Homework Lance
NRS 434 Topic 5 Dq 2
End-of-life care becomes an issue at some point for elderly clients. Even with the emergence of palliative care programs and hospice programs, the majority of elderly people do not die in their own home as is their preference. What are the reasons for this trend? Discuss what you can do as a nurse to support your clients in end-of-life care and in supporting their desires. Support your response with evidence-based literature
Where we die is not always something we get to decide and most certainly there is no right or wrong place to die. Long ago people were generally sent home to die, patients and families generally wanted to spend the last days in the comfort of their home surrounded by loved ones. Many patients still hold on to the idea or last wish to die at home but not always does the patient dies where he/she prefers. With the rise of palliative care and hospice care, there are more and more people recieving end of life care in facilities that provide such care.Hospice and palliative care can be provided in any setting, at home, nursing home, assisted living facility or inpatient facility.
Although many patinets voice the desire to die at home, but it’s not feasable because many times there are not enough people and resources to keep the patient at home. Other times, transporting the patient to their home is not practical because the aptient may be close to dying and there is the risk of death en route. Also, pain management needs to be taken into considertation. If oral pain management is not successful, the patient may need IV pain control and that may be a factor for which in home hospice is not the best option for the patient. Another factor for which the patient may die in a hospital setting rather than at home would be the absence of a primary caregiver and the unavailability of qualified hospice personnel and medical supplies, specially in rural areas.
April;2007(4), T. H., & Author(s): Gretchen Henkel. (2017, January 26). Dying Wish. Retrieved from http://www.the- hospitalist.org/hospitalist/article/123300/dying-wish
Providing Comfort at the End of Life. (2011, July 13). Retrieved from https://www.nia.nih.gov/health/publication/end-life-helping-comfort-and-care/providing-comfort-end-life
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