END-OF-LIFE DECISIONS2End-of-Life DecisionsThe discussion about end-of-life and the decisions that need to be made prior to getting tothat point is not an easy one but does require careful attention and consideration. In this article you will find information explaining laws, policies, and choices you can make surrounding end-of-life health care decisions.Role of the NurseThe nurse is responsible for very many factors of a patient’s health. One of them includesend-of-life care and involves assisting with making difficult decisions. Nurses are the part of the health care team who are at the bedside during the entire patient’s process. They are the ones that spend whole shifts with patients and their families, buildstrong relationships, and are competent to assess the needs of the patients and families. Due to this, along with being able to know when patients are no longer responding to treatment, nurses are in a position to be able to assist with end-of-life decision making (Adams, Bailey, Anderson & Docherty, 2011). Nurses and physicians do not want to give up too soon, remove all hope for families of acutely ill patients, or making the wrong prognoses. This is the reason why there is so much fear for health care professionals when it comes to initiating these discussions. The nurse is also the advocate for the patient in end-of-life (EOL) care. This type of nursing includes assisting patients and families throughout the dying process, being professionally culturally sensitive, and pain and symptom management for the patient (Hebert, Moore & Rooney, 2011). Other domains of EOL nursing practice include:The helping roleTeaching or coaching functionDiagnostic client-monitoring functionsEffective management of rapidly changing situations
END-OF-LIFE DECISIONS3Administering and monitoring therapeutic interventions and regimensMonitoring and ensuring quality of health care practice, andOrganizational work-role competencies (Hebert, Moore & Rooney, 2011).Primary Policies Regarding End-of-Life DecisionsIn current health care, there are certain issues that exist in relation to end-of-life care. Some of these include: financing the care, end-of-life conversation readiness for professionals, and the quality of EOL care (Giovanni, 2012).