Aging with Dignity. (n.d.). Five wishes. Retrieved August 1, 2014, from
https://agingwithdignity.org/five-wishes/about-five-wishes
Aging with Dignity. (2011). Five wishes sample. Retrieved from
https://www.agingwithdignity.org/forms/5wishes.pdf
For the first part of your journal entry, reflect on the Five Wishes presented on the Five Wishes
website and PDF and complete your Five Wishes. Explain your state?s requirements for advance
directives, including whether your Five Wishes can be turned into a formal document. Then, explain
how your experience of completing your Five Wishes advance directive will help you guide
discussions with patients and their families. Finally, explain how you might apply the Five Wishes
advance directives to your nursing practice. Include how this advance directive might benefit
patients in decision making for specialized areas of care.
Journal Entry Part 2
For the second part of your journal entry, reflect on geriatric patients from your practicum site
with disorders related to specialized areas of care, such as oncology, nephrology, urology,
gynecology, and neurology. Describe a case of a frail elder patient who must make decisions related
to specialized areas of care. Then, explain potential patient outcomes and include whether
treatments would be beneficial and how they would impact the patient?s quality of life. Finally,
describe the patient?s wishes in terms of treatments and interventions for the disorder (Was there
an advanced directive?) and how the patient might want to spend any remaining time. Include how
environmental factors, such as family, caregivers, ethnicity, culture, religion, and/or personal
values, might impact decision making for treatments and interventions. If you did not have an
opportunity to evaluate a patient with this background during the last 9 weeks, you can select a
related case study or reflect on previous clinical experiences.