BSN-FP4006_JohnsonHarley_Assessment3-1.docx - END OF LIFE 1 Harley Johnson Capella University End of Life Decisions BSN-FP4006 January 2019 END OF LIFE

BSN-FP4006_JohnsonHarley_Assessment3-1.docx - END OF LIFE 1...

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END OF LIFE1Harley JohnsonCapella UniversityEnd of Life DecisionsBSN-FP4006January 2019
END OF LIFE2IntroductionEnd of life care is something that most people do not like to discuss. The fact of the matter is, there is a time in which this type of communication needs to be done. Nurses play an extremely valuable role with end of life discussions. These roles have changed over the years with nurse becoming more and more involved. Nurses enact threeroles in EOL decision making: information broker, supporter, and advocate states Adams (2015). Nurses hold a valuable role when it comes to information and education. The nurse is responsible for ensuring the physician is aware of the wishes expressed by familyand the patient. Families must be educated on what exactly their loved one is dealing withand the prognosis and options. A nurse will mediate when family meetings are needed or different health care providers such as palliative care need to be involved. Support is extremely important when end of life discussions is taking place. The nurse acts as a main support system for the family and patient. The relationships built between the nurse and family are trusting and open. Lastly, and most importantly, the nurse must act as an advocate. Nurses are with patients for numerous hours a day. They learn what the patient wants, goals and wishes. When plans of care steer off from what the patient has voiced, they want, the nurse must advocate to ensure that above all the patients wish are being followed and honored. Understanding end of life policiesThere are different policies that have developed for end of life care. According to Salins (2017) a person should always have a “good death” regardless of diagnoses and there should be emphasis of quality of life and death with dignity. The patient should be able to have end of life care that is free of pain or discomfort. They should be able to pass
END OF LIFE3with dignity and at a place of their choosing. The patient should have their religious

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