Many times, medical personnel, when
communicate health bad news, psychological reactions are detected which make that
we get away from the terminal patient.
These reactions have to be avoided
and must overcome the barriers that stand in our way.
Nurses should use a deliberative
model to communicate with the patient, focused look at the same level in
health, disease and psychosocial.
In a terminal patient in my opinion
the first activity to be undertaken is eliminate pain suffered by the patient
and symptom control. We mustn´t forget that support for the patient to remain
at his side, be available for any questions and empathizing are important so
will foster communication.
Another important aspect is to try making
the patient's autonomy and the implementation of activities of daily living is
present as long as possible.
We mustn´t forget in this process the
family of the patient receiving palliative care. We will support them
emotionally from start to finish the process.
The terminally ill patient suffers
the "stages of grief": Denial, anger, bargaining, depression and
acceptance. Since nursing is essential to carry out a series of interventions
that help the patient to go through this stage.
Bibliography:
1. Aspectos psicosociales asociados con la
calidad de vida de personas con enfermedades crónicas. Diversitas vol.1
no.2. Bogotá July/Dec. 2005. Available in:
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