Question:An explanation of the role of the advanced practice nurse in facilitating the discussion of end-of-life care with patients and their families. Explain how you would approach a family who wants "everything" done for a patient with only a limited time to live. Then, explain when it is appropriate to involve hospice and how to approach patients and/or families who refuse hospice services. Finally, explain potential outcomes of the patient in the case study you selected and how you would facilitate the discussion of end-of-life care with this patient's family. We are in a unique position to guide patients and their families through an increasingly complex health care system toward the goal of a "good death"one that is comfortable and self-determined.
References:
Ehlenbach, W. J., Barnato, A. E., Curtis, J. R., Kreuter, W., Koepsell, T., Deyo, R., & Stapleton, R. (2009). Epidemiologic study of in-hospital cardiopulmonary resuscitation in the elderly. The New England Journal of Medicine, 361(1), 22-31.
Note: Retrieved from the Walden Library databases.
Flaherty, E., & Resnick, B. (Eds.). (2014). Geriatric nursing review syllabus: A core curriculum in advanced practice geriatric nursing (4th ed.). New York, NY: American Geriatrics Society.
Holroyd-Leduc, J., & Reddy, M. (Eds.). (2012). Evidence-based geriatric medicine: A practical clinical guide. Hoboken, NJ: Blackwell Publishing.
Knox, P. (2010). Palliative Care Nurse Practitioners. Retrieved from https://nurse-practitioners-and-physician-assistants.advanceweb.com/features/articles/palliative-care-nurse-practitioners.aspx
Rabow, M. W., Hauser, J. M., & Adams, J. (2004). Supporting family caregivers at the end of life: "they don't know what they don't know". Jama, 291(4), 483-491.
Yeager, K. (2014). The Role of Advanced Practice Nursing in Palliative Care. Retrieved from https://nursing.onclive.com/publications/oncology-nurse/2014/March-2014/The-Role-of-Advanced-Practice-Nursing-in-Palliative-Care#sthash.1eA6sARh.dpuf