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ASHLEY DOYLE

DEALING WITH DYING


PATIENTS
JAMIE SUAREZ
MRS. KRISTI CLICK

MENTOR INFORMATION

Memorial Hermann Southeast Hospital


11800 Astoria Blvd
Houston, TX 77089
ICU Nurse
My mentor is Mrs. Jamie Suarez. She woks in the ICU and the IMCU. She went to
college of the mainland for years.

ISM
ISM is a program where students get to explore what they
want their career to be in the future. They choose where they
want to go and they also get a mentor/instructor to tell
educate them about that certain career. The students have to
get 3 hours of being with the mentor, 2 activity hours, a
journal due every Monday, and a final major project that is due
at the end of the semester.

FEELINGS YOU MAY HAVE WHEN DEALING


WITH A RELATIVE WHO IS DYING

Anger
Depression
Denial
Despair

DEALING WITH A DYING PATIENT (FAMILY &


FRIENDS)
Keep patient feeling comfortable while in final life stages.
Communication plays a huge role when dealing with dying patients.
Nurses and medical staff MUST educate the family members no matter how hard it
is to tell them.

RELIGION AND SPIRITUALITY


Religion and spirituality plays another huge role when in your last stages of life.
Many different ways people deal with end-of-life stages due to
Religion
Spirituality
Culture
Ethnic group

PATIENTS NEEDS

Never leave the patient in distress


If the patient is in distress then you must do as much sedation that is required to
calm them
Always make them feel comfortable (no matter what)

WHEN DEALING WITH A DYING PATIENT


(NURSES)
When dealing with a dying patient in the nurses situation you can:
Talk to other nurse's
Talk to a councilor
Relax

MAKING THE DECISION


When making the right decision you must communicate with other relatives.
5% of death in the ICU happens when the families have not made a decision yet.
[81]
80% of families like the physician to make the decision [81]
88% of patients with advanced cancer deal with spiritual and religion importance.
[83]

THE EDUCATION AND TRAINING WHEN


DEALING WITH YOUR DYING PATIENT

When in post-graduate or early training you actually learn about how to deal with
dying patients and their relatives/close friends.
Every moment when there is a dying patient you should always take it as an
educational experience about how to deal with it.

AGE DIFFERENCES

Age differences are actually really important when dealing with dying patients in
the ICU
Older nurses usually do better when dealing with the patient, because they know
how to handle things better and they have had a little more experience.
Younger patients do not do well, because they are more emotional towards the
situation.

FACTS

Only 45% of patients know that they are dying.


Also common end-of-life is breathlessness (mostly in older people)
Death Rattle -not being able to cough up secretion. [6,29]
Double Effect Maximizing pain relief at the end of life is critical, but can
sometimes cause unintended morbidity and even hasten death itself [38, 40].

MY PROJECT

For my project I will be making a brochure on how to deal with a loved one who is
dying. It will demonstrate on how to cope when dealing with the patient, the
feelings you may have, and who to talk to when in this situation.

ACKNOWLEDGEMENT

I would like to take the time to thank my mentor Jamie


Suarez for mentoring me, my ISM teacher Mrs. Click for
letting me be in this program, and my mom and dad
for everything theyve ever done for me.

WORK CITED
"A Framework for Nursing the Dying Patient in ICU." N.p., 18 Jan. 2001. Web. 2 Oct. 2016.
https://www.nursingtimes.net/a-framework-for-nursing-the-dying-patient-in-icu/206150.article
Papadimos, Thomas J., Yasdet Maldonado, Ravi S. Tripathi, Deven S. Kothari, and
Andrew L. Rosenberg. "An
Overview of Endoflife Issues in the Intensive Care Unit." PMC. N.p., Fall 2011. Web. 2 Oct. 2016.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3249847/
Domrose, By Cathryn. "Nurses Cope with Patient Deaths | Nurse.com." Nursing News Stories Articles. N.p., 20
Apr. 2016. Web. 03 Oct. 2016.
https://www.nurse.com/blog/2011/02/21/good-grief-nurses-cope-with-patient-deaths/
Naidoo, Vasanthrie. "Experiences of Critical Care Nurses of Death and Dying in an Intensive Care Unit: A
Phenomenological Study." The Journal of Nursing and Care. N.p., 12 July 2014. Web. 3 Oct. 2016.
http://www.omicsgroup.org/journals/experiences-of-critical-care-nurses-of-death-and-dying-2167-1168-3-179.php?
aid=28032

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