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Task#2 Community

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End of life is an inevitable aspect of living. Frequently, the patient is ready for this before their family/friends. At this point, care for the terminally ill should focus not on a cure but on comfort and as much freedom from pain and other symptoms as possible. Death with dignity and as little pain as possible becomes our goal. This isn’t always an easy process for a medical professional. We have been taught to never give up, retain hope at all costs, to do something to “fix the problem”. We need to remember that first and foremost we are an advocate for our patient and their wishes, despite our own beliefs and value system. Assisting a patient and their support system through the realization that death is imminent is and can be very rewarding. Understanding the 5 stages of grief-denial/anger/bargaining/depression/acceptance-and realizing not only do the patients experience these stages but also their supporters do too. Progression through the stages isn’t linear and they could experience 2 stages at a time and may even revert back to a stage multiple times. (Such as anger) As a medical professional, it is our duty to remain supportive and an advocate for our patient-especially when what the patient has expressed as their final wishes are not being honored. (Having a trachea and feeding tube placed despite a living will that expressly states not to have done if quality of life will be poor) We must be able to put aside our own beliefs and prejudices to ensure our patient’s wishes are met.
Strategy #1: Increase use of pain medication/adjust to stronger as needed. Pain wreaks havoc on body system-increases BP/HR/RR as well as depression. Control of pain will increase probability of performing ADL’s as well as increased socialization-possibly removing a barrier to the sons and their families to increase visitation and support if they do not see their mom suffer.

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