Crocheted hearts, EKG tracings and hand- crafted sympathy cards are just a few of the ways nursing staff help families of patients with an end-of-life plan in the Wesley Long Hospital ICU unit. Amanda Watson, BSN, RN, a nurse in the ICU Step Down Unit at Wesley Long Hospital, wanted a way to help patients nearing the end of life and their families navigate grief. “My nursing trajectory was influenced by the grief I experienced as a young adult,” says Watson. “Ten years of my nearly twenty-year nursing career were spent in hospice care, seeking to heal my own heart through helping others. These experiences are never far from my thoughts when patients are nearing the end of life. I started asking myself how we make this time better when science has nothing more to offer.” Watson learned about The 3 Wishes Project, a specialized, compassionate end-of-life care plan shown to enhance traditional models. The project allows clinicians, patients and families to explore what life and its loss means for them. Simple craft projects or changes in the environment can enhance comfort and make the transition more personal and less clinical. Watson’s unit has successfully implemented The 3 Wishes Project by providing keepsakes for families: patients’ fingerprints in keychains, framed ECG tracings, crocheted hearts, locks of hair and recorded heartbeats. Patients can have pet visits, special music and decorate the hospital room with personal effects to create a more comfortable space. The response from patients and families has been extremely positive. “My hope is for The 3 Wishes Project to go system- wide. Each unit can creatively individualize the framework for their patients’ needs,” says Watson. “This doesn’t require special training, excessive cost or nursing degrees. In the words of The Beatles, all you need is love.” Turning Personal Sorrow Into a Gift of Compassion The 3 Wishes Project OUR COMPASSION IN ACTION 15 NURSING IMPACT REPORT 2025
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