What is Res Ipsa Loquitor.   Why is this doctrine so important to health care practitioners and  organizations?  Your assignment should be at least two paragraphs, no  more than one page.  It is due 11:59 PM on 09/21  Book to be used as reference: Legal and Ethical Essentials of Health  Care Administration, 2nd edition; by George P. Pozgar, Published by  Jones and Bartlett, ISBN-10 1-4496-9434-9 (pbk).

  

The intro determines the scope of the paper, is long enough, and takes the reader 

gradually to the thesis. 

Thesis is debatable (persuasive, expresses an opinion about the piece of 

 literature), precise, related to the topic, and clearly stated as the last sentence of 

the intro; no more than two sentences. It’s not an announcement: “In this paper 

I’m going to…” or “This paper is about…”; it’s not a question either.  

There is coherence and unity (topic sentence refers to thesis) within each 

individual body paragraph (see thesis) and between paragraphs. Paragraphs 

develop and support thesis with evidence, examples from the text (not from real 

life), show analytical ability.  

Direct quotes and paraphrasing are introduced, explained, and enough, relevant to support thesis and coherently integrated in the paper. 

Paper is formatted and presented with accurate MLA documentation (in-text 

citations for run-in and long quotations). 

 

Length (3 to 5 pages) and title of paper

The topic is a reflection/analysis of an aspect of a piece of literature covered in

Class.    

  

In this assignment I need a peer response for the main discussion, that show below.

The peer’s responses

Discussion Grading Criteria: Agreeing and disagreeing do not mean just voicing one’s opinion. The focus of the discussions should remain on the ideas posed in the readings. Agreeing and disagreeing mean making scholarly arguments from the literature that may support your own ideas. Faculty expects you to support your ideas from the readings or similar scholarly writing about the topic in nursing literature. Always cite your source(s) and reference in APA format.

Remember the post and responses should include scholarly writing about the topic in nursing literature.

Note por the professor:

Hello class,

Please refer to your APA format in your postings. The journal name and volume is italicized font. Ex.

…The American Nursing Journal,7(9),,,,

Please update your APA to reflect doi 

Top of Form

Care at the end of life management

Loanys Lazo Delgado

                                                         Florida National University

           Nursing practice, education, and research are important in managing patients at the end of life. American nurses association position statement is aimed at providing direction for nurses to help in supporting patients as well as the families in acknowledging and adapting to the patient’s impending death. Nurses plays crucial role in determining the symptoms of the patients, taking measurements within their scopes to help in the administration of the drugs, offering other measures for the reduction of symptoms, and working together with other healthcare providers to improve patients’ comfort as well as the understanding and adaptation of the families (American Nurses Association (ANA), 2016).

           While caring for patients at the end of life care, nurses are required to be compassionate through recognizing that death is near and to convey such information to the families. Therefore to better their practices while managing care to the patients in the end life, nurses have to strive to achieve the standards of primary palliative care so that healthcare professionals possess the basic knowledge of palliative nursing to help in the improvement of care and families. In this case, nurses together with other healthcare professionals must make an effort to ensure that there is an expansion in palliative care services. It is important to ensure that there is an improvement in the healthcare quality at the end of life so that there will be no need for physician-assisted suicide (Ding, Saunders, Cook, & Johnson, 2019).

           Concerning education, individuals involved in the practice of secondary or tertiary palliative care will have special education and certification. Through an expansion of palliative care services, nurses and healthcare professionals have to develop perfect post-graduate healthcare training to help them have basic skills required for palliative care. There are some principles of palliative care for example those which involve the enhancement of the symptom evaluation and management, using the goals of the client and family vs. the problem-focused care as directive; being well informed about prognosis; delivery of the message with sympathy and understanding; and the process of acknowledging the spiritual, psychosocial, and cultural aspects of caring for patients with severe injuries. Therefore, it is important as a nurse to ensure that learning or training on these principles is well covered to improve the palliative healthcare services (Thomson, Faahpm, & Patel, 2013).

           About research, it is important to integrate evidence-based care across a dimension of end of life care. Research work is important in finding more effective types of palliative care. Through research work, management of the case becomes easier since it is associated with a clear understanding of the end of life choices and the methods of communicating the choices to the patients and their families (Ding, Saunders, Cook, & Johnson, 2019). Concerning administration, it is crucial to work towards the standards of palliative care available to the patients and the families from diagnosis of severe illness or injury. The issue of caring for a patient towards end of life requires interdisciplinary specialty as well as effective decision making with includes even families to help in improving the well-being of the persons with severe sickness. Through the use of support from all levels of the healthcare system through effective communication skills regarding major concerns, it becomes easier to overcome the challenges associated with meeting the standards of palliative care (Kelley, 2015)

References

American Nurses Association (ANA). (2016). Position Statement: Nurses’ Roles and Responsibilities in Providing Care and Support at the end of life. Retrieved September 24,2019,fromhttps://www.nursingworld.org/~4af078/globalassets/docs/ana/ethics/endoflife-positionstatement.pdf

Ding, J., Saunders, C., Cook, A., & Johnson, C. E. (2019). End-of-life care in rural general practice: how best to support commitment and meet challenges? BMC Palliative Care, 18 (51).

Kelley, A. S. (2015). Palliative Care for the Seriously Ill. New England Journal of Medicine, 373 (8), 747-755.

Thomson, R. M., Faahpm, F. D., & Patel, R. C. (2013). Palliative Care Principles Primary Care Physicians Should Know. Primary Care Reports.

Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the previous course assignments and the guidelines below.

PICOT Question  

Revise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor.

The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Research Critiques

In the Topic 2 and Topic 3 assignments, you completed a qualitative and quantitative research critique on two articles for each type of study (4 articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.

Refer to “Research Critiques and PICOT Guidelines – Final Draft.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

Proposed Evidence-Based Practice Change

Discuss the link between the PICOT question, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

General Requirements

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

AttachmentsNRS-433V-RS5-ResearchCritiquePICOTGuidelines.docx