In: Nursing
Mortality and Ethics:
As a nurse present during medical aid in dying I promote patient
dignity as well as symptom relief, comfort and
emotional support to the patient and family.As a nurse I maintain
confidentiality and privacy in the aid in dying process.
The nursing priorities in the management of a dying patient
are
- recognising that someone is dying
- communicating sensitivity with them and their family.
- involving them in decision making
- supporting them and their family
- creating an individual plan of care which includes adequate
nutrition and hydration.
It is very challenging situation for a nurse in this sensitive
situation.
The role of a nurse during the active dying phase is to support the
patient and family by educating them on what might they expect to
happen during this time, addressing their questions and concerns
honestly,being an active listener and providing emotional support
and guidance.
A nurse cries when their patients die and rejoice in lives that are
saved. However, many people do not see this but see our profession
as cold and uncaring. At the same time, they expect us to be
strong.
Nurses are at the bedside during the dying process; they spend
entire shifts with the patient and families, they
develop trusting relationships, and they are competent to assess
patient and family needs so a nurse's role is a very difficult and
challenging one when it comes to Mortality and Ethics.