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Advanced Care Planning Theory

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Advanced care planning encompasses a collaborative approach, which includes not only the patient, but the family, clergy, caregivers, nurses, and physicians as well. The goal of the planning process is to establish the wishes of the patient in advance of adverse system responses, in addition to completing any legal documents that will specify the treatment specifics. The purpose of this proposed change is to guarantee the establishment of this advanced care plan early in the hospice process, in an effort to avoid any restraining forces that would inhibit holistic care for the patient. By educating all parties earlier in the process, the likelihood of emotions preventing rational decision-making is avoided. When the potential for harm from continued administration of artificial nutrition and …show more content…

It is vital to encourage all members of the team to change their current perspectives in order to move towards a more effective mode of operation (Kaminski, 2011). Empower the palliative care team through education. “Organizational members need to feel worthy and psychologically safe, that is, to have no fear of retribution or punishment for embracing the change” (Burke, 2011). In-service training will be provided to all members of the palliative care team. First, reinforcement of thorough assessment skills is mandatory. The clinical manifestations of unfavorable system responses related to the continued administration of nutrition and hydration must be recognized. In addition, the assessment of signs and symptoms of eminent death are important to recognize (City of Hope, 2007). Also, education pertaining to the necessary legal documents is essential. The early establishment of advanced directive and durable power of attorney must take place. Therefore, all parties involved are aware of the wishes of the patient at a time when emotions would not represent a barrier to effective

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SDLA 4: Activity 1 Palliative care continues to evolve in providing better end-of-life care and so does nursing care. Thus, nursing practice is enhanced to satisfy the demand of the palliative care. A nurse provides complex care and fulfils the needs of the patients. Nursing involves in caring work, which focus on patient experiencing agony in palliative and haematological cancer care. Nurses worked in a taxing environment, that can be highly stressful, and often they experience physical, psychological and spiritual exhaustion.

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It is nearly impossible for the patient to rely on another person to make the best decision that they would have made for themselves, particularly when it involves personal interests such as profiting from a will. If there is something to gain, the family members’ motives seem questionable. If the patient falls ill, then there lies a possibility that their heirs will hope for the patient’s death so that they could receive their inheritance. The inability to confirm whether the family actually has the patient’s best interest in mind supports the argument that any form of euthanasia is unethical. Moreover, health care costs for terminally ill patients, including nursing homes, prescription drugs, and home health care deserves consideration.

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Case 10 D In this case we are introduce to a 38-year-old patient who suffer a car accident around eight years ago. During the car accident he suffer an aorta rupture that left him in a persistent vegetative state (PVS). Over the past five years Bob has been taken care for at a Catholic nursing home were he receives tube feeding, fluids and treatments for complications of his state. Recently his wife Lola and Bob’s parents have decided that they would want to discontinue Bobs feeding tube.

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In order for a patient to receive the prescription for medication, a physician must declare the patient to be terminally ill, which means they have an incurable and irreversible illness, and they must have no more than six months to live. Also, a second doctor must agree with the first doctor. In addition, the terminally ill patient has to be mentally competent and able to administer the medication themself (“Threat” A12). These rules act as safeguards to ensure that the patient requesting aid in dying is making an informed decision and is acting voluntarily (Gopal

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Each morning patients came in for assessment and the treatment team developed or altered existing treatment protocols. I longed to be part of this team, working to stabilize each patient so they could return home to pursue their goals. The nurses stood out to me as the team members at ground zero in the unit, working directly with patients, and advocating for them in meetings. As a Nurse Practitioner, I will provide this same standard of holistic care to my patients, taking into consideration their biological, social, psychological and cultural needs while developing and implementing treatment decisions.

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Individualised approach to care planning essay The care planning process is a fundamental part of nursing, Barrett et al (2012) emphasises the importance of the process by recognising it as a clinical skill that needs to be learnt and developed. Care planning enables information to be gathered, taking in to consideration an individual’s biological, psychological, sociocultural, environmental and politico economic status. These factors are incorporated in to the care planning process to enable an individualised care plan that meets the holistic needs of the individual (Doenges and Moorhouse, 2012). The aim of this assignment is to explain and explore an individual approach to care planning and how using a nursing process and nursing model collectively will provide a holistic approach to care.

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The goal of palliative care is to improve quality life, and to make the patients last days more comfortable for the patient’s and their families. The doctors decide who should be on hospice, but it is up to the patient’s and their families to make the decision. When the doctors suggest hospice or palliative care they have done everything they could for the patient’s. If the patients decide to go on hospice or palliative care, they have a choice of going home, or to a nursing home to live out the rest of their days.

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In all my experiences as a nurse, I’ve realized the importance of communication, providing holistic care to an individual and empowering them with the knowledge to manage their health. When an illness strikes a person, it affects not just his body, but also his mind and spirit. The art of communication is invaluable to patient interaction and establishing a therapeutic nurse-patient relationship, that facilitate coping mechanisms for patients, moreover it prepared myself as a nurse to meet their individual needs. Furthermore, there is at the moment an insurmountable demand for survivorship care as a result of the advancement in technology and medicine, which made living beyond life expectancy possible for increasingly more people. Living after cancer treatment is not free of complications as there are acute and chronic side effects of treatment that requires constant monitoring and attention, and this information spurred me to shift my focus from palliative to survivorship care.

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Health care here in America is driven by makeshift of services and financing. Now, there is a new element in health care. In truth, it not all that new. Life care planning is an idea that initiated with legal cases in which care needs and costs developed due to a catastrophic injury. The plan addresses the changes and needs relating to expenses of individual with a long-term, severe or chronic health care condition as result of an injury.

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