Journal Entry Week Nine Part A

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JOURNAL ENTRY WEEK NINE PART A The five wishes or the advanced directive is a document that is created by the American Bar Associations commission on law an aging in collaborations with the law nation’s leading experts in the end of life care. American Association of Colleges of Nursing, (2011). The document talks about personal, spiritual, emotional as well as medical needs. The contents of this document explains the person that you will want to make health care decisions for, in case you are not able to do so, how you want to be treated in case you become severely ill, the type of medical treatment you want, how comfortable you want to be, how people should treat you and for the family to know what he or she wanted. With all these said by the patient when he was still able to take decision, it is the responsibility for the health care provider to abide to the patients’ five wishes. The advanced directives in Maryland, the state I live in, goes with the durable power of attorney. The providers have to collaborate with the family to facilitate end of life care by working with the team that integrates life-prolongation with comfort and patient-defined goals. This way will assist the patient to live fully and die without suffering. The advanced nurse practitioner can facilitate end of life discussion with the family, power of attorney, and living will. The advanced nurse practitioner can provide psychotherapy to the family to amend their differences, group’s sessions, and individual therapy for their emotions of losing a love one, (Flaherty, & Resnick, . 2014). As the nurse working with patient that are moving towards the end of life, I will follow up closely with what the patient wants before he became incapacitated. It i... ... middle of paper ... ...the other hand a shared decision making between the patient and the providers or medical team has shown much improvement and overall satisfaction ((Johnson, 2012), Conclusions The elderly patients the benefits and the risks factor for dialysis therapy, become more complex because of other side factors that needs to be considered. Some of the special factors are transportation from and to dialysis, infection to dialysis catheter site, lack of evidence to base treatment on, ageism, the burden with comorbid disease, risk of under or over treatment, financial difficulty. Poor nutrition, physical, emotional and psychosocial problems. Reference Johnson, M. (2012). Chemotherapy treatment decision making by professionals and older patients with cancer: a narrative review of the literature. European Journal of Cancer Care, 21(1), 3-9 7p. doi:10.1111/j.1365-2354.2011.01294.x
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