End Of Life Care

Lorenz et al. (2005) define end- of –life as a chronologically indefinite part of life when patients and their caregivers are struggling with the implications of an advance chronic illness. Every person’s end- of – life trajectory is different and the need for quality healthcare services, hospital or homecare interventions, family and patient legal rights, government policies and regulations pose some challenges to some patients at the end of their life. Therefore, the provision of good end- of- life care should be driven mainly by the concern to enhance life at end- of – life. The important issues for policy makers and healthcare services planners and providers are to find a lasting solution that required client’s autonomy in decision making,
AMA 's Code of medical Ethics ( AMA,2012-2013) which provides health care physicians with a guidelines on how to deal with issues regarding end- of- life, likewise the nurses ANA;s Code of Ethics (2001) also have a guideline on what is expected from nurses when confronted with end of life issues. However, these actions should be based on clients wishes, such as Do- Not- Resuscitate Orders, Futile Care process, Quality of Life, Withholding or withdrawing life – sustaining medical treatment, Optimal Use of Order- not to intervene and Advance Directives in clients living will, health care treatment plan, health care power of attorney and do not resuscitate at
On the other hand, patients who are in Hospice care before death has a lot of complaint from the family members and noted that 18.2 percent of the family members stated inattention to the needs of their love ones and support from hospital among hospices varies from 12.6% to 21.4%, and 9 percent of family members reported that their need for emotional support was not