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Joaquin, Mark Cristoper B.

4-BSN4A
End-of-Life care practices of Critical Care Nurses: A national Cross-sectional
Survey
The researchers identified different end-of-life practice namely: information
sharing, environmental modification, emotional support, patient and family
centered decision-making, symptom management and spiritual support. The
findings of the study are deemed helpful such that the nurses will try to find
ways to shape the interventions or improve their current routine plan. The
result states that emotional support and symptom management were the
least frequently reported as always undertaken in the provision of end-of-life
care by critical care nurses in the study.
The article has its interesting insights; the researchers has presented a
plethora of interventions commonly done by the Critical Care nurses. As
interesting as it is, it is disheartening and sad that the nurses are just
focusing on the Pathological Management of the patient instead of including
the Emotional support and Symptom management. Surprisingly, these two
least undertaken intervention is included on the part of Hospice care. We
Nurses sometimes tend to solve the problem Pathophysiologically but we
didnt manage to reconsider their Psychological and Physiological need due
to the unjust ratio of patient-to-nurse assignment, these reason was not
enough on doing such. Our patients deserve the utmost care from a nurse
but an exhausted nurse wouldnt be able to perform the optimal
interventions that we can give to them.
In order to be an efficient advocate of care, one must reconsider his or her
actions such that we do not just tend the wounds or their frail bodies but also
we should nourish their emotional deficits. I believe that these things are
underappreciated but plays a lot into the scenario. If we manage to tend
their emotional wound they will become receptive to care and will be able
to be motivated to go back into their normal function, As a future Nurse and
Doctor. I must value my patients such that I will treat them as the one who
sits atop of the echelon due to their immense need ranging from Pathological
to Emotional problems, I will act as an effective liaison to my nursing
colleagues and from the patient. This will help to reconsider adding an
additional intervention retrofitted to their needs (significant others) and to
our patient needs

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