Have access already?

Get access to this chapter:

Or get access to the entire book:

Chapter 4: Establishing Care of the Dying as an Acute Event

DOI:

10.1891/9780826122483.0004

Abstract

This chapter explores how the principles presented in CARES impacted the care of the example case of Steven and his family. The intentional use of an acronym format for the CARES tool was utilized to encourage parallels to be drawn to other respected acronym-based acute care treatment formats. Death was considered a failure of medical management, so it was rationalized that if curative strategies were improved, there would be fewer deaths. When improving the dying process was approached, the chapter concerns physician-assisted suicide, euthanasia, and the acceleration of the dying process. Family members of the dying often experience acute stress and anxiety as they witness the death of a loved one; and nurses are experiencing moral distress, compassion fatigue, anxiety, and burnout with their attempts to meet extensive needs of the dying and the family. Staffing adjustments have the greatest impact when identifying the dying process as an acute event.