Dnr Case Study Nursing Care Plan

This misperception can cause a lot of problems when it comes to caring for the terminally ill. The Financial Resource Center http://resourcecenter.cuna.org/21871/article/3932/html cites the father of Angela Esposito as just one example. “How do you tell your father…that he needs to go to hospice?” asks Ms. Esposito. “It sounds like you 've given up. It sounds like you 're saying 'You 're dying, so let 's put you in hospice so

After Alzheimer patients are resuscitated, they could linger for years. The article “Alzheimer’s and End-of-Life-Issues” by the United States Department of Health and Human Services, describes how patients could linger for up to ten years after they are diagnosed with Alzheimer 's. No one wants to know that when he is diagnosed that he may lose the ability to do daily things. Patients with late-stage-Alzheimer 's Disease are characterized by the inability to communicate, the inability to recognize family members, the inability to move without assistance, and the inability to swallow. Alzheimer 's patients should not be forced to linger by having heroic measures used on

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

(2008) Preliminary report of a palliative care and case management project in an emergency department for chronically ill elderly patients. Journal of Urban Health, 85 (3), 443-51.

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. Some families can not afford to drop everything in order to take on the full time responsibility of their sick loved one. This adds financial stress to the family and can lead to the desire to resolve the issue by forcing the idea of euthanasia on to the loved one. According to Time.com, one in every four Medicare dollars spent goes to the five percent of beneficiaries in the last year of their life. The result of this is often an overwhelming debt for the families of terminally ill patients, with the care of a single patient costing approximately $39,000 exceeding the financial assets for many households. When the patient is uninsured or denied coverage from an insurance company, the family inherits the costs. In cases like these, legalizing euthanasia would present it as a viable solution, and in their distress, the family members may selfishly consider it to alleviate the financial burden the patient may

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. This nature of work can have devastating effects on the health and wellbeing of a nurse. There are three concepts related to adverse consequences of caring work: these are compassion fatigue, burnout and vicarious traumatization.

End of life care is considered to be one of the toughest decisions to be made. The challenge of making decisions, the after care of a ended life, factors that support ending life and guidelines for the withdrawal of life are major themes throughout making this decision. These challenges can often be caused by many other factors. Throughout this literature barriers to providing good end of life care was documented throughout, one of which was the overall environment that nurses provide. Which was also described as the nurse's work load, physical layout of the facility, visitation restrictions, procedures, and

Amongst those laws in other states and countries, there are many other qualifications and criteria which must be met before the medication is actually dispensed to the patient. In California, these strict limitations include the need of multiple physicians agreement, age of the patient, and the prognosis of death within six months.5 Moreover, there is a 15-day waiting period, three different timeframes of the patient request, both verbal and written, and be physically and mentally capable of self-administering the medications, as well as many other restrictions.5 Rather than leaving it to the individual to take their own life outside of medical supervision, the option to take a legal and humane route allows for there to be guidelines and safeguards in place which support the terminally ill patient up until the time of

Dementia is a complex disease that’s made up of many parts. There isn’t just one form of dementia, rather there are multiple different forms of dementia, each having their own set of symptoms that can be distinguished from other forms of dementia. Nonetheless, the umbrella term for dementia is an “impairment of thought and behavior that disrupt everyday life” (McCrory, PP, Ch. 17, Slide 18). Symptoms affecting dementia as a whole are the following: memory, thinking, and social abilities (McCrory, PP, Ch. 17, Slide 19). Nonetheless, it’s important to understand that a little memory loss is normal in old age. Therefore, just because you may know someone that has some memory loss doesn’t mean that they suffer from dementia. One of the clear-cut

People should be able to live their life to the longest. Physician-assisted suicide is a controversial topic spreading throughout the United States due to the ethical issues surrounding the topic. Physician-assisted suicide is legal in a few states and other states have passed bills to make sure this does not happen. Even though some say that all have a right to die, physician-assisted suicide should not be legal because it would be too psychologically damaging to all involved.

Medicare covers many healthcare related services such as inpatient hospital stays, certain skilled nursing services in the long term care facilities, and hospice care for terminally ill beneficiaries or post-acute cares in home settings. Medicare coverage helps many beneficiaries to receive healthcare services that they require to live healthier lives through preventive wellness services as well as medical treatments that save lives. For example, a gastrostomy tube insertion benefits a patient with dysphagia related to an acute medical condition to rehab and regain independence to live a quality life. The gastrostomy tube enables the beneficiary to receive necessary nutrition and rehab to regain swallowing ability. Otherwise the beneficiary is at risk for many life threatening medical conditions such as aspiration pneumonia, or malnutrition. Enteral feeding tube has its benefit to save many lives and Medicare should cover the necessary medical treatments.

Everybody has a right to make a choice. When a person goes to a restaurant, that person has the right to make choice of which entree to eat. However, sometimes a person might not be able to make a decision, such in case of person who is bed bound or a person with a terminal illness. I believe that Physician-assisted suicide should be available as an option for those who can and can’t make decisions for the following reasons cost and ending deterring quality of life.

they would like to be treated medically. Advance directives allow a patient to be in control of

However, the responsible and trusted caregiver team must take an action through multiple processes in order to favor the patient. Although the physicians have known earlier when the terminally ill patient near to die, they are not comfortable with withdrawing of life-sustaining treatments. The intention is not to kill the patient, but using the available technology and creating a moral obligation to use what ethical principle prescribes. Underlining the disease process cannot be reversed, life-sustaining treatment can be withdrawn acknowledging that the treatment limitation (Reynolds, Coper, & McKneally, 2005). Ethics committee is a helpful source of advice that can provide consultation about ethical issues in treatment limitation. Because of the valuable outcomes in resolving ethical issues in end-of-life care, the Joint Commission on the Accreditation of health care organizations requires the health care facilities to establish ethics committee (Derse,

The RN would first review the goals and outcomes of the patient care plan. The next step would be to collect Reassessment Data, " Assess the client response to the interventions."(pg. 128 Treas, Wilkinson) in which include vitals, auscultation of breath sounds, observation of activity, and asking the patient how they are feeling and family for observation. The RN would record the evaluation summary in the nursing note or care plan about the conclusion whether the outcome was achieved and the reassessment data supports the judgment. In order to revise a care plan, an RN must " review all the steps of the nursing process."(pg. 130 Treas, Wilkinson).