In a patient who is dying and on comfort measures only, which nursing action best supports the primary goal of care?

• A. Assess and medicate, as ordered, for any signs and symptoms of distress.
• B. Maintain a busy schedule for child and family members.
• C. Keep the child entertained so she does not think about dying.
• D. Ensure that a good relationship is maintained with the family.

Answer: (A)

Relieving distress through timely symptom management is the primary aim of comfort-focused end-of-life care for a dying child. Regularly assessing for signs of pain, agitation, dyspnea, nausea, or other distress allows the nurse to intervene promptly with medications and adjustments as ordered, directly achieving comfort and supporting both the child and family. Other approaches, like keeping the child busy, entertaining to avoid thinking about dying, or focusing only on maintaining family relationships, do not directly address the child’s immediate physical comfort and may interfere with rest and symptom control. Therefore, continuously assessing and medicating for distress as ordered best supports the goal of comfort.