Preview

Quality of Life and Functioning for End of Life Care

Better Essays
Open Document
Open Document
1801 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Quality of Life and Functioning for End of Life Care
Quality of Life and Functioning for End of Life Care. HAT2 Community Health Nursing. Western Governors University.

Competency 725.8.5: Quality of Life and Functioning - The graduate selects nursing actions during illness and end-of-life stages to maximize quality of life and functioning for individuals, families, and communities; promotes wellness principles and programs for individuals, families, and communities; and reflects on how personal beliefs or perceptions about quality of life and health promotion impact approaches or decisions in nursing care.

Quality of Life and Functioning
Alice Collins
Western Governor’s University

Death and dying are extremely personal experiences with an endless array of situations and reactions. Terminal illness holds it’s own plethora of difficulties and circumstances. As a nurse, treating a terminally ill patient takes an acute awareness of personal philosophies and perceptions in order to provide the level of care necessary. Nurses, often times, also provide care to family and friends. This can make for a varied and complex situation. Nurses are trained to promote health and protect life: This particular nursing philosophy can sometimes cause cognitive dissonance when dealing with a terminally ill patient and their family. For instance, euthanasia may be seen as assisted suicide or having the right to choose when a patients’ quality of life is too diminished. Choosing when to withhold life saving treatment is also a very personal choice and opinions about the appropriate time can be extremely diverse from patient to family to friends to healthcare providers. Patients choosing to continue detrimental behaviors and actions, that may have resulted in the terminal illness, can also prove to be frustrating to nurses and family providing support and care. Ultimately, there is no appropriate or inappropriate way to deal with death and dying. As a nurse, personal opinions must be put



References: Carpenito-Moyet, L. J. (2008). Nursing diagnosis: Application to clinical practice. (12 ed., pp. 1-116). Philadelphia, PA: J.B. Lippencott Company. Retrieved from http://books.google.com/booksid=ZCzDj7D4PEYC&pg=PA31&lpg=PA31&dq=nursing[->0] Hospice Patient Alliance. (n.d.). Keeping the terminally ill patient at home. Retrieved from http://www.hospicepatients.org/hospic5.html National End of Life Care Programme. (2012, February). Planning for your future care. Retrieved from http://www.endoflifecareforadults.nhs.uk/assets/downloads/ EoLC_Planning_for_your_future_care_FINAL_010212.pdf[->1] Running head: Quality of Life and Functioning 1 [->0] - http://books.google.com/books?id=ZCzDj7D4PEYC&pg=PA31&lpg=PA31&dq=nursing [->1] - http://www.endoflifecareforadults.nhs.uk/assets/downloads/EoLC_Planning_for_your_future_care_FINAL_010212.pdf

You May Also Find These Documents Helpful

  • Better Essays

    Purpose: The researchers of this study proposed to “expand what is known about the meaning of caring among nurses engaged in end-of-life (EOL) care with patients and families in an in-patient hospital setting (Thornburg et al, 2008)”.…

    • 1497 Words
    • 6 Pages
    Better Essays
  • Powerful Essays

    ENG 111 Final Paper

    • 3005 Words
    • 9 Pages

    In today 's society one of the most controversial issues is physician-assisted suicide for the terminally ill. Many feel as though it is wrong, regardless of their health condition to ask their health care provider to end their life. Others feel it is their right to be able to choose how and when they die. For those who believe physician-assisted suicide should be their choice, they feel it should be legal because: they don 't want to go through the suffering caused by the life-threatening illness, they fear the loss of their independence, becoming a burden to their family and friends, and the fear of dying alone.…

    • 3005 Words
    • 9 Pages
    Powerful Essays
  • Good Essays

    A terminal illness can have a devastating effect, not only on the patient, but the family as well. Caring for the patient does not just involve physically caring for the patient, but rather involves the holistic care, which is “all nursing practice that has healing the whole person as its goal” (American Holistic Nurses’ Association, 1998). The nurse becomes the therapeutic partner, which involves the care of the mind, body, and spirit, and is at the forefront of this care. It involves the patient and the care of the family during this difficult time.…

    • 1460 Words
    • 6 Pages
    Good Essays
  • Good Essays

    CGHSC 081

    • 1387 Words
    • 8 Pages

    1. Understand the requirements of legislation and agreed ways of working to protect the rights of…

    • 1387 Words
    • 8 Pages
    Good Essays
  • Powerful Essays

    Nurse Practitioner Model

    • 1818 Words
    • 8 Pages

    Hospice can be described as a philosophy of care that focuses on the palliation of a terminally ill patient’s symptoms while providing emotional and spiritual support for them and their family (Meirer, McCormick, & Lagman, 2015). The hospice model of care focuses on improving quality of life rather than prolonging it, and holistically embraces the principles of dying with comfort and dignity. This model uses an interdisciplinary team to develop an individualized plan of care that addresses all aspects of care and is based on the patient’s goals and cultural values (Meirer, McCormick, & Lagman,…

    • 1818 Words
    • 8 Pages
    Powerful Essays
  • Powerful Essays

    References: Cybulski, P. (2011). A critical care nurse 's role in the provision of end-of-life care. Dynamics, 22(4), 7+. Retrieved from http://go.galegroup.com.db16.linccweb.org/ps/i.do?id=GALE%7CA275313154&v=2.1&u=lincclin_mdcc&it=r&p=AONE&sw=w…

    • 3724 Words
    • 15 Pages
    Powerful Essays
  • Good Essays

    It is a necessity that nurses recognize their own feelings regarding death and dying and have a strong ethical framework in order to support the end-of-life wishes of their patients (Butts & Rich, 2013). Even if one is resolute in their own moral standing, cases such as Mr. T.’s may be emotionally exhausting.…

