End Of Life Care Case Study

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End-of-Life Care
Treatment options can vary widely for patients with any type of brain injury and the health care professional must take the necessary steps to ensure the patient and family have a clear understanding of the patient’s prognosis prior to making any decisions. Making a decision of this magnitude should be influenced by the patient/families understanding, values, and preferences (University of Rochester Medical Center, 2015). Hospice and palliative care can be incorporated in end-of-life care plans. Hospice and palliative care patients experience high levels of functional loss with disease progression, requiring assistance with mobility and activities of daily living (ADL’s). Depression and poor quality of life are linked to
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Communicating with the patient’s family or caregiver can assist the case manager in developing methods to help reduce stress, anxiety, depression, and fears associated with end-of-life planning (National Institute of Nursing Research, 2011). The case manager will implement in the plan of care, access to any treatment that will improve the patient’s quality of life. Evidence-based practice can be incorporated in the patient’s plan to enhance outcomes. In order to offer various treatment preferences as their condition changes, the case manager must be knowledgeable about the patient’s condition and the potential complications that can occur during the patient’s life expectancy. Communication is vital, keeping constant communication with the patient and family during this difficult time in their lives helps improve quality of care and satisfaction with the care they receive (Meyer,…show more content…
(2015). End-of-Life Issues and Care. Retrieved from http://www.apa.org/topics/death/end-of-life.aspx
Geurts, M., Macleod, M. R., van Thiel, G. J., van Gijn, J., Kappelle, L. J., & van der Worp, H. B. (2014). End-of-life decisions in patients with severe acute brain injury. The Lancet Neurology, 13(5), 515-524.
Lorenz, K. A., Lynn, J., Dy, S. M., Shugarman, L. R., Wilkinson, A., Mularski, R. A., & Shekelle, P. G. (2008). Evidence for improving palliative care at the end of life: a systematic review. Annals of internal medicine, 148(2), 147-159.
Meyer, S. (2012). Care Management Role in End-of-Life Discussions. Care Management Journals, 13(4), 180-183.
National Institute of Nursing Research. (2011). Investing in Palliative and End-of-Life Care. Retrieved from http://www.ninr.nih.gov
University of Rochester Medical Center. (2015). Variations in Decisions for Care of Patients with Brain Injury “Disturbing”. Retrieved from
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