Reflection On End Of Life

Through serving others, I have come to realize that every person, regardless of one’s cultural background, has something to offer to the community. As an immigrant, I was quite hesitant about accepting new challenges. The fear of others’ judgment regarding my performance hindered my progress. However, through serving others in various capacities, I was able to interact and help people in my community, who themselves helped me overcome my fears.  Whether helping patients at St. John Providence or assisting refugees at the American Red Cross, I was amazed as to how much my presence made a difference, especially for those who needed me to interpret for them. The gratitude these people expressed to me enhanced my sense of purpose and made me realize

3 Outline how the factors relating to views on death and dying can impact on practice

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.Health Care givers should be aware of the issues on what to say and how to act,give emotional support,and when to use hospice care.

My personal philosophy of nursing seeks to incorporate the art of conveying nursing science holistically with care and human dignity. The four nursing metaparadigm concepts are described in relation to nursing as a science and an art and provide the base upon which my view of nursing and my personal philosophy are derived. As a nursing student at UIC, I am well aware of the fact that the best outcome for any patient may not be improvement in health, but rather, a dignified death during the end of life care. End of life care includes a significant quality in care and human dignity.

The Measure of My Days is an autobiography by Florida Scott-Maxwell, which she had written in her eighties. The book explores the feeling and experience of one 's later years: when one feels both cut off from the past and out of step with the present; when the body starts to give up but the mind becomes more passionate than ever. The book offers a wide vision of the issues that we go throughout our lives: the struggle to achieve goodness; how to maintain individuality in a mass society; and how to emerge out of suffering, loss, and limitation and so on. The book is an important contribution to the literature of aging, and of living.

The past year I have seen how much of a big difference hospice makes. I have seen how patients and their families become attached to their hospice team. I have witnessed all hospice team members working together to be supportive to families when their loved one has passed. I never knew how much of a difference hospice can make until my time at Homestead. I saw how the entire hospice team cared for each and every patient and wanted to make the patient’s last days the best they could possibly be. Homestead hospice is fulfilling its goal of making the patient as comfortable as can be while in the dying process. Homestead Hospice is contracted with local nursing homes and assisted living places to help if a patient wants placement, or if

Hospice and palliative care can be easily intertwined; they are both concerned with promoting comfort and relieving patient pain. Hospice and palliative care, however, are different in some aspects. Patients who receive hospice care are nearing the end of their lives and there is no effort to cure their disease; the goal is to provide pain relief, a sense of belonging from family and friends if desired, support through the dying stages, and to assure that the person is able to die with dignity. Palliative care is also focused on reducing discomfort; however, the patient receiving care can be at any stage in their disease. Additionally, palliative care can also be administered during a time when a patient is receiving treatment to cure their illness.

How would you respond if you were diagnosed with HIV? Address hope and fear in your response. Be sure to refer to the GCU introduction and the textbooks. Cite references from your reading to support your answer.

They will be able to seek help from people with no personal connection to them but acting in good faith (most likely to be carers or health professionals) to be able to die with dignity in a manner and at a time of their choosing.”

In this case study the primary nurse, Amelia Wilkerson, is caring for a patient, Katy Palmer who has recently been admitted to the hospital for fatigue and abnormal lab counts. The patient asks Amelia for information regarding her diagnosis. Amelia has seen Katy’s results and knows that she has been diagnosed with acute myelogenous leukemia. The ethical dilemma seen in this situation is that it is outside of the scope of practice for Amelia to discuss Katy’s original diagnosis with her. This is reserved for the doctor alone. However, as a nurse that has developed a relationship with her patient it would be very difficult to not answer her question honestly. In addition, the patient might feel more comforted hearing the diagnosis from her nurse rather than the doctor as the nurse has been caring for her and they have developed a therapeutic relationship.

Assisted living facilities are one of the fastest growing industries in the United States. Unfortunately, assisted living facilities have a history of being problematic. Specific cases from the movie Life and Death in Assisted Living Facilities indicates that assisted living facilities are often under staffed, poorly trained, and often admit elderly patients who are not qualified candidates for their facilities (Byker and Thompson, 2013). When taking this in to account, it is important to consider why families may admit their loved ones in to assisted living facilities. Hillier and Barrow (2015), associate problems of caregiving with the responsibility itself, the caregivers personal health, role strains, strained family relationships, ect. With all of this strain on an informal caregiver it seems most beneficial to the caregiver and the elderly individual to consider admittance in to an assisted living facility. Once a basis has been established as to why an elderly person is admitted in to an assisted living facility, further insight shall be established to denote what is considered elder abuse. In this movie, Life and Death in Assisted Living Facilities, several

Atul Gawande’s book, “Being Mortal: Medicine and What Matters in the End,” explores different themes such as, aging, death, and the mishandling of both aging and death by the medical profession’s. This book also addresses what it means to live well near the end of life. It is not just to survive, not just to be safe, not just to stay alive as long as the medical technology allows, but, according to the author it is about what living truly means to an individual. The author describes that the idea of “Being Mortal” developed as he watched his elderly father go through a steep decline in his health and the eventual death. He soon realized that during his medical education and training he was never taught how to help his patients with managing

The Peaceful End of Life theory is paramount as the authors stated that every individual deserved to die in a peaceful manner with dignity. The theory is empirical based which is applicable to nursing practice in caring for dying patients, assessing interventions, maximizing care, promote dignity and enhancing end of life to be peaceful. According to Moore and Ruland, a good life is simply defined as getting what one wants (Alligood, 2014, p. 702). The approach of given patients what they want or their preference is a practical approach to the end of life care. This theory stands out to me because it fit into my patient’s diagnosis and I believe everyone deserves to die with dignity and peacefully. The theory of the peaceful end of life deduced

Virginia Henderson said in an interview “Nurses always think about how can they help this person to become independent of the nurse at the earliest possible time which can’t be standardized but individualized. The patient should never feel like they are forced to do something against their will or better judgement. One of the serious flaws in healthcare that the patient involvement is not optimized. When there is no hope of the patient living constructively or they don’t want to live any longer, when death is inevitable it is terribly important for the nurse to make sure that the patient has a good death.” She defined the patient as someone who needs nursing care, but did not limit nursing to illness care. Her theory presented the patient as a sum of parts with biopsychosocial needs and the mind and body are inseparable and interrelated. Henderson considers the biological, psychological, sociological, and spiritual

As I enter my final semester of nursing, I look forward to new nursing opportunities and to apply my nursing philosophy with each new experience. My goal as a nurse is to grow and learn each day, knowing that each day will provide me with new knowledge making me a better nurse than the day before, and becoming a better nurse the following day than the previous day. Nursing is an exciting, fulfilling, and respected profession which I am very fortunate to be a part of and look forward to the journey