    • 478 Words
    • 2 Pages
    Good Essays
  • Better Essays

    Advanced Directives

    • 2140 Words
    • 9 Pages

    Gardner, D. B. (2012). Quality in Life and Death: Can We Have the Conversations?. Nursing Economic$, 30(4), 224-227. Retrieved from http://search.ebscohost.com.proxy.itt-tech.edu/login.aspx?direct=true&db=rzh&AN=2011657131&site=ehost-live&scope=site…

    • 2140 Words
    • 9 Pages
    Better Essays
  • Good Essays

    The idea of quality of life in nursing care has been shaped by the philosophies of Florence Nightingale, and the World Health Organization considers psychosocial care and quality of life to be a right of individuals receiving physical health care (Sandau et al., 2013, p.211). Health-related quality of life has become an increasingly prevalent area of focus in healthcare, especially in the management of chronic and terminal…

    • 1248 Words
    • 5 Pages
    Good Essays
  • Good Essays

    End of life medical issues are a very sensitive subject for doctors, patients, and family members. Some support the patients’ right to terminate their own life. Euthanasia loosely called physician assisted suicide is when one takes deliberate action to end life when faced with persistent suffering and certain death (Medical News Today, 2012).Many feel that patients should not have to suffer unjustly when faced with serious pain and debilitating illness. Often times it is just as difficult for family members to stand by and watch loved ones suffer. As someone that has witnessed both my grandmothers die on hospice care in the last six months, I know that watching someone die can be more painful than losing them all together. With as much compassion as I have for people in pain, I do not believe people have the right to end their lives whenever they chose. I oppose euthanasia and physician assisted suicide (PAS) because I believe that it is a doctor’s duty to keep patients alive, it may create financial and ethical issues when it comes to patients and insurance companies, and God should be the only one who decides when ones journey has been completed.…

    • 844 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Nobody wants to die, but death is an inevitable and complex phenomena. To say goodbye to loved one is always difficult. In some cases, it is harder when death comes sooner than later by some serious diagnosis. I think the most important point that a health-care professional needs to consider on the subject of death, dying or grieving is to respect the wishes of patients and families. Health-care professionals should provide training and education about death, dying, and bereavement to the families. Also, healthcare providers should be familiar with the ethics and cultures of the patients and families which they belong to. Death, dying or grieving processes can be culturally or traditionally different among patients. “Some physicians can keep…

    • 254 Words
    • 2 Pages
    Good Essays
  • Good Essays

    End Of Life Care

    • 998 Words
    • 4 Pages

    Throughout the course, it has become increasingly clearer how healthcare professionals play in to the role of end-of-life care for patients. Although I have not chosen a path in hospice or palliative care, it has become evident that end-of-life cares will be part of my nursing career regardless. As a nursing professional, it is important to remain a patient advocate throughout the end-of-life care process by ensuring ethical decision-making, continuing effective communication, and providing best practice and advice for pain and symptom management.…

    • 998 Words
    • 4 Pages
    Good Essays
  • Better Essays

    End of Life Care

    • 3543 Words
    • 15 Pages

    Death is a touchy subject. People pretend it is something that does not happen and refuse to talk about or address it. I am an ICU nurse. I have been for six years. I have dealt with plenty of death, in my own way. Death is a part of life. Whether it is something that is expected or not, it is our destiny. Having dealt with the suicide of my son’s father at a young age, death is something most of us avoid or do not expect. One is never prepared for it. Some refuse to accept it and move forward.Whether it is a loved one battling cancer for multiple years or a sudden suicide/death, it is never acceptable. Working in the ICU, I have seen many a prolonged death. Family members are never prepared for the death of a loved one. Whether or not my patient is ready to move on, family will do everything possible to prolong the death in hopes that the patient’s condition will improve or a “new” cure will save their lives. I have gone through spending an hour resuscitating a 20 year old with severe congestive heart failure to taking my time resuscitating a 98 year old riddled with cancer. Regardless of my beliefs, it is never easy for family members to accept their loved ones are no longer among us. I have mixed views about death regarding a person battling cancer. Many a times I have had a patient who is a “full code,” all life saving efforts to be attempted, that has metastasis of cancer to their liver, brain, and bones requesting all life saving efforts. In the medical community, we know life saving efforts are futile. The patient is in so much pain they can hardly stand it. They have no quality of life. Family members are hopeful that some medication will take effect and the cancer will disappear. But, by law, we are to make every effort possible at resuscitation. If a person has a good prognosis in surviving cancer, every effort should be made to prolong the person’s life. If the cancer has metastized and is now affecting other organs, brain, bone…

    • 3543 Words
    • 15 Pages
    Better Essays
  • Good Essays

    Essay On End Of Life Care

    • 1047 Words
    • 5 Pages

    End of life care is one of the most taboo topics in American society as it requires those involved to acknowledge that their lives will eventually come to an end. Planning for such an outcome can be difficult but ultimately it is necessary in order to save others from dealing with the burden of end of life care while unprepared. As a nurse it is especially important to have a firm grasp of the many different factors that weigh in decisions related to end of life care and be ready to assist both the patient and his or her family in any way needed when that time may come. A careful examination of the resources available in a community to assist with this care, the gaps in care prevalent in American society today, the cultural…

    • 1047 Words
    • 5 Pages
    Good Essays
  • Powerful Essays

    The purpose of this paper is to explore the concept of health related quality of life (HRQoL) by studying a client situation in my clinical practice. My client’s name and hospital location will be kept confidential. I will be describing my client situation, discussing my rationale for choosing the concept and interpreting what quality of life means to my client. I will also identify specific nursing interventions that may facilitate adaption to their experience, and how this learning experience will positively influence my future nursing practice.…

    • 1436 Words
    • 6 Pages
    Powerful Essays