Exam (elaborations)
N450 - Communication at the End of Life (1)
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N450 - Communication at the End of Life (1)
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N450 - Communication at the End of LifeMyths about Communication - ANS-- Communication is deliberate
- Words mean the same to sender/receiver
- Verbal communication is primary
- Communication is 1-way
- Can't give too much information
Communication - ANS-- Communication is the foundation of excellent palliative care
- Words alone don't effect communication
- Majority of messages are non-verbal
- People need time to process information
Challenges in Communicating w/Dying Older Adults & Families - ANS-- Societal denial of death
- causes difficulty talking about death & dying
- Lack of direct experience w/death
- Older adults' and families' fears and emotions & don't feel comfortable talking about it
- Dementia and other conditions that make conversations about the future and other abstract
ideas difficult
Caregiver Fears - ANS-- Caregiver fears:
- Not having "the answers"
- Feeling helpless/inadequate
- Upsetting the older adult/family
- Fear of showing emotions - may bring up past
experiences etc
- caregiver's personal fear of dying
- First question is always how long do I have to live - can give a best guess but everyone is
going to do this differently - this makes us uncomfortable b/c we don't know
- Most difficulty w/people who we identify with
Basic Concepts - ANS-- Use active listening - being involved and engaged, summarize what pt
says, ideally sit at eye level and let them know you are present - listening and validating their
feelings
- Being present, rather than what you say, is most important
- Let the older adult and the family lead you - join in their journey; but emphasize that they are in
charge
- Encourage reminiscing; let the older person and families tell their stories - this validates their
life has meaning
- Let the patient know that their lives have meaning
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