4.3 + 21.2 (4.3) Nursing and Palliative Care Flashcards
List five types of knowing that are employed by nurses in their practice
empirical knowledge - science/research
Aesthetic knowledge - art of nursing
personal knowledge - experience
ethical knowledge - law, code of ethics, personal morals
emancipatory knowledge - systemic injustice
WP: APEEE
A generalist nurse is trying to decide if they want to obtain specialization in palliative care nursing. What are three benefits of obtaining such a designation?
tested and proven competency across the spectrum of PC and hospice nursing care
has access to a national network of experienced and knowledgeable PC and hospice nurses
has demonstrated a commitment to his or her speciality practice by pursuing certification
has demonstrated dedication to professional development in their nursing career
is an asset to their employer in an atmosphere of increasing awareness regarding quality of health care
Your team has recently added a specialized PC nurse to the core team. What are five roles this nurse can now take on
providing effective pain and symptom management
addressing psychosocial and spiritual needs of patients/families
Incorporating cultural values attitudes in developing a plan of care
creating a healing environment to support a peaceful death
Supporting those who are experiencing loss, grief and bereavement
promoting ethical and legal decision makiong
advocating for personal wishes and preferences
utilizing therapeutic communication skills in all interactions
facilitating collaborative practice
ensuring access to care and community resources through influencing/developing health and social policy
contributing to improved quality and cost effective services
creating opportunities and implementing initiatives for PC education for patients, families, colleagues, community
participating in the generation, testing, and/or evaluation of PC knowledge and practice
Research has demonstrated that the addition of specialist PC nurses to the core PC team has benefits. List four of these benefits
bridging gap in care by increased access to palliative care services across settings
reduced healthcare spending
increased support and advice for colleagues
lower symptom distress in patients
greater physical functioning
higher self rated health
better outcomes on self management of illness
A key role for PC nurses is that of education. List three major ways that nurses are involved in PC knowledge and education.
curriculum development inclusion of PC teaching units and concepts PC focussed research dissemination knowledge transfer research utilization
academic
clinical practice
public health
Name TWO pros & cons of home based palliative care nursing
Pros:
◆ dec hospitalization
◆ improved QoL
◆ enhanced sym mgmt
◆ prolonged survival
Cons:
◆ inadequate resources + staff shortages prevent:
- wider access to pall program
- difficulty for pall care nursing to execute plan/provide services
Name TWO pros & cons of inpatient palliative care nursing
Pros:
◆ conc of pall care specialist (including nurses)
◆ simultaneous delivery of acute pall care
◆ patient-family focused environment
◆ distinct space for Pall research, training & planning
Cons:
◆ high daily costs
◆ budget constraints
◆ lack of formal standards for staffing
Name TWO pros & cons of consultative palliative care nursing
Pros:
◆ rapid service delivery
◆ dec resources for implementation
◆ less ongoing responsibility for consult service/easier maintenance
Cons:
◆ lack of full-time coverage for pall emergencies
◆ MRPs may not follow consult service recommendations
- main challenge for nurses to motivate healthcare team to adhere to pall care plan
