Advance Care Planning Analysis

Could you imagen dealing with terminal illness and, the health care providers does not show strong grasp on respecting your wishes to have a peaceful death. Working as a nurse in long term care, and observing older patients’ end of life experiences from different prospective, I realized that death and dying are very complex issues and not always well addressed by the our health care system. People in long term care express fear of losing control over their lives, and express concerns about possible long and painful end days of their lives. Nurses express moral distress and struggle in their understanding of end of life care and express unpreparedness to engage in the process of advance directives. Advance care planning (ACP) is an international

Baughman et al ‘s article focused more on community based setting and care planning of older adults it emphasis on nurses ethical dilemma dealing with advance directives due to lack of knowledge and training( p. 57),on the other hand, the position statement form CNA reflects all age groups nursing values and need to seek education or support (p. 2). Both articles elaborate need of education for nurses in the field of Advanced Care Planning and improve patient’s autonomy. CAN statement emphasis on advocacy and symptom management in palliative care and Baughman. et. Al’s article expresses care managers working with patients in the community described “a common feeling of discomfort, fear, or inadequacy” (p. 59); lowers psychological and financial burden and serves the interests of patients, families and medical care providers, alike. Timely advance care planning allows health care providers and patients to effectively plan patients’ desired care and satisfy their end of life needs, such as dying with

P. 5). The CNA code of ethics (2008) provides important guidance for nurses caring for individuals at end of life. CNA emphases on providing the person’s informed consent and person’s right to refuse or withdraw consent for care or treatment at any time” (C4, p. 11). It focus on to relieve pain and suffering including appropriate and effective symptom and pain management, to allow persons to live with dignity” (D8, p. 14) and nurses to foster comfort, alleviate suffering, advocate for adequate relief or discomfort and pain and support a dignified and peaceful death. This includes support of the family during and following the death, and care of the person’s body after death” (D9, p.