87: Navigating Goals of Care Discussions With Guest, Hospice Nurse AJ

Rapid Response RN

Goals of care discussions are among the most difficult to navigate as a nurse, BUT there are ways to provide both comfort and clarity to patients and their families in these emotionally charged situations.

In this episode, host Sarah Lorenzini and Hospice Nurse AJ share tips and insights on how to approach these challenging discussions with sensitivity and respect, all while keeping patient’s wishes at the forefront of treatment. From how to start the conversation to addressing concerns, they cover strategies for approaching family members in person or on the phone.

This episode explores not just the words and phrases nurses should employ, but also the compassion that patients and their families need as they step into the grieving process. AJ and Sarah also discuss how to handle various scenarios, including ones where the family is in disagreement or is struggling to make a decision on care.

After listening, you’ll have skills necessary to navigate the nuances of communicating effectively about goals of care and balancing clinical objectives with empathy. Tune in to learn how to have clear, compassionate goals of care discussions!

Topics discussed in this episode:

• How to start the conversation on goals of care
• Things to say to the family and things to avoid
• What DNR means for end of life care
• Dealing with conflicting family opinions
• Communicating with family by telephone
• Preparing the family to see critically ill loved ones
• A nurse’s role in facilitating the family’s grieving process

Mentioned in this episode:

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