Our end of life protocol consists of orders for MS and ativan IVP PRN and MS and ativan gtts if needed, and Robinul for secretion management. Our food services provide a cart with cookies, tea and coffee for the family. We have nice handouts that were developed by our unit's care committee that explain to the family what the might expect such as skin discoloration, etc, and why we do some of the things we do, such as continuing to turn the patient q 2 hours, performing oral care, etc. Some go quickly on our unit, some do not and go to the small hospice unit within our hospital.
The families are the hardest for me. With some families, Nothing that I can say or do will be of any comfort to them, and that bothers me. I am a new nurse, and thankfully not had to deal with too much.