NRS 434V Week 5 Discussion Question 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. According to the ANA, “Nurses are obliged to provide comprehensive and compassionate end-of-life care. This includes recognizing when death is near and conveying that information to families. Nurses should collaborate with other members of the healthcare team to ensure optimal symptom management and to provide support for the patient and the family (American NursesAssociation,2017). The words optimal symptom management are key here because this consideration needs to be taken along with the patient’s wishes. Often, that is just not the case when the patient needs more monitoring or family members are not available to help. Decades ago family members died at home because they lived with their adult children and traditionally the women did not work outside of the home. With the help of other relatives, they could care for their elderly parents and/or relatives (National Institute of Aging, 2017). Many of the patients are already in nursing homes and/or assisted living so dying in “their home” consists of where they are living now. Patients, often time, are already in the hospital from a chronic illness and may be too far into their dying process to be moved. Families will often time make the decision to allow them to die comfortably in the hospital if the patients have a few days left to live (LeMone & Burke, 2008). Nurse can be strong advocates for our patients. When working with our dying patients it is up to the nurse to effectively communicate with all involved while providing symptom management, all of which is carried out in an environment that is emotionally charged and constantly changing (Grand Canyon University,2012). References American Nurses Association. (2017). Nurses’ Roles and Responsibilities in Providing Care and Support at the End of Life. Retrieved from: LeMone, P., & Burke, K. (2008). Medical-Surgical Nursing. Critical Thinking in Client Care (4 ed.). Upper Saddle, New Jersey: Pearson Education, Inc. Grand Canyon University. (2012). Health Assessment of the Older Adult. NRS 434V Lecture 5. National Institute of Aging. (2017). End of life: Helping with Care and Comfort. Retrieved from:

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