Nurse to Nurse Palliative Care

Margaret Campbell, R.N., Ph.D.(c), F.A.A.N., is Associate Director for Research at the Center to Advance Palliative Care Excellence, Assistant Professor of Medicine, Department of Internal Medicine, at Wayne State University, and Nurse Practitioner, Palliative Care and Clinical Ethics at the Detroit Receiving Hospital in Detroit, Michigan. She has published more than forty journal articles, six book chapters, and the book Foregoing Life-Sustaining Therapy: How to Care for the Patient Who is Near Death. She has served appointments on various boards, including the Last Acts Task Force on Palliative Care through the Robert Wood Johnson Foundation, and is on the editorial board of the Journal of Hospice and Palliative Nursing.

Nurse's Pocket Guide to Palliative CareI.Nurses role in providing care to dying patientsa.ANA Scope and Standards of Practice
b.ANA Social Policy StatementII.Patient Characteristicsa.Trajectories
b.Settings
c.DiagnosesIII. Needsa.Patients
b.FamiliesIV.Communicationa.Nurses role
b.Collaboration with physicians
c.Breaking bad news
d.Discussing treatment goals and DNR
e.Discussing hospice
f.Imminent death notification
g.Death notification
h.Discussing organ or tissue donation
i.Discussing autopsyV.Symptom assessment and managementa.Pain
b.Dyspnea
c.Nausea and Vomiting
d.Fear
e.Anxiety
f.Delirium
g.Anorexia
h.Constipation
VI.Withdrawing life-sustaining treatmentsa.Mechanical ventilation
b.Dialysis
c.Pacemakers, AICD
d.Artificial nutrition and hydrationVII.Anticipatory Griefa.Patient needs and interventions
b.Family needs and interventionsVIII.After death carea.Body
b.FamilyIX.Nurse self-care