Sample Nursing Research Papers

Abstract
National Institute for Health and Care Excellence has created a guideline for the care of adults that are in their last days of life. This was done by doing an analysis of a lot of different research articles on this topic and complying a list of recommendations that healthcare providers should follow and incorporate into their practice. There will also be a brief mention of some nursing research that can be developed from this guideline, and how this can be use in the clinical practice setting in the future.

Care of Drying Adults in the Last Days of Life The National Institute for Health and Care Excellence (NICE) is the organization that created the guidelines for the care of dying adults in the last days of life.
This organization was originally created to decrease the variations in the quality of National Health Service (NHS) treatments and care in 1999. When they were merged the Health Development Agency in 2005 their role was switched to developing public health guidance to help the prevention of illness and to promote a healthy lifestyle. The role of NICE now is to provide national guidance and advice to improve health and social care. The NICE uses a generalized process on the way they develop a new guideline.
In this process they use the best available evidence that has been proven to work, along with a group of independent and unbiased committee experts who are the ones that actually develop the guidelines. The purpose of the care of dying adults in the last days of life is to improve the way the health care providers care for people in their last days of life by communicating and involving them and their loved ones in the decisions. One of the three critical recommendations from the guideline is recognizing when a person may be in the last days of life; which specifically refers to assessing the patient that is dying for any change in sign and symptoms like Cheyne-Stokes breathing or fatigue and loss of appetite. The next one is communication, with this recommendation you want to make sure that the patient that is dying and their loved ones are provided with accurate information about the condition, how the condition will be managed and allow them the opportunity to ask questions about their care and to express any fears and anxiety. The last recommendation is pharmacological interventions with this recommendation you need to be aware that not everyone will experience pain in their last days of life but if they do experience any pain it needs to be addressed quickly and effectively and reversible adverse reactions caused by the pain needs to be
treated. In my future clinical practice I feel I will be able to use this guideline a lot. It has a lot of helpful information about how the patient and their loved ones should be educated and become an active part of the process with decision-making. It also goes over medications and other interventions that can be taken to help the patient that is dying to be as comfortable as possible in their last days of life. Taking care of a patient that is in their last days of life can be very tough subject to talk about with patients and loved ones but now that I have read this guideline and seen some of the recommendations, I feel that when I will have to talk to care for a patient that is in their last days of life I will be better equipped with some knowledge about how I should address the situation. A nursing research study that can be developed from this guideline would be finding the best way to recognize if a person is in their last days of life. Since this is still a really difficult thing to determine but also a very crucial thing to know when you are caring for a patient that is dying and their loved ones. You want to make sure that the shared decision-making and communication that needs to be complete is done before the person passes away. So being able to adequately recognize a person’s last day of life could save a lot of trouble with loved ones when the patient has passed with figuring out the advanced care and treatment plans.

Conclusion