A cure is no longer possible for a young child with cancer. The nursing staff recognizes that the goal of treatment must shift from cure to palliation. Which is an important consideration at this time?
a. The family is included in the decision to shift the goals of treatment.
b. The decision must be made by the health professionals involved in the child's care.
c. The family needs to understand that palliative care takes place in the home.
d. The decision should not be communicated to the family because it will encourage a sense of hopelessness.
ANS: A
When the child reaches the terminal stage, the nurse and physician should explore the family's wishes. The family should help decide what interventions will occur as they plan for their child's death.
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