maintaining the human face of pain and
distress
 Be with the family
 Involvement and control of the family
 communication through contact
 Emotional support and providing information
 Help closing circuits

19. DEALING WITH LOSS DEPEND ON
 The relationship between the patient's
family
 Circumstances of death
 Physical health of family
 Personality of the grieving person
 Social factors
 Age of the dying patient
 Family Status

20. SPECIALIST IN PALLIATIVE
CARE NURSING
 Proven professional experience
 Working with Thought
 Independence in practice
 Support academic learning by clinical
work
 Continue learning and research

21. NURSING IN PALLIATIVE CARE
RESEARCH
 The nurse is member of the
interdisciplinary team
 Collecting information is essential
 Distributing information to patients,
families and other team
 problematic issue ,ethical issue in
palliative research

22. REMEMBER YOUR KEY TASKS
 Communication
 Co-ordination
 Control of symptoms
 Continuity
 Continued learning
 Carer support
 Care in the dying phase

23. “I learned that people forget what you
say, I learned that people will forget
what you do, but I learned that
people will never forget how you
made them feel”
(Maya Angelou,1928)

24. I BELIEVE THAT NURSES IN PALLIATIVE
CARE WORKING WITH:
 Humanity
 Heart
 Head
 Humor
 honesty

25. THANK YOU