eol effects on nurses Flashcards

(20 cards)

1
Q

What is an ethical conflict in end-of-life care?

A

Disagreement about continuing vs stopping treatment

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2
Q

What is a common challenge balancing patient care?

A

Balancing patient wishes with family or provider opinions

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3
Q

What is moral distress for nurses?

A

Feeling powerless when unable to give care aligned with one’s values

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4
Q

What does “concern for patient dignity” mean at end of life?

A

Advocating for comfort, respect, privacy

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5
Q

Example of maintaining patient dignity during hygiene care?

A

Don’t wipe a patient with the door open; don’t rip off blankets

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6
Q

What should nurses do if unsure about cultural beliefs?

A

Ask the patient/family respectfully

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7
Q

What does maintaining professional distance mean?

A

Show empathy without absorbing the patient’s or family’s pain

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8
Q

Why avoid over-identification?

A

To care with compassion but prevent emotional exhaustion

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9
Q

Why set emotional boundaries?

A

Protects nurses from burnout and maintains professionalism

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10
Q

Why debrief with team members or mentors?

A

Helps process emotions and gain objective perspective

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11
Q

Should nurses be emotional with families?

A

No—remain supportive but professional

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12
Q

What self-care strategies help nurses?

A

Journaling, mindfulness, counseling

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13
Q

Why focus on patient-centered goals?

A

Ensures decisions reflect patient values, not personal feelings

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14
Q

Who can nurses seek support from?

A

Ethics committees, chaplaincy, employee assistance programs (EAP)

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15
Q

What topics should nurses avoid during end-of-life care?

A

Discussions about finance, religion, or politics

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16
Q

What organizational support improves nurse well-being?

A

Adequate staffing and supportive coworkers

17
Q

Why are family meetings important?

A

Help establish and clarify plan of care

18
Q

How can organizations help families after death?

A

Assist with funeral arrangements*

19
Q

How can nursing organizations help the public?

A

Education about end-of-life care

20
Q

How can organizations support nurses’ competence?

A

Providing professional development classes