Choose 1 focal point from each subcategory of practice, education, research and administration and describe how the APRN can provide effective care in end of life management

Using the American nurses association position statement, recommendations for improvement in end of life management focuses on practice, education, research and administration. Listed below are steps that nurses can take to overcome barriers in healthcare practice.

Practice

1. Strive to attain a standard of primary palliative care so that all health care providers have basic knowledge of palliative nursing to improve the care of patients and families.

2. All nurses will have basic skills in recognizing and managing symptoms, including pain, dyspnea, nausea, constipation, and others.

3. 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.

4. Encourage patient and family participation in health care decision-making, including the use of advance directives in which both patient preferences and surrogates are identified.

Education

1. Those who practice in secondary or tertiary palliative care will have specialist education and certification.

2. Institutions and schools of nursing will integrate precepts of primary palliative care into curricula.

3. Basic and specialist End-of-Life Nursing Education Consortium (ELNEC) resources will be available.

4. Advocate for additional education in academic programs and work settings related to palliative care, including symptom management, supported decision-making, and end-of-life care, focusing on patients and families.

Research

1. Increase the integration of evidence-based care across the dimensions of end-of-life care.

2. Develop best practices for quality care across the dimensions of end-of-life care, including the physical, psychological, spiritual, and interpersonal.

3. Support the use of evidence-based and ethical care, and support decision-making for care at the end of life.

4. Develop best practices to measure the quality and effectiveness of the counseling and interdisciplinary care patients and families receive regarding end-of-life decision-making and treatments.

5. Support research that examines the relationship of patient and family satisfaction and their utilization of health care resources in end-of-life care choices.

Administration

1. Promote work environments in which the standards for excellent care extend through the patient’s death and into post-death care for families.

2. Encourage facilities and institutions to support the clinical competence and professional development that will help nurses provide excellent, dignified, and compassionate end-of-life care.

3. Work toward a standard of palliative care available to patients and families from the time of diagnosis of a serious illness or an injury.

4. Support the development and integration of palliative care services for all in- and outpatients and their families.

 

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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? 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.

 

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Choose subcategory of practice in End of Life Care and describe how the APRN can provide effective care in end of life management.

Practice 

1. Strive to attain a standard of primary palliative care so that all health care providers have basic knowledge of palliative nursing to improve the care of patients and families. 

2. All nurses will have basic skills in recognizing and managing symptoms, including pain, dyspnea, nausea, constipation, and others. 

3. 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. 

4. Encourage patient and family participation in health care decision-making, including the use of advance directives in which both patient preferences and surrogates are identified. 

Please describe each point by separated

in APA FORMAT.

 

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Its important to meet the competencies!!

Overview 

  

Write an article for a community newsletter for a local retirement village that explains

 the laws, policies, and choices surrounding end-of-life health care decisions.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

 

• Competency 1: Explain the effect of health care policies, legislation, and legal issues on health care delivery and patient outcomes.       
  • Identify the primary policies that define current health care practices in regard to end-of-life health care decisions.
  • Explain the legislation that generated end-of-life health care policies.
• Competency 2: Explain the effect of regulatory environments and controls on health care delivery and patient outcomes.       
  • Explain the effect of end-of-life regulations and controls on patient outcomes.
• Competency 3: Apply professional nursing ethical standards and principles to the decision-making process.       
  • Describe the role of the nurse in end-of-life decision making with patients and their families.
  • Describe the ethical considerations that have influenced policy decisions in regard to end-of-life decisions.
• Competency 4: Communicate in a manner that is consistent with expectations of nursing professionals.       
  •  Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.
  • Correctly format citations and references using APA style.

  Assessment Instructions 

  

Your manager asked you to prepare an article for a community newsletter for a local retirement village. The editor wants you to talk about the laws, policies, and choices surrounding end-of-life health care decisions

Preparation 

Search the Capella library and the Internet for scholarly and professional peer-reviewed articles on end-of-life care. You will need at least three articles to use as support for your work on this assessment.

Directions

Write an article of 750–1,000 words (3–4 pages) that discusses the laws, policies, and choices surrounding end-of-life health care decisions. Address the following in your article: 

• Describe the role of the nurse in end-of-life decision making with patients and their families.
• Explain the legislation that generated end-of-life health care policies. Was the legislation an outcome of a specific medical case?
• Identify the primary policies regarding current health care practices related to end-of-life health care decisions. How to these policies affect treatment decisions?
• Explain the effect of end-of-life regulations and controls on patient outcomes. What effect does this have on the nurse-patient relationship?
• Describe the ethical considerations that have influenced policy decisions in regard to end-of-life decisions.

Additional Requirements

Your article should meet the following requirements:

• Written communication: Written communication should be free of errors that detract from the overall message.
• References: Cite a minimum of three resources; a majority of these should be peer-reviewed sources. Your reference list should be appropriate to the body of literature available on this topic that has been published in the past 5 years.
• APA format: Resources and citations should be formatted according to current APA style and formatting.
• Length: 750–1,000 words or 3–4 typed, double-spaced pages, excluding title page and reference page. Use Microsoft Word to complete the assessment.
• Font and font size: Times New Roman, 12-point.Correctly format citations and references using APA style.

 

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Assessment Instructions 

  

Your manager asked you to prepare an article for a community newsletter for a local retirement village. The editor wants you to talk about the laws, policies, and choices surrounding end-of-life health care decisions

Preparation 

Search the Capella library and the Internet for scholarly and professional peer-reviewed articles on end-of-life care. You will need at least three articles to use as support for your work on this assessment.

Directions

Write an article of 750–1,000 words (3–4 pages) that discusses the laws, policies, and choices surrounding end-of-life health care decisions. Address the following in your article: 

• Describe the role of the nurse in end-of-life decision making with patients and their families.
• Explain the legislation that generated end-of-life health care policies. Was the legislation an outcome of a specific medical case?
• Identify the primary policies regarding current health care practices related to end-of-life health care decisions. How to these policies affect treatment decisions?
• Explain the effect of end-of-life regulations and controls on patient outcomes. What effect does this have on the nurse-patient relationship?
• Describe the ethical considerations that have influenced policy decisions in regard to end-of-life decisions.

Additional Requirements

Your article should meet the following requirements:

• Written communication: Written communication should be free of errors that detract from the overall message.
• References: Cite a minimum of three resources; a majority of these should be peer-reviewed sources. Your reference list should be appropriate to the body of literature available on this topic that has been published in the past 5 years.
• APA format: Resources and citations should be formatted according to current APA style and formatting.
• Length: 750–1,000 words or 3–4 typed, double-spaced pages, excluding title page and reference page. Use Microsoft Word to complete the assessment.
• Font and font size: Times New Roman, 12-point.

 

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