In the essay “End-Of-Life Issues and Care” by Carrese and “The Nurse Advocate In End-Of-Life Care,” by The Ochsner Journal, two different viewpoints on how to deal with telling or addressing end-of-life. In the essays, the authors tell how telling family members, or the patient about what is going to come next. The two authors both agreed and disagreed on how to approach the situation in a hands on event that it is hard for the family and the patient to coop to what is going on in the end-of-life stage.
In the essay “End-of-life and Care” the author uses five different persuasive techniques to get their point across to the audience. Using experts, fear, analogy, majority belief, and diversion. The author gives background information about how to handle situations with a dying patient and the imitate family. Also tells about a nurse personal experience when she had to deal with a dying patient that was in denial about the dying stage, and how hard it was for the patient to realize that they were close to end-of-life stage. The first persuasive technique the author uses is experts when they say “Faced with choices about what kind of caregiver help they want or need.”(Carrese) Which is meaning the patient and the family wants to pick the right choice on whom to care for the dying person, as in replying on experts to advise us about things that we don’t know about ourselves.
The author also uses fear by saying “Dying individuals can stop decisions like stop eating/drinking, not taking treatment or receiving assisted suicide.” (Carrese) Because they are finally at the stage of acceptance instead of denial or depression so they are willing to stop all the treatment and ready to just pass away without any pain. Some nurses that had to deal with end-of-life patients have seen patients refuse treatment before because they were ready to go.
“Patients may want to participate in planning rituals before or after death”.(Carrese) This quote from the article is using diversion because it is bringing up a different view on how the patient is thinking about life, and what they want to do before the end-of-life stage comes. Studies has shown that at least 80% of dying patients don’t know they are in the end-of-life stage because they probably have Alzheimer then once the nurse tells them again they begin to have denial about the situation and forgetting again.
The author uses majority belief by saying “Dying individuals will need to make decisions about who they want at their side during the dying process.”(Carrese) Because going through death by yourself wouldn’t be a good way to end your life. Not saying by to your loved ones, or even if you don’t have any the faculty members of the nursing home or hospital is still there with you to keep you support.
Lastly in the article “End-Of-Life and Care” the author says “the patient to make legal decisions about wills, advanced directives, and durable powers of attorney.” (Carrese) This is using analogy because analogy is to compare one situation with another even if it’s good or bad. Which in this situation would be a bad thing because family members could try and change the will after the person dies before they had a chance to change it there self. A nurse talks about how a patient was talking to her about her family will before she passed away and how she was going leave her daughter her house and money then her son her car. But once she past the will was changed and the siblings ended up getting more of what the patient had told the nurse. So it would be best for the patient to make those decisions before they reach the end-of-life stage.
In the article “The nurse advocate in end-of-life care” the author uses experts, timing, simple solution, and intensity to tell the readers how telling a patient and their families about the end-of-life-stage. The author uses experts by saying “developing active listening and effective communication skills can enhance the patients trust.” (The Ochsner Journal) This meaning if you listen to what they have to say the patient can end up trusting you more and would want to open up to you about things. Which can make the situation easier to tell them about the stage they will be facing sooner or later.
The author also uses symbols which are words or images that bring the mind to some larger concepts like strong emotions. “Patients starts showing the five stages of grief 1. Denial 2. Anger 3. Bargaining 4. Depression 5. Acceptance.”(The Ochsner Journal) This shows how the patient or the family members are taking the situation by going through each one of these stages. It gives you an inside look on how the person is feeling and how they are responding to the different situations. In this article the author is basically giving you good ideas on how to approach the end-of-life stage to them, so that it wouldn’t be a hard time trying to face through those fears once the time comes.
“Talk one-on-one with the families to let them know what is going to happen.”(The Ochsner Journal) This shows the timing on when it is the right time to tell the family about the situation. You wouldn’t want to tell them after the person has passed away, or when the person has already hit the end-of-life stage. It would probably be best for the nurse or doctor to tell the patient along with their families before they go into the stage of dying.
The author uses intensity “communications include documentation in the nursing care plan.”(The Ochsner Journal) Which would mean you need good communication skills when approaching the situation to people. You wouldn’t want to go up to the families and not tell them the right way a nurse or doctor should. Need to have good eye contact, and a strong voice to back up what you are saying to them also to provide information on how they got to that stage.
Lastly, my favorite one would be when the author says “Take the mind or situation off the patients mind and talk about anything else other than what’s coming.”(The Ochsner Journal) I like this one because it is a simple solution that anyone can follow in the nursing field. If the patient is still talking about the end-of-life stage and is on the way to the acceptance stage then you wouldn’t want them to go back into depression, which could be even worse for their health. You can get them to talk about anything as in their families, different foods they enjoy eating, favorite thing to do, basically anything that will get their mind off of it.
These two articles are fairly similar but also different because they bring different approaches on how to handle the situation to the patient and or families. I would probably go for the last article because it provides specific information on how to handle a negative situation in a positive way.
