1. During morning rounds, your patient states, ""I will never get better, I can't get any sleep in this place...can you help me?""

What are some independent nursing interventions you could implement to assist this patient?""

3. As a nurse, how would you respond if you were caring for a patient with a terminal illness who said to you, ""I am in such pain and I can't take it anymore, please help me die now.""

4. A patient is stressed about an upcoming surgery and asks you to pray with her. Would you? Is this the role of the RN? How could you facilitate prayer with the patient?"

1. Independent Nursing Interventions for Insomnia:Independent Nursing Interventions for Insomnia:

 When a patient expresses difficulty sleeping and a lack of hope, there are several independent nursing interventions you can implement:When a patient expresses difficulty sleeping and a lack of hope, there are several independent nursing interventions you can implement:

 Assess Sleep Environment: Promote patient environment in that it be favorable for sleep. These are noise, light and room temperature checks. Make changes to the environment that it becomes more enjoyable.

 Promote Relaxation Techniques: Instruct the patient on other stress management strategies as relaxation techniques that would help cope with stress including deep breathing, progressive muscle relaxation, and guided imagery that would assist in assure better sleep.

 Establish a Routine: Assist the patient begin consistent sleep-wake pattern. Go to bed at the same time every night and wake up at the same time each morning, and have some wind-down time before the bedtime, for example, reading a book or listening to the relaxing music.

 Monitor and Address Pain or Discomfort: If the patient is complaining of pain or any discomfort that may hinder him/her from sleeping, check his/her pain and consult with the rest of the healthcare crew to address the issue.

 Provide Emotional Support: Please be prepared to listen and offer Emotional Support in any way, shape or form. Ensure the patient has no concerns or anxiety and rebut them if they exist, so you can comfort the patient.

 Educational Support: Instruct the patient on sleep hygiene habits that include of limiting on caffeine intake and eating large meals at night, doing extensive exercises in the daytime.

 2. Responding to a Request for Assisted Suicide:Responding to a Request for Assisted Suicide:

 If a patient with a terminal illness expresses a desire for help to end their life, it is crucial to handle the situation with sensitivity and adhere to legal and ethical guidelines:If a patient with a terminal illness expresses a desire for help to end their life, it is crucial to handle the situation with sensitivity and adhere to legal and ethical guidelines:

 Listen and Validate: Show concern while listening and assure the patient that there emotions are understood. Show them that you understand it is painful and distressing and that all such feelings are valid.

 Assess Pain and Symptom Management: Each patient to observe that their pain and other ailments’ management are being attended to adequately. Involve the other healthcare givers and focus on the patient’s symptom management and reviewing the other services readily available in the field of palliative care.

 Discuss Alternatives: List down the different available choices for comfort care and care support. Describe how lung cancer patient’s quality of life can be impacted positively by the intervention of palliative care as well as issues of suffering.

 Document and Report: The conversation should be documented as well as the patient’s request for a knee replacement surgery carefully documented. Intervene, and report the observed situation, together with an account of the incident, to the members of the healthcare team such as the physician and the social worker.

 Provide Emotional Support: Printer emotions and psychological support. Discuss with the patient about self help or join any support group if required.

 One should never engage in assisted suicide since it is against the law and institutions in many parts of the world.

 3. Facilitating Prayer with the Patient:Facilitating Prayer with the Patient:

 Facilitating prayer with a patient can be part of providing holistic care, addressing their spiritual needs:Facilitating prayer with a patient can be part of providing holistic care, addressing their spiritual needs:

 Respect the Patient’s Wishes: The time when the patient wishes to pray, it is desirably acceptable to pray with the patient, provided that the act is not uncomfortable to the partner.

 Offer to Facilitate: If you are not comfortable saying prayers, offer to make arrangements for the patient to get a visit from a chaplain /spiritual counselor.

 Supportive Presence: Paying attention to the preferences of the patient when praying is crucial especially if one is the one conducting the prayers.

 Encourage Spiritual Practices: If the patient agrees you may facilitate spiritual resources or spiritual support of the patients’ faith, like reading material, prayer alliance or spiritual care.

 Role of the RN: Reducing spiritual distress by praying for patient can be part of spiritual care for a patient with cancer, which is included to the frame of medical treatment. But the key thing that needs to be understood is that it is crucial not to mix personal and professional interactions while extending these kinds of supports. If not certain, getting advice from a chaplain or a spiritual care giver is recommended.