Show Summary Details
Page of

O—Openings 

O—Openings
Chapter:
O—Openings
Author(s):

Elaine Wittenberg

, Joy V. Goldsmith

, Sandra L. Ragan

, and Terri Ann Parnell

DOI:
10.1093/med/9780190061326.003.0006
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2021. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 20 April 2021

Openings offers specific tools to assist the nurse in traversing the challenging yet profoundly rewarding moments of transition that require the clinical practice of intimate openings with the patient/family. Replacing evasion with an opportunity to move into tension and avoidance is essential in helping a patient/family receive palliative care. Observations of tension might be clear indications of a needed transition in care. Complex interactions with patients and families coincide with transitions in care and require intimate and disclosive exchanges among patient/family and nurses. Communication privacy management theory helps us understand more about private information and how that information depends on the relationship people share. Communicating a transition to palliative care from hospital to home or to end-of-life care and hospice requires nurses to address a patient’s/family’s fears and feelings of hopelessness and to provide education about palliative care and its services. Facilitating appropriate access to private health information, creating intimate openings to process transitions in life and care, and understanding the impact of disclosure on patient/family relationships all play an important role.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.