Caring for patients at the end of life is a challenging task that requires not only the consideration of the patient as a whole but also an understanding of the family, social, legal, economic, and institutional circumstances that surround patient care.
A legal requirement of end of life care is that the wishes of the individual, including whether CPR should be attempted, as well as their wishes how they are cared for after death are properly documented. This means that their rights and wishes even after death are respected.
When an individual is at the end of life, usually you are aware due to the documentation that is present. (which is a legal requirement) In my job role I would read and acknowledge the rights and wishes of the individual, including any religious beliefs to ensure they are cared for according to their wishes.
Factors affecting end-of-life care
a) Birth and death are two aspects of life, which will happen to everyone.
b) Dying and death are painful and personal experiences for those that are dying and their loved ones caring for them.
c) Death affects each person involved in multiple ways, including physically, psychologically, emotionally, spiritually, and financially.
d) Whether the death is sudden and unexpected, or ongoing and expected, there is information and help available to address the impact of dying and death.
e) Although each person reacts to the knowledge of impending death or to loss in his or her own way, there are similarities in the psychosocial responses to the situation.
f) Kubler-Ross' (1969) theory of the stages of grief when an individual is dying has gained wide acceptance in nursing and other disciplines.
g) The stages of dying, much like the stages of grief, may overlap, and the duration of any stage may range from as little as a few hours to as long as months. The process vary from person to person.
h) Some people may be in one stage for such a short time that it seems as if they skipped that stage....