Carrese, J. A., & Rhodes, L. A. (1995). Western bioethics on the Navajo reservation. JAMA, 274, 826-829. “End-of-life Issues and Care”
Ochsner J. 2011 Winter; 11(4): 325–329. “The nurse advocate in end-of-life care”
In the essay “End-of-life and Care” the author uses five different persuasive techniques to get their point across to the audience. Using experts, fear, analogy, majority belief, and diversion. The author gives background information about how to handle situations with a dying patient and the imitate family. Also tells about a nurse personal experience when she had to deal with a dying patient that was in denial about the dying stage, and how hard it was for the patient to realize that they were close to end-of-life stage. The first persuasive technique the author uses is experts when they say “Faced with choices about what kind of caregiver help they want or need.”(Carrese) Which is meaning the patient and the family wants to pick the right choice on whom to care for the dying person, as in replying on experts to advise us about things that we don’t know about ourselves.
The author also uses fear by saying “Dying individuals can stop decisions like stop eating/drinking, not taking treatment or receiving assisted suicide.” (Carrese) Because they are finally at the stage of acceptance instead of denial or depression so they are willing to stop all the treatment and ready to just pass away without any pain. Some nurses that had to deal with end-of-life patients have seen patients refuse treatment before because they were ready to go.
“Patients may want to participate in planning rituals before or after death”.(Carrese) This quote from the article is using diversion because it is bringing up a different view on how the patient is thinking about life, and what they want to do before the end-of-life stage comes. Studies has shown that at least 80% of dying patients don’t know they are in the end-of-life stage because they probably have Alzheimer then once the nurse tells them again they begin to have denial about the situation and forgetting again.
The author uses majority belief by saying “Dying individuals will need to make decisions about who they want at their side during the dying process.”(Carrese) Because going through death by yourself wouldn’t be a good way to end your life. Not saying by to your loved ones, or even if you don’t have any the faculty members of the nursing home or hospital is still there with you to keep you support.
Lastly in the article “End-Of-Life and Care” the author says “the patient to make legal decisions about wills, advanced directives, and durable powers of attorney.” (Carrese) This is using analogy because analogy is to compare one situation with another even if it’s good or bad. Which in this situation would be a bad thing because family members could try and change the will after the person dies before they had a chance to change it there self. A nurse talks about how a patient was talking to her about her family will before she passed away and how she was going leave her daughter her house and money then her son her car. But once she past the will was changed and the siblings ended up getting more of what the patient had told the nurse. So it would be best for the patient to make those decisions before they reach the end-of-life stage.
In the article “The nurse advocate in end-of-life care” the author uses experts, timing, simple solution, and intensity to tell the readers how telling a patient and their families about the end-of-life-stage. The author uses experts by saying “developing active listening and effective communication skills can enhance the patients trust.” (The Ochsner Journal) This meaning if you listen to what they have to say the patient can end up trusting you more and would want to open up to you about things. Which can make the situation easier to tell them about the stage they will be facing sooner or later.
The author also uses symbols which are words or images that bring the mind to some larger concepts like strong emotions. “Patients starts showing the five stages of grief 1. Denial 2. Anger 3. Bargaining 4. Depression 5. Acceptance.”(The Ochsner Journal) This shows how the patient or the family members are taking the situation by going through each one of these stages. It gives you an inside look on how the person is feeling and how they are responding to the different situations. In this article the author is basically giving you good ideas on how to approach the end-of-life stage to them, so that it wouldn’t be a hard time trying to face through those fears once the time comes.
“Talk one-on-one with the families to let them know what is going to happen.”(The Ochsner Journal) This shows the timing on when it is the right time to tell the family about the situation. You wouldn’t want to tell them after the person has passed away, or when the person has already hit the end-of-life stage. It would probably be best for the nurse or doctor to tell the patient along with their families before they go into the stage of dying.
The author uses intensity “communications include documentation in the nursing care plan.”(The Ochsner Journal) Which would mean you need good communication skills when approaching the situation to people. You wouldn’t want to go up to the families and not tell them the right way a nurse or doctor should. Need to have good eye contact, and a strong voice to back up what you are saying to them also to provide information on how they got to that stage.
Lastly, my favorite one would be when the author says “Take the mind or situation off the patients mind and talk about anything else other than what’s coming.”(The Ochsner Journal) I like this one because it is a simple solution that anyone can follow in the nursing field. If the patient is still talking about the end-of-life stage and is on the way to the acceptance stage then you wouldn’t want them to go back into depression, which could be even worse for their health. You can get them to talk about anything as in their families, different foods they enjoy eating, favorite thing to do, basically anything that will get their mind off of it.
These two articles are fairly similar but also different because they bring different approaches on how to handle the situation to the patient and or families. I would probably go for the last article because it provides specific information on how to handle a negative situation in a positive way.
Carrese, J. A., & Rhodes, L. A. (1995). Western bioethics on the Navajo reservation. JAMA, 274, 826-829. “End-of-life Issues and Care”
Ochsner J. 2011 Winter; 11(4): 325–329. “The nurse advocate in end-of-life care”