2025 Volume 3 Article ID: 2024-008
Our hospital makes strenuous efforts to discuss the therapeutic policies and selection of sanatoriums by sharing information with a palliative care team and other professionals, and preparing opportunities to explain the disease state to both the patients and their families. The roles of primary nurses were examined with regard to support for the decision-making in one of our cases. In nursing care, the author made efforts to collect information from the patient and family to share it with other nurses. Through these efforts, the author could develop a good relationship with the patient and family in order to carefully respect their intentions. The patient could communicate with the medical staff and family members for one week before death, but such communication rapidly became difficult. The family felt responsible because they could not sufficiently confirm the intentions of the patient. As a primary nurse, the author considered it important to provide an opportunity to explain the disease state so that an elderly patient and family could communicate as much as possible because prognostic prediction is difficult in elderly patients. In the future, it will be necessary to continuously maintain an appropriate relationship with patients and their families in order to respect their intentions and to provide the necessary support for all decision-making.
