The End Of Life Care

Q1: Complete the following table, describing the needs you would have to consider when planning the different aspects of end of life care for an individual

The patterns of dysfunctional relationships, drinking to get drunk, drunk driving, and black outs continued for Caroline until her parents died. First her father, a tragic death from a brain tumor, which at first led her to boozing to cope with the feelings, then a year later her

Death is inevitable. It is one of the only certainties in life. Regardless, people are often uncomfortable discussing death. Nyatanga (2016) posits that the idea of no longer existing increases anxiety and emotional distress in relation to one’s mortality. Because of the difficulty in level of care for end-of-life patients, the patient and the family often need professional assistance for physical and emotional care. Many family caregivers are not professionally trained in medicine, and this is where hospice comes into play. Hospice aims to meet the holistic needs of both the patient and the patient’s family through treatment plans, education, and advocacy. There is a duality of care to the treatment provided by hospice staff in that they do not attempt to separate the patient’s care from the family’s care. Leming and Dickinson (2011) support that hospice, unlike other clinical fields, focuses on the patient and the family together instead of seeing the patient independent of the family. Many times in hospitals, the medical team focuses solely on the goal of returning the patient back to health in order for them to return to their normal lives. They do not take into account the psychological and spiritual components of the patient’s journey and the journey that the family must take as well. For treatment of the patient, Leming and Dickinson agree that hospice does not attempt to cure patients, and instead concentrates solely

The purpose of this paper is to examine communication strategies related to palliative and end-of-life care with a focus on Aboriginal clients. Firstly, I will explain the role of cultural competence in the nursing care of an Aboriginal client. Secondly, I will argue the cultural challenges a nurse may face when caring and communicating with Aboriginal clients receiving palliative end-of-life care. Thirdly, I will present solutions to the aforementioned communicative challenges. Lastly, I will discuss the impact I believe this experience may have on my future practice.

In reviewing the two studies I found, it is very clear there is a difference in quantitative and qualitative studies. To start, Lee et al. (2017) conducted a qualitative study in which the problem statement recognizes that end of life care (EOLC) in dementia patients is less than optimal when compared to cancer patients. The researchers aimed to determine what service managers and frontline staff at different facilities felt were the key aspects in improving EOLC in dementia patients (Lee et al., 2017). As a result, the researchers purpose was to contribute to the current evidence base on good EOLC and interventions to increase quality of care of end of life dementia patients.

And, the key role that a sponsors play in the road to recovery for an alcoholic. It was nice to hear a member admit that without the help of her sponsor she most likely still be dealing with this disease.

My perceptions have changed dramatically since the Clinical 1 rotation. I have noticed that the minute I walk into my patient’s room, I start to collect data. I notice if they are breathing normal, what their skin looks like, what their cognition level is, and what equipment they have in their room. I have started to connect the “puzzle pieces” of the patient’s health, rather than just feeling like I have a bunch of random information. My perception of people has continued to stay the same from Clinical 1. I continue to have an interest in learning about patients and believe that they also have something to teach us. I have learned so much from the patients and it is fun for me to get to know different

they can offer a wealth of information and can help to make them feel useful.

In nursing, the goal of care is usually to restore the patient back to the highest level of health possible. In some cases, however, the goals of care change when a curative approach is no longer appropriate. The new goals of care could simply be palliation and pain control rather than a restoration back to full health. This type of care is called palliative care. Palliative care is not the same as end-of-life care, but the two go hand-in-hand at times. The goal of end-of-life care is a “good” death, good being defined by the patient. Palliation is part of that “good” death. Both palliative care and end-of-life

As you walked through the doors of Northstar nursing home, you see the shaky hands, the bruised arms, and the wide animated eyes of Eddy. Eddy could barely drink his daily post-meal coffee without assistance, nevertheless, he at his ripe old age of 96 smiled through it all. From every spill, he needed to be cleaned up to attending reading sessions he never stopped being full of life. With him came smiles and laughs all around, he brightened up that desolate nursing home, and I was fortunate enough to be a part of it.

In my nursing practice, I frequently care for dying patients. Instead of simply providing medication to ease pain during the dying process, I wanted to learn about ways to enhance the comfort of the dying patients and possibly assist their family during a difficult time. This desire led me to examine the conceptual model of comfort. Through my research of the concept of comfort care at end of life, I discovered Katherine Kolcaba’s theory of comfort. I found her theory to be useful in describing the concept of comfort care and decided to further analyze it for a more thorough understanding of its usefulness and applicability to nursing practice. Nurses are the ones in direct contact with their patients, providing relief from certain discomforts, continuously assessing, monitoring and providing care that will ensure the patient is at ease. According to Kolcaba, “Comfort is the desirable state that nurses would want for their patients.” (Kolcaba, 2003). With its fundamental emphasis on physical, psychospiritual, sociocultural, and environmental aspects of comfort, the Theory of Comfort care will contribute to a proactive and multifaceted approach to care. This paper aims to describe the origin of Comfort Theory, its primary concepts and relational statements, review of the literature, critique describing its strength and limitation as a middle range theory

Quality of Life and Functioning for End of Life Care. HAT2 Community Health Nursing. Western Governors University.

A revolutionary way is in effect in the way to end-of-life care. It could possibly lead to the legalization of physician-assisted suicide or ¨Mercy killing¨ (Meisel 211). There are many different ways a revolution can happen, whether it's through armed forces, or a breakthrough in the medical field as it happens to be in this case. One of the most notable fields in which the revolution is happening in is pain control. There is more practices of pain control in the medical field, so its quality is improving. Since there is a zero tolerance for families who have loved ones dying in pain, doctors and medical students are receiving an improved education in the quality of end-of-life care (Meisel 211). The thing about pain control is that

Holli, I also learned a lot about Medicare from watching the accompanying media two videos. I found the end of life care issues on the video interesting also. I could see the doctor's point of the extreme measures of treatment some patients were being given in end-of-life care, but I had to disagree with him on making it into a blanket coverage of stopping care after certain ages or medical conditions. I think that it needs to continue to be decided on a patient by patient basis because each individual's health condition is unique. I agree with you that if treatment is shown to be no longer of benefit to the patient, then it should no longer be covered by

Respiratory therapists (RTs) frequently care for patients with life-limiting illnesses and responsible for terminal extubation. Data on how these experiences alter RTs are scarce. The objective of this work was to survey RTs at 6 academic medical centers about their experiences caring for patients with terminal extubation.