Benner’s 7 healthcare domains practiced in the nurse’s professional career are assistant, teacher, patient welfare promoter, manager of rapid change, patient protector, moral and ethical decision maker and care organizer. Two very important learned skills actively listen to the patient and the family and then effectively communicate their feelings with the rest of the care team. Communication includes documentation in the nursing plan and medical record and oral discussion during shift transfers and multidisciplinary team rounds.

However, it is important to remember that experiencing one of them does not necessarily indicate that your loved one’s condition is deteriorating or that death is near. Choose a primary decision maker to manage information and coordinate family participation and support. Even if families know the wishes of their loved ones, implementing medical malpractice expert witness pennsylvania decisions for or against life support or extension treatments requires clear communication. If your loved one has not made a living will or guideline while he is authorized to do so, act on what you know or feel is your wishes. Consider as many decisions as possible about treatment, placement and death from the patient’s point of view.

It is our duty to communicate the beliefs of the dying individual to the doctor who cares for that individual. Cultural sensitivity training should be included in annual nurses and medical competences. Reducing the medical condition of your loved one and the demand for care in the last 24-hour phase may mean that you need extra help at home, or that the patient is placed in a hospice or other care center.

The healthcare representative is legally authorized to speak to the patient’s doctors, consult their medical records, and make decisions about tests, procedures, and other treatments. Palliative / hospice social workers play many roles within a day and change their focus based on the immediate needs of each patient and family. Some may need help with health problems or life situations, while others need help with everything from admission to hospice to grief advice. Palliative / hospice social workers also play an important role in the process of ingestion and discharge of patients.

First, we all benefit from seeing how experienced physicians address these issues with their patients. Doctors should rather strive to involve residents and medical students in these essential discussions. Second, we must recognize that our skills and comfort levels increase only through repetition and practice. Thirdly, we must be open to comments from mentors and from our patients and their families.