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Volume 3
Journal of Nursing Research and Practice
Nursing Care Congress 2019
March 11-12, 2019
Page 32
Notes:
Nursing and Nursing Care Congress
March 11-12, 2019 Orlando, USA
5
th
World
Emily McWhirter, J Nursing Research and Practice, Volume 3
DOI: 10.4172/2632-251X-C2-004
Nursing patients with a profound brain injury: Managing complex ethical issues with compassion at the
end of life
Caring for patients at the end of their lives is a challenging but essential part of the role of a nurse. Providing an environment
where patients can feel pain free, calm and at peace is an important part of this care and supporting relatives and friends to
come to terms with the death of a loved one takes skill, compassion and empathy. Experience and insight help nurses to manage
these processes well but critical to providing high quality care at the end of life lies in high quality education and training.
The Royal Hospital for Neuro-disability (RHN) provides care for patients who have an acquired brain injury. A number of these
patients have a diagnosis of a Prolonged Disorders of Consciousness (PDOC), including Vegetative State (VS) and Minimally
Conscious State (MCS). They may remain in the hospital for the rest of their lives. For some, this may be for many years, even
decades. Caring for patients in VS or MCS is complex. Over time, nursing and healthcare staff come to know these patients
and their family and friends very well.
The laws around withdrawal of clinically assisted food and hydration in the UK are clear. Decisions around treatment plans
and resuscitation status are made in the best interests of each patient and yet the ethical issues that evolve as a result challenge
every individual who plays a role in the provision of care. Cultural, religious and personal views are important to all staff and
cannot be ignored. Establishing a bespoke training programme for staff frommultiple cultures, faiths and perspectives who are
involved in end of life care has enabled staff groups to address the issues around ethics, the law, best interests and conflict in a
way that has united the workforce to deliver a high-quality service in a complex speciality, at the end of life.
Biography
Emily McWhirter is the Director of Nursing at the Royal Hospital for Neuro-disability in London, UK. The hospital specializes in caring for patients with profound disability
following acquired brain injury, as a result of major trauma or severe medical illness. Emily has been a nurse for over 30 years. She has a PhD in nursing management,
with research interests in major trauma, patients experience, and nursing leadership and education.
Emcwhirter@rhn.org.ukEmily McWhirter
Royal Hospital, London, UK