Project Proposal.docx - Scott Clapp English 1020 Section...

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Scott Clapp English 1020, Section 904 June 27, 2015 Project Proposal End of life planning will solve the mystery of what care to provide during the darkest hour Memorandum For: American Journal of Nursing The American Journal of Nursing states that their mission is “ to promote excellence in nursing and health care through the dissemination of evidence-based, peer-reviewed clinical information and original research, discussion of relevant and controversial professional issues, adherence to the standards of journalistic integrity and excellence, and promotion of nursing perspectives to the health care community and the public.” (AJN The American Journal of Nursing) That being stated, the AJN has a duty to inform and educate nurses and the public about end of life planning. 1. Executive Summary. Nurses are the largest group of educators in healthcare. By performing proper teaching, patients and families are able to plan for the day that no one hopes comes. The guess work of care can be forgotten and the wishes of the critically ill can be followed through with exactness. The right to choose what happens to your body is one that needs to be protected. That decision should be made with the upmost consideration and thought. These discussions should take place long before the actual event of death or serious illness occurs. End- of life planning also allows for the potential to lower healthcare costs which are associated with end of life care. With the help of the AJN, greater emphasis and awareness can be applied to spreading the idea of end of life planning. End of life planning is becoming a more discussed topic as patient choice is being focused on during treatment planning. This planning has the opportunity to save many loved ones the fear and guess work that goes into trying to decide end of life treatment.
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Clapp 2 2. Statement of Need. Every patient has the right, to choose what type of care they receive. This right to freely choose what treatments are used is known as autonomy. Yoder-Wise states that autonomy is the, “personal freedom and the right to choose what will happen to one’s own person.” (91) The range of care can differ greatly. In some instances a patient’s right to refuse lifesaving measures is superseded by their loved one because proper documentation was not in place. A “Full Code” status means that in the event of sudden cardiac or respiratory arrest, every measure possible will be used to attempt to save that person’s life. A person in the general public with no or little healthcare knowledge will not know the meaning of the phrase “Full Code”. Beyond “Full Code” there are separate levels of care. A “Full Code” will usually consist of the following life sustaining measures: chest compressions, oral artificial airway, defibrillation shocks, blood products/IV fluids, and cardiac medications. Modifies treatment can consist of only
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