End-of-Life Decisions - Running head END-OF-LIFE DECISIONS...

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Running head: END-OF-LIFE DECISIONS 1 End-of-Life Decisions Julija Petraityte Capella University BSNFP 4006 September 2018
END-OF-LIFE DECISIONS 2 End-of-Life Decisions The discussion about end-of-life and the decisions that need to be made prior to getting to that 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 Nurse The nurse is responsible for very many factors of a patient’s health. One of them includes end-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, build strong 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 role Teaching or coaching function Diagnostic client-monitoring functions Effective management of rapidly changing situations
END-OF-LIFE DECISIONS 3 Administering and monitoring therapeutic interventions and regimens Monitoring and ensuring quality of health care practice, and Organizational work-role competencies (Hebert, Moore & Rooney, 2011). Primary Policies Regarding End-of-Life Decisions In 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).

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