BSN4006 Health Care and Nursing Policy Critique u10a1.docx...

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Running head: U10A1 1 Health Care and Nursing Policy Critique Stephen Myers Capella University
U10A1 2 End-of-Life Decisions End-of-life is something that needs to be addressed but is not an easy subject to talk about. In the following paper, I will discuss information pertaining to policies, laws and the choices that can be made concerning end-of-life health care decisions. Role of the Nurse End-of-life is just one of the many responsibilities that a nurse is responsible for and can be considered one of the most important ones as it requires the process of making difficult deci- sions. Nurses play a role on a team of health care professionals who are involved during most of the patient’s process. They will be involved during all of their shifts and interact with the family of the patient and help build a report with the family of the patient as well. Because of this rela- tionship or bond, the nurses are very competent to assess needs of both the patient and the fami- lies involved in this difficult decision process. Nurses are in-the-know as far as being able to tell when patients are no longer responding to treatment or when patients are deteriorating to the point where the family needs to be involved in the decision-making process of end-of-life. (Adams, Bailey, Anderson & Docherty, 2011). Physicians, nurses and other health care professionals involved do not want to give up too soon or to wrongly diagnose patients in these sensitive situations which can cause undue stress which is already hard for families and friends. This is why these situations are so difficult for nurses and health care professionals and why there is fear when having these types of conversa- tions or initiating the discussion. The nurse is not only the care giver for the patient but becomes the advocate for end-of- life care for the patient and the family. Assisting families and patients throughout the dying
U10A1 3 process, being sensitive both culturally and professionally, and both pain management and symp- tom management for the patient are all included in the dying process (Hebert, Moore & Rooney, 2011). Some other aspects of end-of-life can include: The role of helping Coaching and teaching Client-monitoring and diagnostic functions Effectively managing situations that can drastically change Effectively monitoring and ensuring quality care Being competent in your rose as a nurse (Hebert, Moore & Rooney, 2011) Primary Policies Regarding End-of-Life Decisions Currently in health care, end-of-life care issues exist as it pertains to nurses and health care professionals. Readiness for these end-of-life conversations for nurses, end-of-life quality of care and financing the care are some of the issues that need to be addressed (Giovanni, 2012)

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