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OET READING PART B Q2

A growing body of ICU end-of-life literature includes various recommendation  and guidelines for EOLC.  These guidelines provide common goals for high-quality EOLC. However, EOLC is multifaceted, and sufficient knowledge about EOLC may be lacking.Furthermore, EOLC education and implementation still depend largely on services available at individual hospitals. Each patient and family situation is unique and no single model fits all.Nurses need to use their clinical and moral judgment, their imagination, and their own and other nurses’ previous experiences to meet the needs of individual patients and families.  Studies reveal that ICU nurses learn EOLC through experience and not via textbooks or guidelines, yet they provide this care competently and with compassion.However, studies also show that novice nurses and nurses without EOLC training can find this care challenging and difficult, potentially leading to reluctance to care for dying patients and their family members.Consequently, EOLC may differ from place to place, and approaches and thoughts regardinghigh-quality EOLC might be unknown outside individual ICUs. Updated guidelines, recommendations, and ideas are needed to demonstrate the full scope of EOLC possibilities so that patients can be offered individualized care from the full range of EOLC practices, regardless of the ICU in which they die.


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