Since the emergence of reports such as the National Consensus Project for Quality Palliative Care (2013) and the National Association of Orthopaedic Nurses Palliative Care Consensus Document (2005), there continues to be a growing recognition of the multiple adverse effects of serious illness and chronic conditions, as well as the potential benefits of receiving palliative or end-of-life care. As modern technology expands its ability to support life, ethical dilemmas may be encountered in the provision of palliative or end-of-life care. Through integration of the precepts of palliative care and consideration of the relevant ethical principles, orthopaedic nurses may best meet their patients' comprehensive needs at an exceedingly difficult time.
Cheryl L. Petersen, RN, BSN, CPHON, Doctoral Student, Marquette University, Milwaukee, Wisconsin.
Susan Breakwell, APHN-BC, DNP, Clinical Associate Professor, Director, Marquette University Institute for Palliative and End of Life Care, Milwaukee, Wisconsin.
Margaret Callahan, CRNA, PhD, FAAN, Marquette University Interim Provost, Dean, College of Nursing, Milwaukee, Wisconsin.
The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.
Cheryl Petersen's doctoral work was supported in part by the following sources: American Cancer Society Graduate Scholarship in Cancer Nursing Practice (Grant 121693-GSCNP-11-238-01-SCN); American Cancer Society Doctoral Degree Scholarship in Cancer Nursing (Grant 9124356-DSCN-13-269-01-SCN); Tylenol Future Care Scholarship; Oncology Nursing Society Master's and Doctoral Scholarships; Nurses Educational Funds Doctoral Scholarship; and Hospice and Palliative Nurses' Association Doctoral Scholarship.