This entry will discuss the DNP student peer-reviewed presentation at the Haitian American Nurses Association (H.A.N.A) monthly meeting on March 18, 2017. The DNP student had the opportunity to speak to members who were non-health professionals, nursing students, nurses, ARNP’s and DNP’s. The DNP student had the chance to prepare for this presentation with her mentor Dr. Marie Etienne. Preparation was done via a conference call. H.AN.A’s meeting was from 7:00PM to 10:00 PM. This same day all members and guests also had the opportunity to hear a short presentation from St. Fort Funeral Home. The representative stated that the Haitian community has a tendency to wait until the last minute to plan for end-of-life or they do not plan at all. The DNP could not agree more with that statement. DNP essential five: Health Care Policy for Advocacy in Health Care should be placed as top priority. This advocacy for end-of-life care planning is not only for the Haitian …show more content…
The DNP student implied that this program was funded by the Florida Blue Foundation. The DNP student discussed the process and challenges endured during the program. The outcome of being a participant in this program was the opportunity to connect with other nurse leaders, and learn the process of policy development build on leadership skills. Several individuals in the audience wanted to know more in details about the student’s DNP project. The DNP student stated that she has not implemented her project yet and it could not be discussed at the moment. The DNP student did discuss on how everyone, whether a nurse or not, can advocate for the community. The DNP discussed on the pros on advancing one’s education. DNP essential eight: Advanced Nursing Practice is not just entitiled to practice in hospitals. These individuals practice in hospitals, clinics, home health, and in the
Introduction People have moral and ethical values that assist them in making decisions about their healthcare on a daily basis. What if a person found out that they had a terminal illness and only had months to live? What if those few months would be filled with treatments, pain and suffering, tear filled family members, and high cost medical bills? Physician- assisted suicide remains a debated topic which causes physicians, nurses and those involved to take a look at what they value and what they are willing to do in order to carry out a patient’s wishes.
End of Life care This important documentary does not come close to doing justice to Gawande 's video: Being Mortal. The book is rich with excellent examples of doctors, nurses and family members doing their level best assisting others to live the fullest and richest lives possible right up until and including the very end of their lives. As Dr. Atul Gawande would say, the point isn 't to strive for a good death but rather to have the best possible life that is congruent with one 's own values; and to make medical decisions and choices accordingly. By living each day in harmony with one 's goals and values, one is likely to have a good death.
When a patient is at the end of life it is very important to value the patients self dignity and their decisions at the mere end of their lives. The end of life care is to relieve the weight of the patient 's shoulders physically and mentally. I approve of end of life caring. Basic end of life care is summarized by improving the care of quality of life and dignity of the ill person. The important themes to good ethics of end of life care is a combination of human rights,respect,dignified care,and privacy.
He has served individuals ages 11- end of life through the provision of best-practice and evidence-based programs, rapid testing, risk-reduction education, goal planning, and risk reduction counseling. He has an exceptional skill in balancing and thriving in diversity. Abraham has always proven himself innovative at service provision and engagement within the needs and cultural traditions of those he is serving and program, department, agency, and community partner policy and procedure. He is enthusiastic, spirited, creative, and solutions focused. He has a significant amount of experience in and is highly adept at achieving goals and objectives in fast paced, dynamic environments.
In Not Just a Death, a System Failure, author Barbara Morgan criticized the US health care system’s lack of palliative care, painful treatments, and unwillingness to face the end-of-life decision, which leads to many patients suffering the last part of their lives in discomfort. The author centers her argument on the anecdote about the dying of her late mother, who spent several months in the discomfort of intensive care until the time of her death. Moran’s point is one part valid since the treatments for serious diseases are dangerous, painful, and many times only focus on prolonging life rather than improving life. However, she neglected the fact that these treatments are optional, and patients are always open to spending the last part of their life away from the hospital. Treatments for serious diseases are known to have many side effects that deteriorate patents’ health.
How does the implementation of Death with Dignity policy increase patient autonomy and quality of care and what will it mean for our practitioners? The healthcare industry is preparing for many changes that have the potential to affect the industry on a large scale. While preparing for all of the current changes, the industry is also preparing itself to face the baby boomer generation, which will increase the number of society member who will be utilizing healthcare services. Healthcare, as an industry is facing a key time to make changes in order to protect its’ assets and the care given to those who utilizes our services. Funding is at a low, and resources have the potential to become scarce.
