A Pause at the Moment of Death: Your Thoughts - page 2

The patient came in by ambulance after a motor vehicle accident. His body was intact because the impact had not been severe, but it appeared he had had a medical event that precipitated the crash and... Read More

  1. by   SobreRN
    That is nice, I worked in oncology for 10 years and we never did that. Moment of death a family member would run out to nursing station a total wreck and I would comfort them (I never made it through that dry-eyed. The patients were in and out, we got to know them.)
    Last death I saw was quite peaceful, elderly lady already comatose with a Morphine drip and orders to titrate if I saw a hint of distress.
    I am a corrections RN now and hope not to see a death given the only deaths we see in jail are homicides and suicides. Patients who are otherwise ill or injured go out to the hospital.
    That really is a wonderful idea in the hospital, I would think it would help to remember it was someone elses' mom, dad, sister, brother rather than just another code.
  2. by   Jonathan Bartels
    I have been informed that in certain areas this is in fact a part of the simulation in ACLS (Boston MA). I hope it starts to be a applied in other simulation scenarios. I am just blown away at its expanse from my 1 patient.
  3. by   Jonathan Bartels
    In order to spread this and avoid any one agency laying claim I created a web site with my own money : The Pause | Jonathan Bartels | Pausing after death as a means to offer closure to the medical team, family and offering honor to the patient . I wanted the individuals who use it to own it on a personal level. I have sent people interested in implementation to this site. There is a pretty cool video I made as well. Good Luck.
  4. by   jeastridge
    Quote from Jonathan Bartels
    In order to spread this and avoid any one agency laying claim I created a web site with my own money : The Pause | Jonathan Bartels | Pausing after death as a means to offer closure to the medical team, family and offering honor to the patient . I wanted the individuals who use it to own it on a personal level. I have sent people interested in implementation to this site. There is a pretty cool video I made as well. Good Luck.
    Thank you, Johnathan, for helping get The Pause started! And thank you for your input here. All the best to you. Joy
  5. by   Jonathan Bartels
    As the person that reintroduced this practice I could not agree more about making it mandatory. On my web site I specifically say that this is an invited practice...invited by the practitioner...requested if its OK to family... and making it possible to allow those less comfortable to excuse themselves. Never...ever .... a Policy. the act is no panacea for the multiple losses we have faced. It is the beginning of approaching death differently than just a failure. Approaching the death as a natural progression of life. Allowing staff to take a moment in a busy (or non Busy) setting. Using silence allows people to hold space in their own 'cultural' way in order not to impose. It is simply an honoring of a life and an honoring of the work applied in order to try and 'save' that life. A brief moment to recognize.

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