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Discussing End-of-Life Care Nursing Case Assignment (Case Study Sample)


For this Discussion, consider how you would facilitate care conversations with the patients and families in the following case studies:
Case Study:
Mrs. Sloan, a 69-year-old widow, is about to enter the hospital for an elective cholecystectomy; she is being medically cleared by her primary care provider.  During the discussion, she requests to be placed on a no code status during her hospitalization. Mrs. Sloan claims that besides her gallbladder problem, her general health status is good. She wishes to have the surgery to avoid any further attacks, which have been very painful. She states, however, that if during surgery or her postoperative period, she undergoes a cardiac arrest, she would prefer not to be resuscitated. She has read about the chances of successful resuscitation, and has determined that the risk of brain damage is too high. For this reason, she is requesting a no code status.
post an explanation of the role of the nurse in facilitating the discussion of end-of-life care with patients and their families. Explain how you would approach a family who wants “everything” done for a patient with only a limited time to live. Then, explain when it is appropriate to involve hospice and how to approach patients and/or families who refuse hospice services. Finally, explain potential outcomes of the patient in the case study you selected and how you would facilitate the discussion of end-of-life care with this patient’s family.
Alsop, A. (2010). Collaborative working in end-of-life care: Developing a guide for health and social care professionals. International Journal of Palliative Nursing, 16(3), 120–125.
Note: Retrieved from the Walden Library databases.
This article examines end-of-life care concerns that must be addressed by health care providers. It also proposes strategies for addressing these concerns with patients and their families through a collaborative approach.
Ehlenbach, W. J., Barnato, A. E., Curtis, J. R., Kreuter, W., Koepsell, T., Deyo, R., & Stapleton, R. (2009). Epidemiologic study of in-hospital cardiopulmonary resuscitation in the elderly. The New England Journal of Medicine, 361(1), 22–31.
Note: Retrieved from the Walden Library databases.
This article examines survival rates of elderly patients undergoing cardiopulmonary resuscitation (CPR) in hospital settings. It also compares the incidence of CPR among patients of different races and sexes.
McGowan, C. M. (2011). Legal Issues. Legal aspects of end-of-life care. Critical Care Nurse, 31(5), 64–69.
Note: Retrieved from the Walden Library databases. 
This article examines legal implications associated with end-of-life care. It also provides information about decision making and collaboration between patients, their families, and the medical team.


Discussing End-of-Life Care
Institutional Affiliation:
Discussing End-of-Life Care
The critical care nurses play a crucial role in helping patients and their families when faced with end-of-life concerns. Addressing a family that demands for everything to be done for a patient who does not have much time to live will require cooperation and excellent communication. Alsop (2010) recommends knowing the appropriate questions and how to respond to the concerns of the family using a collaborative approach. The involvement of the family in discussions on the prognosis, the available treatment options for the patient and the possible effects of undertaking them. The elaboration of the chances of survival of each approach and the benefit of other techniques such as palliative or hospice care would help to tackle the family concerns. Additionally, explaining the patient’s desires regarding their end-of-life care can assist in dealing with the family issues.
The consideration of the ho...
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