Working with state office leadership to develop policies and procedures based on evidenced based practices is crucial to the health of the public. The director attends county board of health meetings to professionally represent nursing and converse with board members to identify interventions to assist with addressing the needs of their community. These responsibilities highlight the need for all public health nurses, especially those in leadership roles, to have a BSN degree. As pointed out, the opportunities for a nurse transitioning from an AD position to a BSN position are diverse and endless. Patients, healthcare facilities and the nursing profession benefit from advanced degree nurses.
Training and Education: Policymakers should prioritize education and training programs for healthcare professionals and hospice care providers. These programs should focus on ensuring a clear understanding of policy updates, eligibility criteria, and the importance of regular reassessment of patients' prognoses. Improved knowledge and training will facilitate better decision-making and support for patients and their families (Stacey et al., 2020). V. Stakeholder Engagement: Policymakers should actively engage stakeholders, including healthcare professionals, patient advocacy groups, and hospice providers, in the policy review and revision process. Their expertise and perspectives are crucial in developing a policy that is responsive to the needs of patients and promotes high-quality end-of-life care.
The Death with Dignity Act has two arguments: those who believe we have the right to choose how and when we die, and those who believe we do not possess that right; that we should not interfere with the natural order of life. Every year, people across America are diagnosed with a terminal illness. For some people there is time: time to hope for a cure, time to fight the disease, time to pray for a miracle. For others however, there is very little or no time. For these patients, their death is rapidly approaching and for the vast majority of them, it will be a slow and agonizing experience.
An Integrative Review. JAN Journal of Advanced Nursing, 1744. Karlsson, M. B.-F. (2015). A Qualitative Metasynthesis From Nurses’ Perspective When Dealing With Ethical Dilemmas and Ethical Problems in End-of-Life Care. International Journal for Human Caring, 40-48.
The discipline promotes preventative care as a means for citizens to stay healthy, avoid serious illnesses, and reduce emergency room visits as well as hospitalizations. To successfully advance this agenda, registered nurses must seek advanced training. In this regard, United States nursing associations are urging RNs to trade up from pursuit of the traditional Advanced Practice Registered Nurse (APRN) accreditation to the new nursing standard of Doctor of Nursing Practice (DNP) credential. This intensive learning track prepares advanced nurses to play an enhanced role in promoting the well-being of the population.
End of life conversations are difficult to initiate to a point where health care practitioners start to actively avoid talking with individuals that are under palliative care. The thought of initiating the conversation fills a clinician with dismay. McRee & Reed (2016) advise that conversations about end of life should be initiated at the time of patient’s admission. Therefore, GPs should monitor the trajectory of patients’ conditions as soon as they have been admitted in hospital. For instance, they can assess whether the patient is exhibiting a consistent decline instead of improvement or if the patient is complaining of fatigue with the treatment process of frequent hospitalization.
Cultural competency (ability to understand both your own and others uniqueness) is necessary for providing therapeutic biopsychosocial-spiritual care. Cultural uniqueness can affect the following aspects of end-of-life care: Perceptions and perspectives of a good death. Accepting hospice and palliative care services. Channels of communication regarding imminent death and end-of-life care decisions. Expectations regarding healthcare actions and activities (e.g., living
The understaffing of nurses is an issue that has rapidly affected the nursing field of both Australia (locally) and the rest of the world (globally) (Oulton, 2006). The issue has resulted in nurses not being able to successfully achieve our duty and work requirements, comprising the needs and safety of the patients in our care (Twigg, Duffield, Thompson & Rapley, 2010). Due to the issue hindering the role and outcomes of the nurse’s work, nurses cannot successfully contribute to the common good and human dignity (Donley, Grandjean, Jairath, & McMullen, 2006), therefore to address the limited amount of these throughout the issue of understaffing, possible solutions should be explored using advocacy and community engagement. The issue of understaffing
Clearly, this nursing framework has supported the ideology of human death. The last stage is said to be acceptance. At the final stage, patients and their respective families has accepted the reality of coming to an end. The family and the patients have found peace and slowly waits for the end of time during the acceptance as discussed by Lowey (Lowey,