A nurse manager of an intensive care unit develops plans to improve end-of-life care for clients in the unit. Which of the following actions is the priority?
A) Create a script for nurses to use when discussing hospice and palliative care.
B) Guide staff to improve communication with families about end-of-life decision making.
C) Increase communication between professionals about end-of-life decision making.
D) Survey clients and families about their end-of-life needs.
Ans: B
In recent years, nurses and other health care professionals raised concerns about the need to improve end-of-life care in hospitals. Much of this concern is associated with poor communication between professionals and families about end-of-life decision making. Creating a script can help with that specific need, but the clients continue to experience pain, indignity, social isolation, and uncomfortable symptoms related to ineffective and unwanted life-sustaining treatments, particularly in intensive care units. Interprofessional communication will also help; the priority is between staff and families.
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