Week 4 End of Life 

Hi class,

End of life issues. 

With our aging population living longer with, in many cases, multiple chronic diseases, it is important we feel confident identifying and addressing end of life challenges and expectations.

Choose 1 focal point from each subcategory of practice, education, research and administration and describe how the APRN can provide effective care in end of life management, using the American nurses association position statement, recommendations for improvement in end of life management focuses on practice, education, research and administration. Listed below are steps that nurses can take to overcome barriers in healthcare practice.

Practice

1. Strive to attain a standard of primary palliative care so that all health care providers have basic knowledge of palliative nursing to improve the care of patients and families.

2. All nurses will have basic skills in recognizing and managing symptoms, including pain, dyspnea, nausea, constipation, and others.

3. Nurses will be comfortable having discussions about death and will collaborate with the care teams to ensure that patients and families have current and accurate information about the possibility or probability of a patient’s impending death.

4. Encourage patient and family participation in health care decision-making, including the use of advance directives in which both patient preferences and surrogates are identified.

Education

1. Those who practice in secondary or tertiary palliative care will have specialist education and certification.

2. Institutions and schools of nursing will integrate precepts of primary palliative care into curricula.

3. Basic and specialist End-of-Life Nursing Education Consortium (ELNEC) resources will be available.

4. Advocate for additional education in academic programs and work settings related to palliative care, including symptom management, supported decision-making, and end-of-life care, focusing on patients and families.

Research

1. Increase the integration of evidence-based care across the dimensions of end-of-life care.

2. Develop best practices for quality care across the dimensions of end-of-life care, including the physical, psychological, spiritual, and interpersonal.

3. Support the use of evidence-based and ethical care, and support decision-making for care at the end of life.

4. Develop best practices to measure the quality and effectiveness of the counseling and interdisciplinary care patients and families receive regarding end-of-life decision-making and treatments.

5. Support research that examines the relationship of patient and family satisfaction and their utilization of health care resources in end-of-life care choices.

Administration

1. Promote work environments in which the standards for excellent care extend through the patient’s death and into post-death care for families.

2. Encourage facilities and institutions to support the clinical competence and professional development that will help nurses provide excellent, dignified, and compassionate end-of-life care.

3. Work toward a standard of palliative care available to patients and families from the time of diagnosis of a serious illness or an injury.

4. Support the development and integration of palliative care services for all in- and outpatients and their families.

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 or retrieved point, Refer to your APA manual, include the doi or retrieved from .. 

Research Paper #1 – Transgender Care and the Health Care Professional

Transgender patients face an extreme amount of resistance and discrimination within the community daily.  Unfortunately, the health care arena is no exception.  What challenges do transgender patients face within healthcare?  How does discrimination from healthcare providers impact the transgender community?  Afterward, what can be done to change or alleviate this issue–what program, system, or process can be created to help the transgender patient and the healthcare provider.  How would you ensure that transgender patients don’t experience discrimination or ambivalence when seeking healthcare?

Your paper should be between 4-5 pages long, not including your cover and reference page.  A minimum of three PEER REVIEWED ARTICLES OR JOURNALS are required, published within 7 years.

APA 6th edition format will be strictly enforced.

Contact a health care professional and arrange to conduct an interview. Use the interview to understand the ethical perspective of the health care professional regarding the following:

1. How does the health care professional define ethical challenges?
2. How does the health care professional handle ethical challenges?

Write a 1,250-1,500 word paper based on the interview in which you address the following:

1. Explain the application of ethics in the health care environment of the interviewee.
2. Compare and contrast the interviewee’s answers with what you have learned in this course.
3. Include additional resources that support, reinforce, or even challenge your findings and observations.

Prepare this assignment according to the 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. Please refer to the directions in the Student Success Center.

A walk through the Business section of any bookstore or a quick Internet search on the topic will reveal a seemingly endless supply of writings on leadership. Formal research literature is also teeming with volumes on the subject.

However, your own observation and experiences may suggest these theories are not always so easily found in practice. Not that the potential isn’t there; current evidence suggests that leadership factors such as emotional intelligence and transformational leadership behaviors, for example, can be highly effective for leading nurses and organizations.

Yet, how well are these theories put to practice? In this Discussion, you will examine formal leadership theories. You will compare these theories to behaviors you have observed firsthand and discuss their effectiveness in impacting your organization.

To Prepare:

• Review the Resources and examine the leadership theories and behaviors introduced.
• Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.
• Reflect on the leadership behaviors presented in the three resources that you selected for review.

By Day 3 of Week 4

Post two key insights you had from the scholarly resources you selected. Describe a leader whom you have seen use such behaviors and skills, or a situation where you have seen these behaviors and skills used in practice. Be specific and provide examples. Then, explain to what extent these skills were effective and how their practice impacted the workplace.

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).