Nurses' Role in Providing Comprehensive Communication, Prognostication, and Palliative Care During the COVID-19 Pandemic
This article presents the case of a mother of young children who has terminal stage IV cancer with whom providers had not discussed goals of care and prognostication. Communications about prognostication and goals of care are commonly initiated by physicians. Adolescents and young and middle-age adults with complex chronic or terminal illness often are not provided with timely, clear, complete information or palliative care support. Early palliative care for chronically ill patients facilitates discussions of prognostication and goals of care, in addition to providing symptom management. Such discussions do not diminish ho...
Source: Journal of Hospice and Palliative Nursing - October 29, 2020 Category: Nursing Tags: Special Articles: COVID-19 Source Type: research

COVID-19 Shines a Spotlight on the Age-Old Problem of Social Isolation
This article highlights aspects of the social isolation and loneliness literature. Three cases of elderly patients who required medical care during the COVID-19 pandemic are presented. Common themes of factors contributing to social isolation in each of the health care delivery settings are described, and opportunities for creative interventions by health care providers are identified. As the pandemic continues to unfold and evolve, providers should aim to regularly assess patient risk of isolation and be proactive in preventing negative effects. Additionally, what is learned from health care providers' experiences deliver...
Source: Journal of Hospice and Palliative Nursing - October 29, 2020 Category: Nursing Tags: Special Articles: COVID-19 Source Type: research

COVID-19 Pandemic Restrictions and the Use of Technology for Pediatric Palliative Care in the Acute Care Setting
This article presents a case where technologies such as these were utilized to assist a family in goals-of-care discussions and at end of life for an infant in the intensive care unit at a large urban pediatric care facility during the COVID-19 pandemic. (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - October 29, 2020 Category: Nursing Tags: Special Articles: COVID-19 Source Type: research

Prolonged Critical Illness and Demoralization: Curative Factors in Hospice Care in the Age of COVID-19
In this case report, an elderly patient with COVID-19 pneumonia and a protracted intensive care course, who was unable to wean from mechanical ventilation, was transferred to the hospice unit for ventilator withdrawal and end of life care. Although symptom management was anticipated to focus on treating acute dyspnea, conditions mandated a shift to addressing the psychological challenges associated with prolonged critical illness. The interventions typical to hospice care—patient centered, family focused, and culturally sensitive—served to alleviate psychological symptoms of demoralization and despair, contributing to ...
Source: Journal of Hospice and Palliative Nursing - October 29, 2020 Category: Nursing Tags: Special Articles: COVID-19 Source Type: research

Palliative Care for People With COVID-19–Related Symptoms
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - October 29, 2020 Category: Nursing Tags: Special Articles: COVID-19 Source Type: research

Association News
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - October 29, 2020 Category: Nursing Tags: DEPARTMENTS: Association News Source Type: research

From the Editor
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - October 29, 2020 Category: Nursing Tags: DEPARTMENTS: From the Editor Source Type: research

The Impact of Receiving a Family-Oriented Therapeutic Conversation Intervention Before and During Bereavement Among Family Cancer Caregivers: A Nonrandomized Trial
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - September 5, 2020 Category: Nursing Tags: DEPARTMENTS: CE Tests Source Type: research

On Board: Interdisciplinary Team Member Perspectives of How Patients With Heart Failure and Their Families Navigate Hospice Care
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - September 5, 2020 Category: Nursing Tags: DEPARTMENTS: CE Tests Source Type: research

The Experiences of Well-being of Palliative Care Providers in Malaysia: A Thematic Analysis
In this study, we aimed to explore the experiences of well-being of palliative care providers in Malaysia. Data collected using semistructured interviews were thematically analyzed. Eighteen palliative care providers participated: 9 doctors and 9 nurses. Five subthemes were generated: (1) values and strengths, (2) coping and work-life balance, (3) social support and spirituality, (4) passion and satisfaction, and (5) learning, growth, and transformation. These subthemes were further categorized into 2 themes: resilience and reward. The results may inform the development of interventions in the promotion and sustenance of w...
Source: Journal of Hospice and Palliative Nursing - September 5, 2020 Category: Nursing Tags: Global Exemplar Series Source Type: research

Family Members' Experience of Discussions on End-of-Life Care in Nursing Homes in Japan: A Qualitative Descriptive Study of Family Members' Narratives
In nursing homes, discussions between family members and staff regarding the end of life for residents with cognitive impairment are crucial to the choice of treatment and care consistent with residents' wishes. However, family members experience burden in such discussions, and communication with staff remains inadequate. The purpose of this qualitative descriptive study was to elucidate the meaning of continuous end-of-life discussion for family members. Data were collected using semistructured individual interviews. Thirteen family members of residents from 3 nursing homes in Kyoto, Japan, participated in the study. Data...
Source: Journal of Hospice and Palliative Nursing - September 5, 2020 Category: Nursing Tags: Global Exemplar Series Source Type: research

What Mattered Then, Now, and Always: Illness Narratives From Persons of Color
This study aimed to elicit cocreated illness narratives from persons of color who have serious illness. Twenty patients receiving care for serious illness were interviewed at a large academic medical center. The interviews focused on how illness affected patients' lives and were followed by formation of illness narratives. From the persons living with serious illness, 3 main themes emerged: (1) time, (2) life changes, and (3) family. Participants described how illness did influence their lifestyles and identities but did not define their personhood. Family influence had a lasting effect on participants' values and beliefs,...
Source: Journal of Hospice and Palliative Nursing - September 5, 2020 Category: Nursing Tags: Feature Articles Source Type: research

The Impact of Receiving a Family-Oriented Therapeutic Conversation Intervention Before and During Bereavement Among Family Cancer Caregivers: A Nonrandomized Trial
Effective communication is the foundation of quality care in palliative nursing. As frontline palliative home care providers, nurses could foster more effective bereavement coping skills through therapeutic conversations. The purpose of this study was to evaluate the impact of a nursing intervention offered to bereaved family cancer caregivers. This was a quasi-experimental design, with a posttest-only comparison of the intervention and control groups receiving usual care. Bereaved caregivers (n = 51) receiving services from a specialized palliative home care unit participated and completed measures of depression, anxiety,...
Source: Journal of Hospice and Palliative Nursing - September 5, 2020 Category: Nursing Tags: Feature Articles Source Type: research

An Innovative Application of End-of-Life Nursing Education Consortium Curriculum to Increase Clinical Nurses' Palliative Care Knowledge
This article describes the process, design, and content of the palliative care educational sessions. (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - September 5, 2020 Category: Nursing Tags: Feature Articles Source Type: research

An Integrative Review of Community Theories Applied to Palliative Care Nursing
The purpose of this integrative review was to appraise the qualitative and quantitative literature for community-level health behavior theory application to palliative care nursing to identify their use and future research implications. To date, there has not been an integrative review of the nursing studies that have used community-level health behavior theory to guide palliative care nursing research. Despite the availability of high-quality care, there continues to be underuse of resources. An integrative review on community-level theory application may provide a more holistic understanding of previous interventions to ...
Source: Journal of Hospice and Palliative Nursing - September 5, 2020 Category: Nursing Tags: Feature Articles Source Type: research