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Related Concept Videos

Ethical Issues01:27

Ethical Issues

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Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
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Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch01:15

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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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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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In assessing respiratory abnormalities, palpation and auscultation are critical tools for detecting and interpreting various pathophysiological changes. These techniques provide insight into underlying disorders by evaluating tactile sensations and sounds produced by the respiratory system.
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Assessment of Respiration01:23

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The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
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Related Experiment Video

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Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
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Death rattle: palliative nursing practices Delphi study.

Sumika Oda1, Aki Kawakami2, Kaoru Ashida3

  • 1Department of Adult Health Nursing, Graduate School of Health Care Sciences, Tokyo Medical and Dental University (TMDU), Bunkyo-ku, Japan ns210001@tmd.ac.jp o.sumika870@gmail.com.

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Summary

This study identified 37 key nursing practices for managing death rattle (DR) and supporting families. Expert nurses confirmed these practices are crucial for improving end-of-life care quality.

Keywords:
End of life carePalliative CareRespiratory conditionsSymptoms and symptom managementTerminal care

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Area of Science:

  • Palliative Care Nursing
  • End-of-Life Care Research
  • Symptom Management

Background:

  • Death rattle (DR) interventions require refinement, with families desiring better care.
  • Limited comprehensive nursing practice reports exist for patients experiencing DR.
  • This study addresses the need for defined nursing strategies in hospital settings.

Purpose of the Study:

  • To clarify comprehensive nursing practices for patients with death rattle.
  • To assess the importance of these nursing practices for patients and their families.
  • To enhance the quality of care during the end-of-life phase.

Main Methods:

  • Modified Delphi method employed with experienced end-of-life care nurses.
  • Convenience and snowball sampling used for expert nurse recruitment.
  • Two rounds of Delphi surveys with Likert scale ratings (1-9) to determine practice importance.

Main Results:

  • Identified 40 nursing practices across 8 domains, including assessment, oral care, hydration, medication, and family communication.
  • 37 out of 40 practices were deemed important by expert nurses (≥80% rated ≥7).
  • Key domains covered patient assessment, symptom alleviation, and family support.

Conclusions:

  • Successfully identified and validated comprehensive nursing practices for death rattle management.
  • The findings support the development of clinical guidelines for improved end-of-life care.
  • This research contributes to enhancing nursing interventions for patients with death rattle and their families.