HPC Nursing Competency 4Last Days/H

HPC Nursing Competency 4
Last Days/Hours / Imminent Death Care 27

Recognizing, reporting and responding to common symptoms such as pain, nausea, dyspnea, anxiety,
confusion etc.

Understanding medications and their administration

Medication alternate dosage conversion and route back up if unable to swallow
Psychosocial issues:

Respecting their choice to remain at home

Helping them to maintain a sense of control

Providing and guiding opportunities to heal and/or strengthen relationships

Anticipatory grieving

Teaching and reassurance in providing care

Applying a team effort to help ease the burden of care ( nursing, social work, psychology, pastoral care,
volunteers, family doctor)
Spiritual Issues:

Clearing up unfinished business

Finding meaning

Beliefs in after life

Healing

Creating final memories

Giving final gifts

Find spiritual peace

Saying good-bye.

Connecting with their pastor or a spiritual supporter
Other:

Autopsy

Organ, tissue and body donation information