Key features of quality care include a trusting relationship, providing individualised care that is sensitive to cultural and religious beliefs, involving patients and families in decisions and promoting respect and dignity throughout. The Liverpool Care Pathway (Ellershaw and Wilkinson, 2003) recommends assessing patients’ and relatives’ cultural and religious beliefs at the time of diagnosing the dying phase where this is possible. Faulkener (1995) suggested that viewing can facilitate the initial stages of grief, a process which Worden (1991) WorWdescribed as “using the body of the deceased to facilitate grief and actualisation”. EMAP Publishing Limited Company number 7880758 (England & Wales) Registered address: 7th Floor, Vantage London, Great West Road, Brentford, United Kingdom, TW8 9AG Please remember that the submission of any material is governed by our ... Hospital staff may approach you if … Hills M, Albarran JW (2010) After death 2: exploring the procedures for laying out and preparing the body for viewing.Nursing Times; 106: 28, early online publication.. Failure to do this soon after death means the patient’s jaw may have to be manoeuvred to ease insertion (Hills and Albarran, 2009). Not all bodies will be accepted for example, if there has been a post-mortem examination or if organs have been removed. You'll also be given information on If the body is to be cremated, two doctors will sign the medical certificate to show the body has been examined. Placing flowers by the bedside locker is another simple way in which nurses can express sensitivity. Returning patients’ property after death is often distressing as it can provoke painful memories for relatives; if this task is mismanaged or personal items are lost it can result in a complaint (DH, 2005). Appropriate use of biohazard labels is advocated for notifiable infections (Health Protection Agency, 2010)and similar consideration is needed if patients have been exposed to radioactive substances or radiation therapy. Although many nurses may find raising the issue of organ or tissue donation with newly bereaved families distasteful and embarrassing, in this instance they have a moral and professional duty to respect the stated wishes of the deceased (DH, 2008a).Involving the transplant or tissue transplant coordinator early can be helpful in supporting and guiding families with decision making (Sque et al, 2006). Attaching identification labels and documentation of the death is essential. Visit our After death 2: exploring the procedures for laying out and preparing the body for viewing The absence of false teeth may add to relatives’ distress as it can emphasise the cadaveric features of the deceased. If you choose, funeral directors will take the body to their chapel of rest until the funeral takes place.Staff in the hospital or care home will keep safe any  belongings that the person who has died had in hospital until the person administering the estate arranges for them to be collected. Part 1 explored relatives’ grief reactions and the importance of providing culturally sensitive care.Arranging and laying the deceased out for departure to the mortuary are duties immersed in traditional practices and is a procedure that nurses are privileged to undertake (Blum, 2006; Ronaldson, 2006)Before starting last offices, it is important to establish whether there is a risk of cross infection and whether referral to the coroner is indicated. Depending on the situation and relatives’ level of involvement in caring for the dying patient, it may be appropriate and advisable to invite them to help with preparatory aspects and rituals, which may make them feel useful and help with grief (Neuberger, 2004). If someone dies in hospital or a care home, the staff who have been caring for the person will know what to do. As well as a few videos and other things by others which show a mortuary. In the latter case, the radiation protection officer should be contacted to guide care and preparation of the deceased (Pattison, 2008).Taking safety precautions and applying infection control procedures are equally important when dealing with both non-notifiable infections such as those found in body fluids, and notifiable infections.Nursing practice should be informed by integrating evidence based guidelines for preventing healthcare related infections (Pratt et al, 2007) and Health and Safety Executive (2003) guidance on controlling the risks of infection for staff dealing with human remains.Unless contraindicated, last offices include washing the deceased, performing oral hygiene, brushing hair and ensuring the bedspace is neat and tidy. It is also a confirmatory process which aids acceptance.


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