Exploring the Management of Death: Emergency Nurses’ Perceptions of Challenges and Facilitators in the Provision of End-of-Life Care in the Emergency Department

2015 ◽  
Vol 41 (5) ◽  
pp. e23-e33 ◽  
Author(s):  
Lisa A. Wolf ◽  
Altair M. Delao ◽  
Cydne Perhats ◽  
Paul R. Clark ◽  
Michael D. Moon ◽  
...  
2012 ◽  
Vol 38 (5) ◽  
pp. e15-e25 ◽  
Author(s):  
Renea L. Beckstrand ◽  
Virginia C. Giles ◽  
Karlen E. Luthy ◽  
Lynn C. Callister ◽  
Sondra Heaston

2006 ◽  
Vol 32 (6) ◽  
pp. 477-485 ◽  
Author(s):  
Sondra Heaston ◽  
Renea L. Beckstrand ◽  
A. Elaine Bond ◽  
Sheri P. Palmer

2021 ◽  
pp. 003022282199770
Author(s):  
Janet Sopcheck ◽  
Ruth M. Tappen

Residents who are terminally ill often experience transfers to the emergency department resulting in hospitalizations, which may be potentially avoidable with treatment in the nursing home. This qualitative study explored the perspectives of 15 residents, 10 family members, and 20 nursing home staff regarding end-of-life care and the circumstances prompting resident transfers. Data analysis of participant interviews conducted January to May 2019 in a South Florida nursing home identified four themes related to transfer to the hospital: time left to live, when aggressive treatments would be unavailing, not knowing what the nursing home can do, and transfer decisions are situation-dependent. Study findings underscore the importance of increasing resident and family awareness of treatments available in the nursing home and person-centered advance care planning discussions. Further research should explore the reasons for residents’ and family members’ choice of aggressive therapies and their goals for care at the end of life.


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