Assignment: End Of Life Care

Assignment: End of Life Care
Assignment: End of Life Care
Week 10 discussion End of Life Care End of life care and treatment is a sensitive subject to discuss but must be addressed by our health care field and society due to the exorbitant costs it has on the health care system, especially Medicare, which is a public health insurance. According to “The Dartmouth Institute” (2013), Medicare spending per patient, in the last two years of life went from $60,694 in 2007 to $69,947 in 2010. On top of that, it is estimated that one-quarter of all Medicare payments are for end of life care and treatment, which is about $50 billion with the majority of costs being paid out for the last two months of the patients’ care and treatments. There have been ethical calls to limit the amount of payment Medicare will provide to extend a patient’s life for another six to twelve months. Should there be a financial limit for Medicare in these situations? Why or why not, and if so, what should it be? Should money be diverted from end of life care and treatment for seniors and be used on infant and childhood care? Will an advance health care directive (otherwise known as a living will) resolve this problem? Why or why not?
Source: https://www.homeworkjoy.com/questions/health-care/588355-bsc2347-week-10-discussion-latest-2018-april/
© homeworkjoy.com
Question 2
Week 11 discussion Self-Reflection You’re in your last week of Anatomy and Physiology II, finishing up two difficult quarters of anatomy and physiology. Take a moment and reflect on how much your knowledge of human anatomy and physiology has improved and increased. Share why you are pursuing a degree in your specific professional field and how this degree will change and improve your life. How will your increase knowledge of anatomy and physiology assist your ability within your field? Lastly, these courses worked on improving your critical thinking skills through various assignments, such as the case study assignments. Why is critical thinking important within your professional field and how will you work to further improve your critical thinking skills?
Source: https://www.homeworkjoy.com/questions/health-care/588356-bsc2347-week-11-discussion-latest-2018-april/
© homeworkjoy.com

Assignment: End Of Life Care
Assignment: End Of Life Care
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.