I will help staff deal with their grief when we lose a resident. Have them get together and let staff express their feelings about the resident and how they passed (was it a good experience or a bad one?) and help find resources or venues to help the staff person heal.
Thanks for helping me grow!
|
0304
|
|
I will organize at least one in-service on EOL care in my facility in the next three months.
|
1904
|
|
Me, and my coworker who attended this class, are going to meet with our DNS to talk about what we have learned in this class, and we’ll have a little meeting with our nursing staff. (I have already talked about his class to my DNS.)
|
2071
|
|
I will visit more patients that have no one to share time with as they approach the end of life, and spend more time listening to relatives of EOL patients.
|
2702
|
|
I would like to come up with a kit for non-drug therapies like we learned in our NAC class. I would like it to be accessible for fellow NACs on my unit, teach them how to use it, and the importance of it. As NACs we often feel as if we don’t spend as much time as we should with hospice patients and this would allow us to do so. It would also allow us to feel like we (NACs) physically aided in pain management.
|
2901
|
|
I would like to do the best care with dying residents and supporting families if I am able to. I would apply whatever I have learned here.
|
2902
|
|
My goal is to work on having our facility form an ethics committee. Also to educate and share information with my fellow coworkers.
|
2904
|
|
I want to ensure all my residents have adequate pain control despite regulatory demands. I will personally fill out all paperwork required, whether it be pain assessment, waiver, etc.
|
2907
|
|
As a CNA I will participate in sharing what I get from the entire class with my coworkers and trying to help those who need help.
|
3101
|
- I will re-institute the “ethics committee”
- I will provide for LPNs a morphine in-service as part of pain management
- I am going to promote a “pain committee” of all participants in attendance, to review all residents requiring Schedule II and III meds for “pain management” adequacy.
|
3102
|
First of all, I would like to thank those who sponsor this class.
Second, I would like to thank the teachers very much.
From this class I learned very much of what I wish to learn about. I will work for it. Thank you.
|
3103
|
|
I am going to spend more time with my NACs teaching them about the benefits of good pain management and the importance of reporting all signs and symptoms of pain and teaching them what those signs and symptoms are.
|
3104
|
|
I have a patient currently dying on hospice care. I am making a commitment to her to keep her pain under control, and she has breast cancer with lung mets.
|
3105
|
|
I will tell my supervisor to log on to the PERT website to learn more about giving morphine to residents.
|
3106
|
- I will continue to serve as a resident advocate by:
- Visiting the website monthly, to enhance my knowledge to better assist the staff, residents, and their families
- In-service the staff regarding end-of-life issues (e.g., ethics, decision-making)
|
3201
|
|
I want to find out more about other cultures regarding how their loved ones are treated when they pass away (religion, ethics, and spirituality). How different is the culture here from in their country?
|
3202
|
|
I will commit to reviewing the PERT website weekly to monthly with the DNS to further our education so we together as a team can provide better education to our staff and to provide better care to our residents at the end of life.
|
3204
|
|
I got a lot of information about how to deal with the residents – especially those who are close to the end of life. I feel more comfortable and confident to meet my goals, especially for comfort care.
|
3301
|
|
I will make an effort to inform any other nurse who is hesitant about giving maximum doses of pain meds when needed and not to be afraid that the patient will be addicted or it will hasten death.
|
3401
|
|
I want to educate the NACs working with me about what I learned in the PERT Program. My goal is to provide the NACs with knowledge they can use to make better judgments on providing care.
|
3402
|
|
My commitment towards PERT and what I’ve learned through these classes will help me to pass on to my coworkers as much as what I’ve learned as I can (as long as they are willing to listen). I myself will spend some more time and give greater care to my patients; it will help me to “slow down” and go beyond the physical care to meet all their needs as much as possible...to the best of my ability.
|
3404
|
|
I commit to educate my CNAs on end-of-life care. (And others who want it.)
|
3602
|
|
I will try to teach other staff comfort. Pain free residents at the end of life is more important than making sure they get up for meals.
|
3801
|
|
I will educate NAC staff regarding pain management in end-of-life care, and share with them the ANA statement and law regarding the use of morphine.
|
3802
|
|
I will talk to my supervisor about having more in-services on palliative care and ethics.
|
3803
|
|
I will communicate with other nurses about pain management and educate the NACs about how to keep dying patients comfortable and with dignity.
|
3805
|
|
I will attempt to formulate in-services on various sections of the PERT Program, for the nursing staff, at my facility. I will also try to make our staff aware of the PERT Program as a resource for them.
|
3901
|
|
When I go back to my facility, I will inform other nursing assistants of how to enhance end of life care to residents.
|
3902
|
This program (PERT) enhanced the knowledge that I already know regarding palliative care, i.e., hospice care.
I will try to have my DNS and administrator, who have access to the Ethics Committee, incorporate one or two ideas/issues on monthly nurses’ meetings.
|
3903
|
|
I will help the resident in spiritual belief at the end of life, and tell my coworkers. My facility needs an in-service from PERT on what I learned!
|
4002
|
I will continue to teach my medical director about end-of-life care vs. unnecessary procedures, such as labs, unnecessary meds, etc.
I further will endeavor to teach my nursing staff about comfort care and patient rights at the end of life.
|
4101
|
|
I’m going to do better regarding pain control in our patients who have end-of-life or chronic pain issues.
|
4102
|
|
I will help a patient die via keeping her pain free. I would also like to start a book to write memorial statements in by all staff to give to the family.
|
4103
|
|
I am an MDS/Admissions Nurse who writes care plans for over 50% of our residents. I commit to integrating information I’ve learned through PERT into my new care plans and as I revise my care plans quarterly. (Especially regarding pain at the end of life and/or hospice care.) I will share my new knowledge with other nursing staff whenever possible.
|
4301
|
|
The program helped me to look differently at pain management. I don’t have any patients who are in the dying process right now, but I know I will be much more comfortable now (for example, with morphine).
|
4302
|
|
I will work with my fellow class members to set up an in-service about cultural differences at the end of life, and help facilitate the in-service.
|
4303
|
|
I will advocate for a dying patient to be treated with dignity and respect his/her wishes. At the same time, I will educate LPNs about making the decision regarding whether to give or not to give morphine.
|
4304
|
- I will discuss with the DNS the need for an LPN in-service on the use of morphine on end-of-life residents.
- I will continue to further CNAs’ understanding of end-of-life issues either formally or informally.
|
4306
|
|
I will teach my NACs how to give a good and compassionate care for patient, like being patient, listening, and spending time with the patient instead of rushing.
|
4401
|
|
I would like to make it known that the PERT resources exist – perhaps by getting permission to post the Tip of the Month in the staff room along with selected passages or pages from the handbook.
|
4402
|
|
I will tell my fellow CNAs about the PERT Program and how it applies to a patient’s life and care...because we’ve learned so many things.
|
4403
|
