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"Latar belakang: Kematian pasien lansia dengan COVID-19 di ICU memiliki angka yang tinggi. Pandemi COVID-19 menjadi kendala bagi penerapan perawatan akhir hayat pada lansia dengan COVID-19 yang dirawat di ICU karena adanya pembatasan interaksi antara pasien dengan keluarga pasien. Gambaran kasus: Pasien merupakan seorang lansia berusia 82 tahun berjenis kelamin laki-laki dengan diagnosis COVID-19 derajat kritis, diabetes mellitus tipe 2, hipertensi, serta demensia. Observasi dilakukan terhadap perawatan akhir hayat pada pasien dan keluarga pasien. Perawatan utama pada pasien berfokus pada pemenuhan kebutuhan dasar pasien dan kenyamanan pasien. Pasien tidak dapat dilibatkan secara langsung karena kondisi dalam pengaruh sedasi. Keterlibatan keluarga dilakukan melalui media gawai karena keluarga tidak bisa dihadirkan langsung kepada pasien untuk mencegah transmisi virus. Kesimpulan: Komunikasi dan interaksi melalui gawai kurang optimal dalam memfasilitasi kebutuhan spiritual akhir hayat pasien dan keluarga, sementara perawat tidak dapat menggantikan peran keluarga.

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Background: Elderly patients with COVID-19 in ICU have a high mortality rate. COVID-19 pandemic creates an obstacle in implementing end-of-life care for the elderly with COVID-19 in ICU because there is a limitation of interaction between patients and their families. Case illustration: A 82 years old male patient with diagnosis critical level COVID-19, type 2 diabetes mellitus, hypertension, and dementia. The focus of the observation is for the end-of-life care to the patient and his family. The primary interventions for the patient are basic needs support and patient comfort. The patient cannot be directly involved because he is under sedation. The family involvement is done with the help of gadget devices because they cannot meet the patient to prevent virus transmission. Conclusion: Communication and interaction using devices cannot optimally facilitate patient and family’s spiritual needs at the end-of life, while the nurses cannot replace the family roles."

"Perilaku caring dapat membuat sikap perawat peduli terhadap kondisi pasien dan lebih bertanggung jawab. Tujuan penelitian ini mengetahui hubungan antara perilaku caring dengan sikap perawat terhadap end of life care di satu rumah sakit di Jakarta. Desain penelitian ini adalah deskripsi. Sampel data yang diambil 115 perawat di ruang ranap, dan ruang khusus dengan metode incidental sampling. Instrumen penelitian Caring Behavior Assessment Tool (CBA) untuk menilai perilaku caring, dan terjemahan The Frommelt Attitude Toward Care of the Dying Scale (FATCOD) untuk menilai sikap perawat pada end of life. Hasil penelitian terdapat hubungan antara perilaku caring dengan sikap perawat terhadap end of life. Perilaku caring penting untuk dijadikan budaya dalam merawat setiap klien.

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Caring behavior can make nurses care about the patient's condition and be more responsible. The purpose of this study was to determine the relationship between caring behavior and nurses' attitudes towards end-of-life care at a hospital in Jakarta. The research design is descriptive. The data sample was taken by 115 nurses in the concurrent room, and in a special room using the incidental sampling method. The research instrument is the Caring Behavior Assessment Tool (CBA) to assess caring behavior, and the translation of The Frommelt Attitude Toward Care of the Dying Scale (FATCOD) to assess nurses' attitudes towards end-of-life care. The results of the study found a relationship between caring behavior and nurses' attitudes towards end-of-life care. Caring behavior is important to become a culture in caring for each client."

"Mencapai kematian yang bermartabat adalah salah satu tujuan perawatan paliatif yang paling mendasar. Pasien memiliki hak untuk mendapatkan kematian yang diinginkanya dan keluarga memiliki kewajiban untuk membantu pasien mendapatkan kualitas hidup yang optimal dalam fase akhir kehidupan. Penelitian ini bertujuan untuk mengeksplorasi persepsi pasien kanker paru tentang makna kematian yang bermartabat. Penelitian kualitatif dengan pendekatan fenomenologi deskriptif melibatkan 10 pasien kanker paru yang dirawat di ruang rawat inap Rumah Sakit Paru dr. M. Goenawan Partowidigdo Cisarua yang dipilih dengan teknik purposive sampling. Hasil penelitian menghasilkan tiga tema yaitu strategi koping menghadapi penyakit, merasa sendiri dan kurangnya rasa aman, dan makna kematian bagi pasien. Standar Pelayanan Operasional untuk perawatan paliatif dan kesiapan perawat dibutuhkan dalam pelayanan perawatan palatif/ fase akhir kehidupan untuk meningkatkan kualitas hidup pasien.

