"End Of Life Care". Anti Essays. 21 Oct. 2017

Rushton, C., Scanlon,C., & Ferrell , B. (1999). Designing an agenda for the nursing professionon end-of-life care. Fairfax, Virginia: American Association of Critical-CareNurses.

Palliative care, which isgenerally provided on an inpatient basis, is designated for patients regardlessof their life expectancy, who have a progressive, debilitating and/orlife-limiting illness that adversely affects their daily functioning or willpredictably reduce life expectancy (NationalGuideline Clearinghouse, 2011). The palliative care team works in conjunctionwith the primary care physician and can offer assistance with end-of-lifecare. This includes the treatment ofpain and other symptoms, emotional and spiritual support, assistance withcommunication of bad news, support for patients and families in medicaldecision-making, and navigating the complex medical system (National Guideline Clearinghouse, 2011).

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Thereare a number of assessment tools available. Regardless of which is utilized, the focus must be on the uniqueness ofthe individual patient and how culture shapes his or her response to dying andend-of-life care. An approach tobeginning an assessment might be to say, “I would like to learn more about youand your culture, so that I can be sure and meet your needs and provide thebest care for you.”

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•* From the scenario, analyze the concept of patients’ rights and the concerns of physicians and nurses, as they apply to patients facing end-of-life decisions. Give your opinion on whether or not health care professionals are suitably educated in the sensitive nature of end-of-life and patient expectations. Provide a rationale for your response.

Following is a custom-written essay example on the topic of Pain Management At The End Of Life. Feel free to read this paper to your advantage.

...End-of-life care becomes an issue at some point for elderly clients. Even with the emergence of palliative care programs and hospice programs, the majority of elderly people do not die in their own home as is their preference. What are the reasons for this trend? Discuss what you can do as a nurse to support your clients in end-of-life care and in supporting their desires. Support your response with evidence-based literature. Many palliative care patients would prefer to receive care, and to die, at home. Despite of this, many die in institutions. The need for the healthcare provider to discuss plans for discharge with most inpatients reinforces expectations of a choice of place of care. However, many palliative patients do not have a choice of care at home. A significant proportion of patients experience an emergency admission from home, after which it may not be possible to arrange discharge. Reasons for admission often reflect a change in the patient's condition, which may not necessitate inpatient care, but for which alternative arrangements cannot be made rapidly enough (Wheatley, et al, 2007). There are nearly 40 million senior citizens in the United States. But in the next 30 years, that number is expected to double to 80 million as Baby Boomers and their parents reach age 65 (CDC,nd). And each year, one-third of the people who die suffer from a chronic illness. For every one of these deaths, there is a patient and a family faced with difficult decisions about...

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...Death and dying is something we all are going to face one day. Being faced with our own mortality or that of a loved one, is a subject that’s very emotional, and some very difficult decisions will have to be made. But who should be making those decisions? The patient, families, the doctors? Should someone, who just received devastating news and is on an emotional roller coaster, make end of life decisions? How about the family members, who are so grief stricken and praying for a medical miracle, are wanting everything done no matter how bleak the outcome. What about the hospitals and doctors who know the cost associated with end of life care and realize that there is no real impact on curing or changing the outcome. They feel that resources should be spent on patients with better prognosis. In helping with some of these hard decisions the law makers in the state of Texas came up with the Texas Advance Directive Act. But the law has come under heavy criticism in recent years involving a few cases that received national attention. The Advance Directive Act passed into law in 1999 by then Gov. George W. Bush. With the passing of the act, Texas became the second state to pass regulation regarding end of life treatment.1 The law addresses and provides information on three different advance directives, the Directive to the Physician (living will), Medical Power of Attorney, and Out of Hospital DNR. A Directive to the Physician (living will), allows the patient to...