Wednesday, June 12, 2019

Role of Registered Nurse in Hospice Essay Example | Topics and Well Written Essays - 750 words

Role of Registered halt in Hospice - Essay ExampleTheir goal is to deoxidise suffering, control symptoms and restore functional capacity of longanimouss suffering from incurable, progressive illnesses. A RN in a hospice setting has to fill several roles from medication and surveillance to emotional support. They also have to be extremely sensitive to the patients personal, cultural and religious values, beliefs and practices. Patients in hospice care are not on any type of life-prolonging medical treatment (Hussain, 2011). Instead, they are put on pain management and other comfort measures to assist them in the dying function (Hussain, 2011). Since it is not easy to care for patients with terminal illnesses, the role of a Registered Nurse is pivotal in ensuring that the patients and their families have a supportive and caring environment. A Registered Nurse in hospice care is required to perform a variety of roles as listed below Case Manager As a case manager, the RN is trustw orthy for assessing and managing the patients care. Each patient is assigned one case manager so that they can build a trusting relationship and vouch continuity of care. The RN is also the eyes and ears of the hospice physician and, therefore, must have expert assessment skills. As part of their role, the RN monitors the vital signs, manage medications, peculiarly pain medications and take care of the overall needs of the patient (Morrow, 2009). They are required to assess pain, symptoms, nutritional status, bowel functions, safety, and psychosocial-spiritual concerns of the patient and the family (Knight & Gunten, 2004). The RN also plays a major role in educating the family about the disease progression, use of medications, daily care needs and other aspects of the overall plan of care (Knight & Gunten, 2004). If a patient has a food craving late at night, the RN will also arrange for someone to get it from the store (Morrow, 2009). If the patient is at home, the nanny-goat ma y also help the family members in doing some of the household chores, so that the family can focus on their loved one. In a hospice setting, the RN has the singular opportunity to witness a patients last moments and therefore, they must be extremely compassionate and empathetic. They serve as advocates for the patient, ensuring that all activities work towards the welfare of the patient. They should also be a critical thinker so as to ensure that the entire stay of the patient in the hospice facility is supportive and caring. The RN is also required to educate and supervise the nursing assistants to coordinate care for the patient. Intake and Admission Nurse As an intake and admissions nurse, the RN is often the first hospice personnel to meet the patient. They meet with the patient and their family and spend a considerable amount of time with them explaining the philosophy of hospice and developing an appropriate plan of care (Morrow, 2009). The RN is also responsible for conduct ing a complete assessment of the patient and determining the needs and preparedness of the patient to stay in a hospice setting (Morrow, 2009). They because consult with the hospice physician before admitting a patient into the facility. Once the patient is admitted, the RN orders the required medications and equipment and begins educating the patient and the family about hospice care. Triage Nurse As a triage nurse, the RN

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