Please write a personal, easy (1-2 paragraph) response for participation credit to the following post made by another classmate:
(This master’s program is for Family Nurse Practitioner, and it does not have to be APA format)
Working on a Pediatric Intensive Care Unit, nurses are faced with many challenges and constraints both physical and emotional. Continual improvement is necessary for staff retainment and competence in high acuity care. An area in the PICU that I believe needs improvement would be the application of palliative care during end of life discussions. Unfortunately, like all intensive care units, the PICU is faced with death and dying on a relatively frequent basis along with the added stressors included with children. Within the PICU, providers and nurses do everything medically possible to save or prolong a child’s life. These interventions can be very fast-paced and aggressive and can be immensely overwhelming to the families. When it comes to the issue of death it can be extremely difficult and uncomfortable to educate families on end of life care. Families are understandably very resistant to initiate palliative care treatment and I believe if we had more providers that specialized in pediatric palliative care, outcomes for families and children would be more humane and peaceful.
The Comfort Theory by Katharine Kolcaba is a nursing theory that may help when applied to this issue. This theory describes comfort as relief, ease, and transcendence occurring through physical, psychospiritual, environmental, and sociocultural mediums (Current Nursing, 2011). I believe this theory can be used for both patient and families in the PICU during palliative care discussions through education of interventions to relieve pain, discussions to help ease anxiety and uncertainty, and help children and families find comfort and transcendence in their decisions. Nursing may be able to provide families and patients with a more comfortable and supportive environment when utilizing the Comfort Theory and embrace the holistic and spiritual side of care when medical interventions have been exhausted.
Current Nursing. (2011). Retrieved October, 2020,