Nurses are at the bedside during the dying process; they spend entire shifts with patients and families; they develop trusting relationships; and they are competent to assess patient and family needs. Nurses gain a unique perspective that allows them to become aware when a patient is not responding to treatment. This perspective places nurses in a position to facilitate end-of-life decision making. (Adams, Bailey. Anderson, & Docherty, 2011, para. 4)Questions to Consider
To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community.
• How should nurses manage patients whose end-of-life decisions may run contrary to their personal beliefs and values?
• How can nurses influence new policies, laws, or legislation regarding end-of life decisions?
• What are some of the most difficult decisions patients and families have to make at the end of the patient’s life?
Your manager asked you to prepare an article for a community newsletter for a local retirement village. The editor wants you to talk about the laws, policies, and choices surrounding end-of-life health care decisions
Write an article of 750–1,000 words (3–4 pages) that discusses the laws, policies, and choices surrounding end-of-life health care decisions. Address the following in your article:
• Describe the role of the nurse in end-of-life decision making with patients and their families.
• Explain the legislation that generated end-of-life health care policies. Was the legislation an outcome of a specific medical case?
• Identify the primary policies regarding current health care practices related to end-of-life health care decisions. How to these policies affect treatment decisions?
• Explain the effect of end-of-life regulations and controls on patient outcomes. What effect does this have on the nurse-patient relationship?
• Describe the ethical considerations that have influenced policy decisions in regard to end-of-life decisions.
Your article should meet the following requirements:
• Written communication: Written communication should be free of errors that detract from the overall message.
• References: Cite a minimum of three resources; a majority of these should be peer-reviewed sources. Your reference list should be appropriate to the body of literature available on this topic that has been published in the past 5 years.
• APA format: Resources and citations should be formatted according to current APA style and formatting.
• Length: 750–1,000 words or 3–4 typed, double-spaced pages, excluding title page and reference page. Use Microsoft Word to complete the assessment.
• Font and font size: Times New Roman, 12-point.
• Norlander, L. (2014). To comfort always: A nurse’s guide to end-of-life care (2nd ed.). Indianapolis, IN: Sigma Theta Tau International.
• Hebert, K., Moore, H., & Rooney, J. (2011). The nurse advocate in end-of-life care. The Ochsner Journal, 11(4), 325–329.
• Lewis, K. (2013). How nurses can help ease patient transitions to end of life care. Nursing Older People, 25(8), 22–26.
• Lund, S., Richardson, A., & May, C. (2015). Barriers to advance care planning at the end of life: An explanatory systematic review of implementation studies. PLoS One, 10(2).
• Aoun, S., O’Connor, M., Skett, K., Deas, K., & Smith, J. (2012). Do models of care designed for terminally ill ‘home alone’ people improve their end-of-life experience? A patient perspective. Health & Social Care in the Community, 20(6), 599–606.
• Nakano, K., Sato, K., Katayama, H., & Miyashita, M. (2013). Living with pleasure in daily life at the end of life: Recommended care strategy for cancer patients from the perspective of physicians and nurses. Palliative & Supportive Care, 11(5), 405–413.
• Adams, J. A., Bailey, D. E., Jr., Anderson, R. A., & Docherty, S. L. (2011). Nursing roles and strategies in end-of-life decision making in acute care: A systematic review of the literature. Nursing Research and Practice, 2011.