Citation

Barndt SN. J. Trauma Nurs. 2018; 25(3): 171-176.

Affiliation

Department of Medicine, Penn Presbyterian Medical Center, Philadelphia, and Paoli Hospital, Paoli, Pennsylvania.

Copyright

(Copyright © 2018, Society of Trauma Nurses)

DOI

10.1097/JTN.0000000000000363

PMID

29742629

Abstract

The trauma acute care nurse practitioner (ACNP) participates in the care of critically-ill patients by utilizing his or her advanced clinical skills at the bedside and through communication with the interdisciplinary team, the patient, and the patient's family. Although the incidence of morbidity is decreasing in trauma, death can occur shortly after arrival to hospital, or in the days after initial injury, leading to the need for the unexpected conversation of end-of-life wishes with a patient or the patient's family. It is within the scope of the ACNP to facilitate these conversations, and it is recommended that ACNPs engage patients and their families in these conversations for overall improved patient outcomes. Many techniques exist to aid in this difficult decision-making process and may be useful to the trauma ACNP when having end-of-life discussions.

Language: en