socioeconomic status, or diagnoses, and engaging in caring relationships that transcend time, location, and circumstances. The following recommendations enhance the role of nursing in palliative care and enhance care for both patients and families:

  • Support the essential contributions of registered nurses and advance practice nurses within the evolving model of palliative care in the United States.

  • Support nursing education and research that advances the palliative care model.

  • Use the palliative care model as a framework when addressing the needs of the chronically ill population.

  • Ensure that nurses with palliative and end-of-life care expertise are part of local, state, and national health care advisory committees.

  • Ensure that representation on MedPac includes nursing with expertise in palliative and end-of-life care.

Nurses address the complexity of patient and family needs and to serve as cost-effective care coordinators or health care navigators for patients and families with both chronic and life-limiting illnesses, to reduce suffering and improve the quality of living and dying across the lifespan.


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