A respiratory nurse’s reflections on her therapeutic relationship with a patient experiencing intractable breathlessness and on the challenges of ‘being with’ patients at the end of life
A group of student nurses developed a wish list to prompt patients and health professionals to have conversations about end-of-life care
Appointing a palliative care team nurse to coordinate fast-track discharges at the end of life can help ensure patients can be cared for, and die, in their preferred place
Anticipatory care is needed in care homes to reduce unplanned hospital admissions. This initiative won the award for Care of Older People at the 2016 Nursing Times Awards
People nearing the end of life can benefit from discussing and recording their care preferences in a process known as advance care planning.
In East London, joint working between respiratory and palliative care teams ensures patients with severe COPD have access to end-of-life care.
Issues of home-based non-invasive ventilationSubscription
Non-invasive ventilation is increasingly used to manage patients with COPD at home, but the evidence base is poor and competent professionals are insufficient in number
Personalised care plans in the last days of lifeSubscription
One trust in England piloted a new tool to help ensure nurses consider the Priorities of Care for the Dying Person when caring for patients who are in the last days of life
Management of pruritus in palliative careSubscription
Some patients nearing the end of life experience severe itching, which can be extremely distressing. The symptom has a number of causes but can be managed
Professional boundaries between nurses and their patients and relatives can be blurred. Narratives can help us reflect on where these boundaries lie in practice