AND ANSWERS SURE A+
✔✔Burdens family members carry when a family member is dying - ✔✔- ill health
- conflicting family responsibilities
- fear, anxiety, insecurity
- loss of physical closeness with pt
- little time to meet own needs
- cumulative loss
- lack of support from family and health care professionals
✔✔What is the most effective way to support a family caregiver - ✔✔To help them fulfill
their caregiving role rather than focusing on their personal needs
✔✔Interprofessional team approach - ✔✔Focuses on professionals collaboratively
working with each other and with patient and family as members of the team to develop
and achieve common goals
✔✔Multiprofessional model - ✔✔Composed of individuals from different professional
backgrounds who work with the same patient and family but develop individual goals
✔✔Barriers to end-of-life nursing care - ✔✔- limited training and education nurses
receive
, - availability and usage of palliative services
- limited involvement of patient and family members in the interprofessional team
- nurses moral distress
✔✔Nursing interventions that promote connections and trusting relationships - ✔✔-
careful listening to family's experience with illness and suffering
- asking good questions that encourage family members understanding of differences in
their perspectives
- Demonstrating compassion by showing you are touched by their suffering
- remaining nonjudgemental
- offering a new perspective or information
- working with the family
- Acknowledging family strengths
- Being reliable and accessible
✔✔Nursing interventions to empower families - ✔✔- commending families
- educating families abut clinical opinions and constraints
- helping families to help themselves
✔✔Critical components of the process of sharing information - ✔✔- timing
- pacing
- verbal and nonverbal communication
- respect, empathy, and compassion
✔✔Interventions aimed at facilitating choice - ✔✔- encouraging advanced training
- assessing pt and family's desire for involvement in decision making
- Assessing their awareness about the possibility of death
- opening lines of communication
- identifying and building on pts and family strengths to optimize choice
✔✔10 family needs in the intensive care unit - ✔✔1. Hope
2. Health care provider caring about the pt
3. Having a waiting room near the pt
4. Being called at home about change in pt condition
5. Knowing prognosis
6. Having questions answered honestly
7. Knowing specific facts about prognosis
8. Receiving information about pt each day
9. Explanations in understandable terms
10. Seeing pt frequently
✔✔The critical care family needs inventory - ✔✔A valid and reliable instrument to
assess family needs. It describes family needs in 3 categories: assurance, proximity,
and information