PLEASE RESPOND TO ROWE’S POST ELOW. PEER RESONSE MUST BE SUBSTANTIVE AND SHOULD ADD TO THE DISCUSSION POST IN A MEANINGFUL WAY. THANKS.
ROWE’S POST:
The National Institute on Aging states that End-of-life care is the support and medical care provided to a person who is close to dying. Such care does not happen only in the moments before one stops breathing or their heart stops beating. Many have chronic, serious, or terminal illnesses that require care for days, weeks, and even months before death. End of life care is the intention to prevent and relieve emotional and physical distress. The American Nurses Association believes that central to nursing practice is the delivery of high-quality, compassionate, holistic, and patient-centered care, including end-of-life care. Characteristics of end-of-life care include respect for patient autonomy, nonjudgmental support for patients end-of-life preferences and values, and prevention and alleviation of suffering (ANA, 2019). The topic of end of life is an important topic in healthcare and at the same time an uncomfortable conversation to have. Finding the right time to bring up end of life care to a family member is never easy (Hawley, 2017). Even when a patients prognosis is evidently poor, some families may be in denial or not ready to discuss secondary to not knowing that palliative resources exists (Hawley, 2017). Oftentimes, healthcare providers are reluctant to refer patients to palliative medicine because they fear that their patients will feel abandoned (Hawley, 2017). Some healthcare facilities may not have a robust palliative care program to with healthcare workers who are adequately trained in palliative care and pain management (Hawley, 2017). Supporting a dying or chronically ill patients dying wish is important.
Providing comfort care during the patients end of life in order that the patient dies with dignity is a very intricate and sensitive concept, yet a particularly important one. This concept is significant in nursing practice as nurses are obligated to provide patient care that focuses on the promotion of comfort and ease of pain and suffering (Ng, 2017). Three characteristics of dying with dignity include patient comfort, respect, and absence of pain (Ng, 2017). This includes avoiding unnecessary medical procedures if therapy will not promote quality of life.
ANA Ethics Advisory Board, (September 16, 2019) “ANA Position Statement: The Nurses Role When a Patient Requests Medical Aid in Dying” OJIN: The Online Journal of Issues in Nursing Vol. 24, No. 3.
Hawley P. (2017). Barriers to Access to Palliative Care. Palliative care, 10, 1178224216688887. https://doi.org/10.1177/1178224216688887
Ng, S. H. (2017). Application of Kolcaba’s Comfort Theory to the Management of a Patient with Hepatocellular Carcinoma. Singapore Nursing Journal, 44(1).
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