The role of the nurse in end-of-life decision making with patients and their families

Write an article for a community newsletter for a local retirement village that explains the laws, policies, and choices surrounding end-of-life health care decisions.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

· Competency 1: Explain the effect of health care policies, legislation, and legal issues on health care delivery and patient outcomes.

. Identify the primary policies that define current health care practices in regard to end-of-life health care decisions.

. Explain the legislation that generated end-of-life health care policies.

· Competency 2: Explain the effect of regulatory environments and controls on health care delivery and patient outcomes.

. Explain the effect of end-of-life regulations and controls on patient outcomes.

· Competency 3: Apply professional nursing ethical standards and principles to the decision-making process.

. Describe the role of the nurse in end-of-life decision making with patients and their families.

. Describe the ethical considerations that have influenced policy decisions in regard to end-of-life decisions.

· Competency 4: Communicate in a manner that is consistent with expectations of nursing professionals.

.  Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.

. Correctly format citations and references using APA style.

Context

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?

Internet Resources

Access the following resources by clicking the links provided. Please note that URLs change frequently. Permissions for the following links have been either granted or deemed appropriate for educational use at the time of course publication.

· American Nurses Association. (2016). Position statement: Nurses’ Roles and Responsibilities in Providing Care and Support at the End of Life. Retrieved from https://www.nursingworld.org/~4adf1c/globalassets/docs/ana/endoflife-positionstatement.pdf

Assessment instructions

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

Preparation 

Search the Capella library and the Internet for scholarly and professional peer-reviewed articles on end-of-life care. You will need at least three articles to use as support for your work on this assessment.

Directions

Write an article of 750–1,000 words (3 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.

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