N450-Communication at the End of Life-Questions with Correct Answers/Verified/ Latest Update 2024/2025
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Course
N450
Institution
N450
Myths about Communication -️️- 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 -️️- Communication is the foundation of excellent palliative care
- Words alon...
N450-Communication at the End of Life-Questions with Correct
Answers/Verified/ Latest Update 2024/2025
Myths about Communication - ✔️✔️- 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 - ✔️✔️- 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 - ✔️✔️- 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 - ✔️✔️- 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 - ✔️✔️- 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
Verbal & Non-Verbal Communication - ✔️✔️- 80% is non-verbal - Body language, eye contact,
gestures, tone of voice, echoing words, head nodding, leaning toward the speaker
Timing - ✔️✔️- Make sure the older adult and/or family is physically comfortable before starting a
conversation.
- Whenever possible, use the older adults/resident's and family's timetable, not yours.
- Making sure family isn't overly stressed
- Sit at eye level and make sure you are in a private area
Breaking Bad News - ✔️✔️Barriers - provider doesn't have knowledge or experience to break bad
news, RNs can't provide this information, family is unwilling to discuss, family isn't able to be
contacted, lack of privacy or time, cultural differences, acute changes, intubated, cognitive changes
- SPIKES
SPIKES - ✔️✔️- Setting and listening skills
- Patient's perception of condition/seriousness - how much do they know
- Invitation from patient to give information - how much do they want to know
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