PALLIATIVE CARE NURSING

Palliative cares are those who are going to make a terminally ill patient or his prognosis is not good.

In my opinion the care of these patients begins in knowing how to communicate their status, to know when they do not want to receive more information and know how to treat the family.

I think the most difficult cases are those in which your family will not tell the truth or when patients do not want to see their reality.

To achieve proper communication professional must overcome:

anxiety to give bad news

fear of the reaction the patient

fear of overidentifying

fear of ignorance to questions

To communicate the bad news, there Buckman communication strategy:

• Stage 0: explain that the results may not be good
• Stage 1: the diagnosis must be certain and not suspicion
• Stage 2: before reporting must know who knows the patient
• Stage 3: what want the patient to know?
• Stage 4: The finely share with the patient. We know how to give depending on the patient information
• Stage 5: responding to the patient's feelings
• Stage 6: Plan of care

I think the most important stages 3 and 4, they must identify when the patient does not wish to receive information but does not say so directly. We will also have to know how to give the information, their desire and ability of acceptance.