Haitian American Nurses Case Study Summary

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.

The nursing profession and community engagement are also related to the use of nurses continually educating patients, family members of patients and other staff, in turn, creating awareness of the community, the nursing profession also engages in various areas of the community such as universities, for example letting nursing students into hospitals or other nursing facilities to engage in the community and use their knowledge practically (Beagley, 2011). Due to the issue of understaffing, nurses often do not have the time to sit down with patients to create a therapeutic relationship and educate them correctly as well as not having time to educate the university students on placement (Winslow, 1976), due to this, the principle of community engagement is hindered and therefore should be included in the possible solutions.

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. Modern medical advances have lengthened the human life span, such that it is now longer than it has been at any point in human history. These advances happened alongside the

Many nurses do not get involved in health care policy even though the nurse should. Most nurses do not know much about health care policies, some view it as “foreign and complex” (Falk, 2014, p. 203). I consider myself one of the nurses that do not know much about health care policy and I am one of the nurses that do not get involved in health care policy. I do not get involved with health care policy because I was never taught about it, so I do not want to get involved in something that I do not know much about. I look forward to learn more about health policies and becoming more involved in health policies.

Weiss, S. A, & Tappen, R. M. (2015). Essentials of nursing leadership and management: (6th Ed). Philadelphia: F.A. Davis

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

The shortage of primary care physicians has been a problem in health care system and will continue to the next decade due to increasing of aging population. According to National Governors Association (NAG) (2012), the growth of the aging population combined with the initiative of the Affordable Care Act, the problem of primary care providers shortage is worsening. Nurse Practitioners (NPs) are educated and prepared to perform primary care services as physicians do. More importantly, studies showed that NPs’ role as primary care providers achieve equal or higher patient satisfaction rates (Evangelista et al., 2011, Albers-Heitner et al., 2013). These studies illustrates that NPs can play a key role in providing services to health care market.

NU 413 Week 9 Discussion Board Post student response to Katie-Lynn Fournier by Kathryn Moultrie

Advancement to a role such as district director of nursing in Georgia Public Health requires innovation, commitment and strong leadership skills, which BSN nurses are capable of providing. The responsibilities of a public health nursing director are vast and continuously changing. Some of the responsibilities include making sure clinics and district based programs meet set deliverables and operate within state and federal guidelines. The implementation of successful training programs for newly hired nurses is a priority of the nursing director. Assessing to make sure the services being provided by clinic nurses are relevant to the needs of the population. 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.

In the documentary, Bill Moyers talks to three terminally ill patients, their families, and their doctors about the concerns with physician-assisted suicide (PAS). PAS allows a terminally ill patient to hasten an inevitable and unavoidable death through a lethal dose. The patients considered PAS in order to end their prolonged suffering. The legal role of advance directives in end of life issues allows a patient to specify how he wishes to be treated by a healthcare provider during a progressively weakened state. Advance directives may provide patients with freedom to choose end of life treatment, but moral and religious implications, the ethical battle between a physician’s duty to care and inner-conscious, and state laws pose threats to PAS.

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.

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. Physician- assisted suicide can be thought of as helping a patient in carrying out their last days by providing the information and medication needed to end their life. The physician

Student nurses and nurses spend majority of their time dedicating themselves to patient safety and quality of care. They do patient education, administer medications, perform head to toe assessments, but most importantly, they possess effective communication skills by listening to their patients. This is important because it allows the nurse to understand the concerns of their patients and advocate for their rights. According to the American Nurses Association (ANA), advocacy is when one uses his or her position to protect, support, or speak out for the rights and interests of another.” (Sanford, 2012). The nurse serves as a patient advocate in many situations. Some of these situations include but are not limited to patient rights,

Approaching end of life is not only a challenging time for the individual, but also for the family. There are many decisions that must be made in order for the individual to receive the proper care in the process. One must think about choosing hospice care, palliative care or other end of live services. Also, one must make sure that their finances are in order, does one have special arrangements for the funeral or how about setting up a living will? A great number of individuals who enter end of life care have a majority of it figured out; some leave it until the last minute. End of life care is not only about finances and advanced care directives, but also where one wants to live and important decisions about their care.

I am honored to have the opportunity to write this letter of recommendation on behalf of Abraham Varelas, a Public Health professional and activated member of many communities in Pima County. It is my pleasure to whole heartedly recommend Abraham for acceptance into the Family and Human Development Graduate Degree program at T. Denny Sanford School of Social and Family Dynamics at Arizona State.