NRS 434 Discuss what you can do as a nurse to support your clients regarding end-of-life care in accordance with their wishes

Grand Canyon University NRS 434 Discuss what you can do as a nurse to support your clients regarding end-of-life care in accordance with their wishes-Step-By-Step Guide

This guide will demonstrate how to complete the Grand Canyon University NRS 434 Discuss what you can do as a nurse to support your clients regarding end-of-life care in accordance with their wishes assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NRS 434 Discuss what you can do as a nurse to support your clients regarding end-of-life care in accordance with their wishes                            

Whether one passes or fails an academic assignment such as the Grand Canyon University NRS 434 Discuss what you can do as a nurse to support your clients regarding end-of-life care in accordance with their wishes  depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NRS 434 Discuss what you can do as a nurse to support your clients regarding end-of-life care in accordance with their wishes                          

The introduction for the Grand Canyon University NRS 434 Discuss what you can do as a nurse to support your clients regarding end-of-life care in accordance with their wishes  is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NRS 434 Discuss what you can do as a nurse to support your clients regarding end-of-life care in accordance with their wishes                          

After the introduction, move into the main part of the NRS 434 Discuss what you can do as a nurse to support your clients regarding end-of-life care in accordance with their wishes  assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NRS 434 Discuss what you can do as a nurse to support your clients regarding end-of-life care in accordance with their wishes                          

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NRS 434 Discuss what you can do as a nurse to support your clients regarding end-of-life care in accordance with their wishes                            

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NRS 434 Discuss what you can do as a nurse to support your clients regarding end-of-life care in accordance with their wishes

Re: Topic 5 DQ 2

End-of-life care, hospice care, or palliative care is offered to terminally ill patients whose death is imminent. End-of-life care goal is not to cure the disease but to provide comfort, pain management, and support to patient and the family. End-of -life care helps patients to die in peace, comfort, and dignity (Lai et al., 2018). Providing end of life care helps both patients and families to cope the grief of the impending loss.

Dying is a natural process, providing end-of -life care is meaningful for the patients and families, everyone will anticipate dying in the comfort of their home. End-of-life care has become more popular in recent years, but the percent of patients who are able to make their wishes a reality remains very low. According to a 2018 report by the Canadian for Health Information, three- quarters of Canadians wish to die in their homes, but only 15 percent manage to do so, and almost 60 percent die in hospitals according to Statistics Canada data from 2017 (Carter,2019). Many reasons contribute to that discrepancy most patients at the end-of-life require 24/7 care/ supervision, family members become overwhelmed by the constant demands, they are unable to manage the patients’ symptoms, and publicly funded services are not enough to meet the needs of the patient (Carter,2019). As a nurse, providing end-of-life care can be challenging. Therefore, it is necessary to educate family members and healthcare workers about the end-of- life and maintain a supportive environment. Furthermore, the nurse with knowledge and experience can provide care and support to the dying patient and family, train other staff members regarding the type of care the patient needs to stay home, assist the family in finding available resources in the community. Patients who are receiving hospice care at homes can benefit from a wide range of services such as nursing, pastoral, social, music, massage and so. The nurse can play an importance role on helping patients to die in the comfort of their homes by focusing on providing palliative care through home care and hospice, as well as collaborative partnership with service agencies and individual clinicians (Schroeder & Lorenz, 2018).

 References:

Carter, C (2019). What it’s really like to die at home in Ontario? Healthy Debate. www.healthydebate.ca/2019/06/topic/dying-at-home

Lai, X.B., Wong, F.K.Y., & Ching, S.S.Y. (2018). The experience of caring for patients at the end-of-life stage in non- palliative care settings: A qualitative study. BMC Palliative Care 17, 116. https://doi.org/10.1186/s12904-018-0372-7

Schroeder, K., & Lorenz, K (2018). Nursing and the future of palliative care. Asia-Pacific of Oncology Nursing, 5(1): 4-8. https://doi.org/10.4103/apjon.apjon_43_17

Sample Answer 3 for NRS 434 Discuss what you can do as a nurse to support your clients regarding end-of-life care in accordance with their wishes

In spite of the growth of palliative care and hospice programs, a majority of elderly people die in acute care settings with many undergoing aggressive efforts to resuscitate, intubate, or even place them on mechanical ventilation against their wishes (Brooks et al., 2017). Most elderly patients do not die in their homes in a peaceful and dignified manner as they would wish or as stipulated in their advanced care directives due to numerous reasons including failure to share such decisions with family and practitioners, family discomfort with enacting directives to do with death, and fragmentation and low referrals for palliative and hospice care (Davidson et al., 2016). For example, a son or daughter may try to prolong their parent’s life in disregard of the parent’s own signed advanced directive stating the wish not to be resuscitated.

