Bringing ‘something more’ to the bedside: the importance of clinical wisdom at end of life
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2016-04-02Author
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Knowing what to do and what to say at end of life can be challenging. There is much that we, and others, bring to this liminal space where people move from life to death; there is much to consider for anyone who works with, and cares for those who are dying. No matter how experienced we are, nor how long we have been practising, we will never come to a point where we have encountered all of the countless different care situations at end of life where complex needs of patients are to be met. We will never contend with all the range of critical conversations with the dying and those close to them, where concerns and fears are expressed, or withheld. What can be said to the wife of a young man who is distressed, agitated and semiconscious in the last days of his life? Or to an elderly man who has cared for his wife with advanced heart failure for many years and now has to make a decision about her best place of care at end of life?
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