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Achieving a dignified death is one of the most fundamental goals of palliative care. Patients have the right to get the death they want, and their families have a responsibility to help patients get an optimal quality of life in the end of life. This study aims to explore the perception of lung cancer patients on the meaning of dignified death. Qualitative research with a descriptive phenomenological approach involved 10 lung cancer patients who were treated in the inpatient ward of the Lung Hospital, dr. M. Goenawan Partowidigdo Cisarua selected by purposive sampling technique. The findings of the study resulted in three themes, coping strategies, feeling alone and lack of security, and the meaning of death for the patient. This study recommends that Operational Service Standards and nurse readiness are needed in palliative care services/end of life phase to improve the quality of life of patients.

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"Ilmu keperawatan terus berkembang seirng dengan usaha untuk meningkatkan kualitas pelayanan bagi pasien. Tingginya prevalensi kasus kardiovaskuler menjadi perhatian sekaligus tantangan bagi tenaga kesehatan dalam memberikan pelayanan dan melakukan program pencegahan. Perawat diharapkan berkontribusi dalam upaya penanganan dengan menjalankan peran sebagai pemberi asuhan, pendidik, peneliti, dan inovator. Peran sebagai pemberi asuhan keperawatan dan pendidik diterapkan pada 31 pasien dengan berbagai kasus kardiovaskuler baik medikal maupun surgical. Pendekatan teori model yang digunakan adalah teori adaptasi Roy. Peran sebagai pendidik tidak hanya dijalankan untuk pasien dan keluarga, tetapi juga dijalankan dengan melakukan analisis jurnal bagi rekan sejawat. Hasil analisis praktik menunjukkan bahwa teori adaptasi dapat diterapkan pada asuhan keperawatan pada pasien dengan gangguan kardiovaskuler. Peran sebagai peneliti dilakukanpada saat penerapan tindakan keperawatan berbasis bukti ilmiah, dengan intervensi pemberian aromaterapi untuk membantu meningkatkan kualitas tidur. Hasil penerapan didapatkan bahwa aromaterapi dapat membantu meningkatkan kualitas tidur. Peran sebagai inovator dijalankan dengan menyusun Form skrining ends of life care, dengan hasil evaluasi didapatkan bahwa form bisa dipertimbangkan untuk diterapkan.

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Nursing knowledge continues to grow in line with efforts to improve the quality of care for patients. The high prevalence of cardiovascular cases is a concern as well as a challenge for health workers in providing services and conducting prevention programs. Nurses are expected to contribute to the efforts of handling by carrying out roles as caregivers, educators, researchers, and innovators. The role of providing nursing and educator is applied to 31 patients with various cardiovascular cases, both medical and surgical. The model theory approach used is Roy's adaptation theory. The role as an educator is not only carried out for patients and families, but also carried out by analyzing journals for colleagues.

Results of practical analysis shows that adaptation theory can be applied to nursing care in patients with cardiovascular disorders. The role as a researcher is done when applying scientific evidence-based nursing actions, with intervention giving aromatherapy to help improve sleep quality. Application results it was found that aromatherapy can help improve sleep quality. Role as an innovator is carried out by compiling a screening ends of life care form, with the results of the evaluation it was found that the form could be considered for applied."

"This casebook provides a set of cases that reveal the current complexity of medical decision-making, ethical reasoning, and communication at the end of life for hospitalized patients and those who care for and about them. End-of-life issues are a controversial part of medical practice and of everyday life. Working through these cases illuminates both the practical and philosophical challenges presented by the moral problems that surface in contemporary end-of-life care. Each case involved real people, with varying goals and constraints,who tried to make the best decisions possible under demanding conditions. Though there were no easy solutions, nor ones that satisfied all stakeholders, there are important lessons to be learned about the ways end-of-life care can continue to improve. This advanced casebook is a must-read for medical and nursing students, students in the allied health professions, health communication scholars, bioethicists, those studying hospital and public administration, as well as for practicing physicians and educators. "