[SOLVED] Reply 1 There is not a single specific point in an illness, wh

Reply 1 There is not a single specific point in an illness, when end-of-life care begins. It depends on an individual and progression of their illness. At stage of terminal illness, despite best care, attention and treatment. If your loved one comes to the end of their life, the focus would be to make them comfortable as possible. Depending on nature of disease, the final stage period may last weeks, months, or several years. This time palliative care help to control pain, other symptoms, shortness of breath, hospice care, support emotionally and spiritually to both patients and their families. Dying at home a major challenge; a severe shortage of professional home care giver, the expense of hiring-quality help, the difficulties of pulling together a community of family and friend for 24-hour care, medical advances of recent decades. Depending on what is available near you, some hospice offering include in-home care, but Medicare has limited coverage. Families prefer alternatives that are expensive or require endless hours. The options come in mind is nursing homes, 5 thousands-10 thousands/month. Though, at home you have the smell of cooking, grand children coming, is more comfortable for elders. Some elders love their life at home but need more service at home. Dying at home is realistic? Sandi Hebley, an educator at faith presbyterian hospice in Dallas, shares her visit to japan and New Zealand, observed and found out that the resources at home are larger more extensive. In Great Britain, hospice movement started in 1960. Hospice advocate, Cicely Saunders placed teams that went to home with case manager several nurses. That setup made a huge difference there. To support patient regarding end-of-life. I like the POLST paradigm, a framework to help and guide a conversation about what kind of care a patient wants when future health crisis occurs. Some changes in health care system can improve care of individual with progressive illness. For example, we should broaden end-of-life to mean the last years of life, by developing a health care pathway for chronically ill and declining people who are at their last years of life as described in “Medicaring” white paper by Dr. Jonne Lynn. The UK has developed a “Gold standard Framework” along similar lines. We can learn their work by studying their approach. Furthermore nurse can support by communicating with members to manage family involvement t, by focusing on values by knowing wishes, help to seek financial and legal advice such as living will, attorney, address family conflicts by involving social worker or hospice specialist, preparing early by hospice and palliative care services. Reference Bill. W. (2018). How realistic is dying at home. The difference between where American would prefer to die and where they do? Grand Canyon University (2018). Health assessment: foundation of effective practice. Health assessment of aging adult. Retrieved from http// www.gcumedia.com. Melissa. W. (2019). Late stage and end-of life care. Help guide. Leslie. K. (2013). How we can get to better end-of life care. Practical information for aging health and family care giver Reply 2 End-of-life care becomes an issue at some point for elderly clients. Even with the emergence of palliative care programs and hospice programs, most elderly people do not die in their own home as is their preference. What are the reasons for this trend? “Dying at home is not favored in certain cultures (due to cultural taboos) and some patients may wish not to die at home, out of concern that they might be a burden on the family.” (Stanford School of Medicine, 2020) Being a burden on family or lack of family is a big concern for many patients. Another reason many patients are not dying at home is due to the multiple physical issues requiring nursing care occurring at the time of death. (Ward, 2018) Limited coverage by Medicare for in home care during the final days is another barrier. Cost for in home care can be very expensive and if a lack of finances occurs then it would be impossible to utilize those services. Discuss what you can do as a nurse to support your clients regarding end-of-life care in accordance with their wishes. Support your response with evidence-based literature. Nursing plays an important role in end-of-life care. Not only do nurses assist the patients during this difficult time but they also support the family members. Ensuring patient’s wishes are met is something the nurse needs to strive to complete during the end of life timeframe. If the patient wishes to have spiritual support, the nurse will help coordinate that. (Pathways Home Health and Hospice, 2020) Create a plan with the patient, if able, to remove the gray areas on the patient’s wishes. Nurses will act as the mediator between the family and patient in order to support the patient’s wishes. (Pathways Home Health and Hospice, 2020) “Nurses will be comfortable having discussions about death, and will collaborate with the care teams to ensure that patients and families have current and accurate information about the possibility or probability of a patient’s impending death.” (Rights, 2016) If nurses follow the code of ethics and patient’s wishes it will provide a positive experience in this difficult end-of-life care situation. References Pathways Home Health and Hospice. (2020). Retrieved from https://pathwayshealth.org/hospice-topics/the-critical-role-of-nurses-in-end-of-life-care/ Rights, A. C. (2016). ANA. Retrieved from American Nurses Association: https://www.nursingworld.org/~4af078/globalassets/docs/ana/ethics/endoflife-positionstatement.pdf Stanford School of Medicine. (2020). Retrieved from https://palliative.stanford.edu/home-hospice-home-care-of-the-dying-patient/where-do-americans-die/ Ward, B. (2018, December 6). Next Avenue. Retrieved from https://www.nextavenue.org/how-realistic-is-dying-at-home/

 

Struggling to find relevant content or pressed for time? – Don’t worry, we have a team of professionals to help you on
[SOLVED] Reply 1 There is not a single specific point in an illness, wh
Get a 15% Discount on this Paper
Order Now

Can’t find relevant content? Don’t worry– you have a team of professionals to help you.

All you need to do is fill in the order form in the upper right corner and upload the files that are crucial for your assignment. Also, don’t forget to specify whether your assignment has to be based upon a specific research, theory or method. After that, we will assign an expert to complete your order. You can always chat with your expert and ask any questions you have during the working process.

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
$0.00
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with MyCoursebay
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
Testimonials
See why 20k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
Psychology
Thank you so very much!!!
Customer 452517, May 11th, 2021
Psychology
Good mastery of ABA concepts. Excellent!
Customer 452469, May 14th, 2022
Nursing
Did not receive paper on time.
Customer 452693, November 9th, 2022
Other
AWESOME
Customer 452813, July 5th, 2022
Nursing
Thank you!
Customer 452707, April 3rd, 2022
Nursing
Thank you so much for being the best website for assignment help.
Customer 452635, June 24th, 2022
Criminal Justice
Impressive! Will be using the service again.
Customer 452485, December 5th, 2021
Other
GREAT
Customer 452813, June 20th, 2022
Eng 099
I recveived a B on this paper but I'm not sure why.
Customer 452775, June 18th, 2022
Other
OK
Customer 452813, July 3rd, 2022
Psychology
Thanks so very much. The paper is well-researched and adequately referenced. You have been of great help during the pandemic!
Customer 452467, January 31st, 2021
Nursing
Always perfect!!! Don is the best!
Customer 452453, July 27th, 2021
11,595
Customer reviews in total
96%
Current satisfaction rate
3 pages
Average paper length
37%
Customers referred by a friend
OUR GIFT TO YOU
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat

Get your perfect essay with a 15% discount. Use DC15

NEW

Thank you for choosing MyCoursebay. Your presence is a motivation to us. All papers are written from scratch. Plagiarism is not tolerated. Order now for a 15% discount

Order Now