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Medical-Surgical Nursing

Introduction

Medical-Surgical NursingIntroduction
Peoria, IL - U.S. Air Force Staff Sgt. Carrie Gatz, an instrumentalist with the 566th Air Force Band, Illinois Air National Guard, plays guitar for a hospice patient at her civilian job Sept. 11, 2013. Gatz has served in the Air National Guard since 2004.
Figure 32.1 It can be a privilege to care for patients as they approach the end of life. Alongside a special team of health-care professionals, the nurse provides the compassion and knowledge to aid the patient and their family. During this special time, the nurse might use the art of music, playing soothing melodies that offer comfort and solace. This act of blending the art and science of nursing demonstrates a deep empathy, providing a serene and supportive environment as the patient transitions. (credit: Bart Harris/National Guard, Public Domain)

Chapter Outline

32.1 Palliation
32.2 End-of-Life Care
32.3 Assessment
32.4 Psychosocial Support
32.5 Special Considerations

Palliative care is an essential and evolving field within nursing practice that focuses on providing compassionate, holistic care to individuals with life-limiting illnesses. This chapter serves as a resource for nurses to deepen their understanding of palliative care and develop the skills necessary to deliver high-quality end-of-life care. By combining evidence-based practices, clinical expertise, and a patient-centered approach, this chapter aims to equip nurses with the knowledge and tools needed to address the physical, emotional, and spiritual needs of patients and their families during this delicate phase of life.

The practice of palliative care embodies the values of comfort, dignity, and respect, recognizing that every person's end-of-life journey is unique and should be approached with sensitivity and empathy. Nurses play a pivotal role in facilitating the provision of comprehensive palliative care, serving as advocates, educators, and caregivers. This chapter offers a comprehensive overview of the principles, theories, and practical considerations in palliative care, with a particular emphasis on the nursing perspective. From symptom management and communication strategies to ethical dilemmas and grief support, nurses should be empowered to deliver compassionate care and support patients in achieving the highest possible quality of life until the end of life.

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