End Of Life Care Research Paper
End Of Life Care Valerie Gomez
Brookline College
March 2, 2017
End of life care
In the United States in the 20th century, with advances in medical technology and science, the care of the dying patient shifted from family and community to health professionals. Throughout history, nurses have sought ways to improve quality of life for individuals, families, and communities during every phase of life's journey. Advocacy is a common thread of quality end-of-life (EOL) nursing care, encompassing pain and symptom management, ethical decision making, competent culturally sensitive care, and assistance through the death and dying process. The foundation of advocacy is the nurse-patient relationship. Advocacy has 2 parts: information and …show more content…
Withdrawal of life-sustaining treatment such as dialysis or a feeding tube and the need for large or escalating doses of opioids (which can lead to serious adverse effects or even be lethal) or sedatives are particularly troubling …show more content…
Artificial nutrition and hydration may be withheld or withdrawn on the same grounds. To avoid liability, however, it is essential to follow your institution's guidelines n these issues, as well as your state's law.
Your role, regardless of the circumstances, is to advocate for the patient's wishes, as expressed in an advanced directive or an advance planning conversation or by the patient's chosen surrogate. The family may want to consult with a psychiatrist, ethicist, chaplain, social worker, pharmacist or palliative care specialist in making an end-of-life care decision. Judy Lentz, RN, CEO of the Hospice and Palliative Nurses Association, noted, “Decisions based on the known desires of the patient and family, as the unit of care, are the guiding directives for the patient plan of care.” for me it is very difficult decision, but if my life depended on a ventilator I don't want my family to suffer by taking such a strong
Brookline College
March 2, 2017
End of life care
In the United States in the 20th century, with advances in medical technology and science, the care of the dying patient shifted from family and community to health professionals. Throughout history, nurses have sought ways to improve quality of life for individuals, families, and communities during every phase of life's journey. Advocacy is a common thread of quality end-of-life (EOL) nursing care, encompassing pain and symptom management, ethical decision making, competent culturally sensitive care, and assistance through the death and dying process. The foundation of advocacy is the nurse-patient relationship. Advocacy has 2 parts: information and …show more content…
Withdrawal of life-sustaining treatment such as dialysis or a feeding tube and the need for large or escalating doses of opioids (which can lead to serious adverse effects or even be lethal) or sedatives are particularly troubling …show more content…
Artificial nutrition and hydration may be withheld or withdrawn on the same grounds. To avoid liability, however, it is essential to follow your institution's guidelines n these issues, as well as your state's law.
Your role, regardless of the circumstances, is to advocate for the patient's wishes, as expressed in an advanced directive or an advance planning conversation or by the patient's chosen surrogate. The family may want to consult with a psychiatrist, ethicist, chaplain, social worker, pharmacist or palliative care specialist in making an end-of-life care decision. Judy Lentz, RN, CEO of the Hospice and Palliative Nurses Association, noted, “Decisions based on the known desires of the patient and family, as the unit of care, are the guiding directives for the patient plan of care.” for me it is very difficult decision, but if my life depended on a ventilator I don't want my family to suffer by taking such a strong