![]() ![]() However, physicians may be hurried and not always sensitive to the needs of patients and their families. Physicians remain the gatekeepers of information and are usually the ones to break bad news to patients, such as the diagnosis of a terminal condition. The nurse's ability to represent the patient and communicate on the patient's behalf is a core behavior at the EOL. Trigger situations, including illness, hospitalization, or change in diagnosis, require decisionmaking and action thus, the act of advocacy begins. Patients exhibit the following traits when in need of advocacy: powerlessness, helplessness, dependency, vulnerability, inability to speak, and loss of self-control. The nurse experiences the patient as uniquely human, with individual strengths and beliefs, and uses this understanding to intervene on the patient's behalf. Advocacy has 2 parts: information and support. The foundation of advocacy is the nurse-patient relationship. Advocacy is a common thread of quality end-of-life (EOL) nursing care, encompassing pain and symptom management, ethical decisionmaking, competent culturally sensitive care, and assistance through the death and dying process. Throughout history, nurses have sought ways to improve quality of life for individuals, families, and communities during every phase of life's journey. We will be happy to provide any information you need and help you find a convenient time and place for an in-person meeting with a Visiting Angels care director.In the United States in the 20th century, with advances in medical technology and science, the care of the dying patient shifted from family and community to health professionals. To help you find the right care options for your loved one, we invite you to contact your local Visiting Angels. Visiting Angels can provide the compassionate care and support you need during this difficult time. Our caregivers provide an anchor that family caregivers can turn to for moments when they feel overwhelmed, offering emotional support or a helping hand whenever needed. We perform tasks such as meal preparation, laundry, light housekeeping, shopping, and running errands. ![]()
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