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Continuing Care

Continuing Care

Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...

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Therapeutic Communication

Communication is a lifelong learning process. Through therapeutic communication, nurses can collect relevant assessment data, provide education and counseling, and interact during nursing interventions. Sending and receiving messages occur through verbal and nonverbal communication techniques and can happen separately or simultaneously.
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Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch

Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch

The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
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Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing

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Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
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Related Experiment Video

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Communication in caring for terminally ill patients.

J T Berger¹, F Rosner, J Potash

¹Department of Medicine, Winthrop-University Hospital, Mineola, New York, USA. jberger@ms.cc.sunysb.edu

Journal of Palliative Medicine

|April 30, 2005

Summary

Providing excellent end-of-life care is a medical duty. Physicians should accept death as natural, manage it with calm, and create personalized care plans, prioritizing patient communication.

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Area of Science:

Medical Ethics
Palliative Care

Background:

Ensuring quality end-of-life care is a fundamental medical obligation.
Dying is an integral part of the human experience that requires medical attention.

Purpose of the Study:

To outline essential components of high-quality care for dying patients.
To emphasize the physician's role in managing end-of-life care with equanimity and individualized attention.

Main Methods:

This study is a conceptual analysis of the principles of good end-of-life care.
It synthesizes ethical obligations with practical approaches to patient care.

Main Results:

Physicians must accept the naturalness of death.
Attentive, individualized care plans are crucial.
Effective communication is central to patient and family support.

Conclusions:

Fulfilling the obligation of good end-of-life care requires physicians to integrate dying into life's continuum.
Equanimity in facing death and robust communication are key to patient-centered care.