Conversation 6: Good example

District NurseĀ and son. Dying phase.

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Know the family well - been in hospital for about 10 days and has deteriorated rapidly in the last 2 days - expected to die in the next few days
Important to communicate that to all the family
Don't always assume someone else has had the conversation

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Tone of voice so important during this type of interaction - good use of body language Evidence of DNACPR in place. ACP -management plan. Ceilings of treatment important
Common that family members do not understand the reduced need or desire for food. Bazian report
Dying person is less likely to be concerned re the reduced intake than the families. ( Del Rio et al 2012, Rurup et al 2012 & Raijmakers et al 2013)

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Importance of communication with family members in end of life care

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Families will often find their own way to cope but in the grief, gentle support from those around them in the caring profession is needed.
Data from the RCN survey suggests that when staff have adequate training in end of life care, this has a positive impact on patient outcomes

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Important to explain the dying process - prepare families for what to expect as normal

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Important to explain the dying process - prepare families for what to expect as normal

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Explanation of content of death certificate is also important

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