End of Life
Mrs. Malcolm has been a resident at Covington Care Center for the past 2 years. Her family visits her regularly and is very involved in seeing that she has good care. Recently, Mrs. Malcolm’s quality of life has gotten worse, and she is eating less and reluctant to get out of bed. The staff at Covington recognizes that Mrs. Malcolm has entered into her end-of-life period.
The first concern of the staff at Covington is to make sure that Mrs. Malcolm is comfortable. They listen to her complaints about discomfort and make changes in the room temperature and in her body positioning. The nursing assistants spend more time in Mrs. Malcolm’s room monitoring her skin condition, wiping away secretions, and cleansing her mouth. Often, family members visit Mrs. Malcolm for long periods of time. The nursing assistants make sure that they have comfortable seating and are able to leave for personal needs or to eat. When the family members are away, the nursing assistant stays to keep Mrs. Malcolm company.
When Mrs. Malcolm passes away, her two daughters are with her. The nursing assistant on duty contacts the nurse who then notifies the doctor. The doctor legally pronounces Mrs. Malcolm dead and documents the time of death. Then, while the nurse takes the family members out to the common area, the nursing assistants perform postmortem care to prepare the body for transfer to the funeral home.