As a nurse, supporting the clients’ end-of-life care based on their wishes should start with educating them about the importance of signing advance care directives that state their wishes (Brooks et al., 2017). It is important to explain to the clients the various end-of-life options for either continuing aggressive treatments including resuscitation that may prolong the process of dying, or the non-aggressive options for signing sign do-not-resuscitate (DNR) or do-not-intubate (DNI) orders (Conroy & Elliott, 2017). It is also important to educate clients about the existence of palliative and hospice care models that focus on comfort rather than aggressive treatments.

The client should retain the ethical right of autonomy in making their own end-of-life care decisions independently (Davidson et al., 2016). The signed advanced directives should be shared with family members and healthcare practitioners to increase the chance that they will be enforced in case a patient is in future incapacitated and unable to communicate their wishes. Brooks et al. (2017), notes that comprehensive end-of-life care planning can be done while clients are still healthy and strong. Even though the subject of death may be uncomfortable, taboo or even stigmatized in some cultures, such discussions may help in ensuring that a person’s end-of-life wishes are respected.

References

Brooks, L. A., Manias, E., & Nicholson, P. (2017). Communication and decision-making about end-of-life care in the intensive care unit. American Journal of Critical Care, 26(4), 336-341. doi:10.4037/ajcc2017774

Conroy, S., & Elliott, A. (2017). Medicine in older adults: The frailty syndrome. Medicine, 45(1), 15-18. doi:10.1016/j.mpmed.2016.10.010

Davison, J., Schenker, Y., Donovan, H., & Rosenzweig, M. (2016). A work sampling assessment of the nursing delivery of palliative care in ambulatory cancer centers. Clinical Journal of Oncology Nursing, 20(4), 421-426. doi:10.1188/16.CJON.421-426

Sample Answer 4 for NRS 434 Discuss what you can do as a nurse to support your clients regarding end-of-life care in accordance with their wishes

A majority of older adults do not die in their homes despite it being their preference, and they prefer home care. However, about 25% of patients having terminal illnesses have a home death, while 50% die in hospitals, 20% in nursing homes, and 4% in palliative care facilities (Wheatley & Baker, 2007). A majority of patients, even those who are discharged following admission, are not able to stay at home and instead die in inpatient units. Besides, a large percentage of patients get an emergency admission before their death due to a change in their health condition in which discharge at this point is usually impossible (Morris et al., 2013). In a case where a patient’s relatives would experience burdens and risks by providing home care, the choice of dying at home is usually inappropriate (Loh et al., 2016). Furthermore, in situations where there are limited resources and community providers cannot provide care at the household level, home care is often impossible, and patients end up dying at nursing homes.

The duty of a nurse should be to uphold the four ethical principles of respect for autonomy, beneficence, non-maleficence, and justice. The four principles provide a framework when facing ethical dilemmas that enables effective decision-making on the emotional issues involved and ensures that crucial factors are not disregarded (Wheatley & Baker, 2007). Decisions on the place of care in patients with terminal illnesses are usually ethically challenging. Ethical considerations of non-maleficence and beneficence should be balanced against the respect to autonomy and justice (Grand Canyon University, 2018). As a nurse, I would support my clients regarding end-of-life care per their wishes by upholding the moral principle of respect for autonomy (Loh et al., 2016). I would respect patients’ choices on their lives and bodies and allow them to exercise the freedom to make decisions that concern them. Besides, I would enable clients to have adequate time and experience to make decisions regarding end-of-life care to promote better patient outcomes and decrease the occurrence of adverse events (Price, 2016). I will empower patients and caregivers to make healthcare decisions that avoid hospitalizations at the very end of life.

References

Grand Canyon University. (Ed.). (2018). Health assessment: Foundations for effective practice. Retrieved from https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/health-assessment_foundations-for-effective-practice_1e.php

Loh, A. Z. H., Tan, J. S. Y., Jinxuan, T., Lyn, T. Y., Krishna, L. K. R., & Goh, C. R. (2016). Place of care at end of life: what factors are associated with patients’ and their family members’ preferences? American Journal of Hospice and Palliative Medicine®, 33(7), 669-677.

Morris, Z. S., Fyfe, M., Momen, N., Hoare, S., & Barclay, S. (2013). Understanding hospital admissions close to the end of life (ACE) study. BMC health services research, 13(1), 89.

Price, J. (2016). Informed shared decision-making in planning for the end of life. British Journal of Nursing, 25(7), 378-383.

Wheatley, V. J., & Baker, J. I. (2007). “Please, I want to go home”: ethical issues raised when considering choice of place of care in palliative care. Postgraduate medical journal, 83(984), 643–648. doi:10.1136/pgmj.2007.058487