Communicating at the End of Life Communication at the end of life should be based on the approach of client centered care. The patient is the person who needs to lead the communication. With some patients, it might be better to use a great deal of attentive listening. However, some patients have deep fears about dying and how they might die. In those situations, the nurse needs to answer the patients and address their concerns in a truthful way. The nurse also must be able to communicate with family members of the patient because they have many of the same concerns as the patient. According to Gauthier (2008), the way the nurse begins preparing for communication is by first having the goal of learning the concerns and needs of the patient...The end:
.....lling me something and I would be moving to an entirely different topic that interested me. That was what happened in the group. When I reflect on the situation in this way, I can see the problem and its implications very clearly. This all relates back to being responsible and collaboration. Everything I do now is related to what I will do later on when I am actually practicing nursing in end of life situations. In terms of accountability, I am responsible to the future patient, the family, and the public in terms of being prepared for my future role and being able to provide quality care. As a consequence, I need to be involved in continuing learning and keep practicing techniques such as being silent and listening attentively to patients.