Eyre Sharon
Leven Health Centre, Fife.
Nurs Stand. 2010;24(22):43-8. doi: 10.7748/ns2010.02.24.22.43.c7518.
This article explores the role of the district nurse in supporting family and friends who act as informal carers for patients who wish to die at home. The district nurse can support carers by promoting patient comfort, assessing carer needs, using communication and counselling skills, providing timely information, planning for anticipated needs, and co-ordinating and liaising with appropriate services and professionals. This requires the district nurse to develop a trusting carer-nurse relationship. The Gold Standards Framework and Liverpool Care Pathway for the Dying Patient are discussed as a means of guiding healthcare professionals to optimise palliative care for patients and carers. The author suggests that the principles discussed are equally applicable to any nurse who cares for dying patients and their families.
本文探讨了社区护士在支持那些作为非正式护理人员照顾希望在家中离世患者的家人和朋友方面所发挥的作用。社区护士可以通过促进患者舒适、评估护理人员需求、运用沟通和咨询技巧、提供及时信息、规划预期需求以及协调并联络适当的服务和专业人员来支持护理人员。这要求社区护士建立起信任的护患关系。文中讨论了《金标准框架》和《利物浦临终患者护理路径》，作为指导医疗保健专业人员为患者和护理人员优化姑息治疗的一种方式。作者认为所讨论的这些原则同样适用于任何照顾临终患者及其家人的护士。
