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Using standardized nursing languages in end-of-life care plans
1Mount Sinai Medical Center, New York, NY, USA. nroecklein@gc.cuny.edu
Purpose:
This case study demonstrates the challenges to achieve dignified life closure and a comfortable death for a middle-aged woman with terminal cancer and her family.
Data Sources:
Data were obtained from a patient known through the author's clinical experiences, personal family experiences, and published sources.
Data Synthesis:
The appropriate nursing diagnosis, patient outcomes, and nursing interventions were identified through the use of NANDA-International, the Nursing Outcomes Classification, and the Nursing Interventions Classification.
Conclusions:
This case study illustrates the appropriate nursing diagnosis, interventions, and outcomes pertinent to an individual with emotional distress at the end of life.
Implications For Nursing Practice:
Employing the NANDA-International standardized nursing diagnosis, the Nursing Interventions Classification and the Nursing Outcomes Classification provided the needed constructs for considering and improving a dying patient's care in a primary and home setting.
Related Concept Videos
Standards of Care II
Role of Communication in the Nursing Process II: Planning and Implementation
Guidelines for Nursing Documentation I
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
Planning Nursing Care II
Planning Nursing Care I
Guidelines for Writing Outcome
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care evaluation by...