Palliative nursing reflects a holistic philosophy of care and services for patients and families who face serious or life-threatening illness in a wide variety of settings and conditions. Hospice and palliative nurses work side-by-side with patients and their families as well as with numerous interdisciplinary colleagues, and provide consistent responsibility for the round-the-clock care of palliative patients. Attending to the patient’s end-of-life physiological and psychological responses and requirements as well as to the social and cultural factors and the spiritual aspects of care is the essence of palliative nursing. This up-to-date guide reflects the specialty’s development into practice that encompasses hospice and palliative nursing. It specifies the who, what, where, when, why, and how of palliative nursing practice, and provides essential guidance in the form of standards and competencies for all levels of practice. Co-published with the Hospice and Palliative Nurses Association.
Definition of Palliative Care Scope of Palliative Nursing Practice Definition and Description History and Evolution of Palliative Nursing Ethics Current State of Practice Palliative Nursing Competencies and Certifications Professional Development in Palliative Nursing Primary Nursing Practice Registered Nurse Palliative Specialty Practice Advanced Practice Palliative Nursing Practice Palliative Nursing Competencies Clinical Judgment Advocacy and Ethics Professionalism Collaboration Systems Thinking Cultural Competence Facilitator of Learning Communication Summary Standards of Palliative Nursing Practice Standards of Practice for Palliative Nursing Standard 1. Assessment Standard 2. Diagnosis Standard 3. Outcomes Identification Standard 4. Planning Standard 5. Implementation 5 A. Coordination of Care 5 B. Health Teaching and Health Promotion 5 C. Consultation 5 D. Prescriptive Authority and Treatment Standard 6. Evaluation Standards of Professional Performance Standard 7. Ethics Standard 8. Education Standard 9. Evidence-Based Practice and Research Standard 10. Quality of Practice Standard 11. Communication Standard 12. Leadership Standard 13. Collaboration Standard 14. Professional Practice Evaluation Standard 15. Resource Utilization Standard 16. Environmental Health Glossary References Appendix A. Hospice and Palliative Nursing:: Scope and Standards of Practice (2007)
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