End of Life Care Essay

Understand the requirements of legislation and agreed ways of working to protect the rights of individuals at end of life;

Back in twentieth century, a tiny fragment of mere 5% population was comprised of people aged 65 and above. A little spike in this segment was observed during the period of 1950s-1960s; however, that spike was not significant and restricted to 8% of entire population (Chart 1.1). Many factors were responsible for the small proportion of senior population, the most prominent one though, low life expectancy, high fertility/birth rates and limitation of health services.

Berger (2008) state that late adulthood, which begins at age 65, is the final stage of the life span development process that culminates through the death of an individual. During the course of the twentieth century the notion of late adulthood changed significantly (Kowalski & Westen, 2009). The average person’s life expectancy increased probably by 30 years. This changed the proportion of North Americans over 65 years from 1900s one in 30 to a projection by the year 2040 that it will be one in five. This drastically changed the perceptions of late adulthood (Kowalski & Westen, 2009). For example,

Last year 23 September 2012. I had a resident called “Mrs X” she was a 72year-old widowed living at ---, a Nursing Care Home. She’s not a religious type of person as she was Atheist. She has lived in the home for the past two years, and during that time I was assigned as her key worker. Mrs X had One Son and 3 grand daughters they are all regular visitors to the home. She has recently been diagnosed with renal failure, and her life expectancy is only a couple of months without dialysis. In the past Mrs X has made it clear that when her “time comes” she wants to be able to stay at Belmont House, and “go quietly”. She has stated that she does not want any treatment that will prolong her life. This means

This is why treating the person with dignity and respect is vital in end of life care in case of an individual with dementia.

Next, we will discuss the biblical, theological, and cultural perspectives on the end of life issues. “There is a time for everything, and a season for every activity under the heavens: a time to be born and a time to die, a time to plant and a time to uproot, a time to weep and a time to laugh, a time to mourn and a time to dance.” When God created everything, he advised us about our time on earth before we inherit the promises in our heavenly home. “Our days may come to seventy years, or eighty, if our strength endures; yet the best of them are trouble and sorrow, for they quickly pass, and we fly away.” In today society, many people are dying at a young age for various reasons. One barrier is the change in our dietary. The older generations grew most of their own food. With my generation and afterwards, farm life decrease and more fast food chains increase. Farmers are now using more chemical to make the food grow faster to meet the need of the fast food chains. Also, there has been more man-made food and concepts. These options have impact life leading to more clog arteries, digestive issues, cancer, heart-attack, and others. Another barrier has been increase number in gang related death, suicide attempts and death, and being murder. “While most pastors, theologians and ethicists agreed that it was permissible to

Quality of Life and Functioning for End of Life Care. HAT2 Community Health Nursing. Western Governors University.

The aim of a hospice is to improve the quality of life of the dying

With major advancement in medical treatments, it is now possible to keep a patient alive, which would not have been possible in former times. This has made end of life issue one of the most controversial issues in healthcare. Medical improvements have set the stage for ethical and legal controversies about not only the patient’s rights but also the family’s rights and the medical profession’s proper role. It is critical that any decision made in such situation is ethical and legal to preserve the rights of the patient and also protect the healthcare institution involved. It is very important when making decisions to discontinue treatments to make sure all other alternatives have been explored.

A person’s life can end at any age. They can depart quickly or slowly. End of life care, also known as palliative care, is the care of patients that are not only in their final hours or days but the patients with a terminal illness that has become incurable. End of life care takes into mind what the patient desires so it is recommended that they consider an advanced care plan also known as an advance directive and living will. These documents allow the patient to formulate decisions on the future of their care if, at any point, they cannot vocally express themselves.

Palliative care is the active holistic care of patients with advanced progressive illness and is intimately linked with end-of-life care for people in the last months or days of life (National Council for Palliative Care, 2017). Around 500,000 people die each year in England and Wales (NICE, 2017) and up to 74% of people say they would prefer to die at home (National Audit Office, 2008), but currently 58% of people die in hospital (National End of Life Intelligence Network, 2010). Common issues in palliative/end-of-life patients such as pain, breathlessness, or seizures (Royal College of Nursing, 2011) are likely to initiate an emergency response from ambulance services. For carers and relatives the lack of community services or 24-hour clinical support often mean they turn to the ambulance service (Parkinson, 2014) This essay will explore the issues surrounding palliative/end-of-life care and the role modern ambulance services can play in facilitating effective care delivery.

Modern medicine affords us the ability to prolong life; however, is that always the right thing to do? This is a question that palliative care patients, families, and their healthcare teams must ask themselves. Every patient is unique and they have differing medical presentations, belief systems, customs, cultural traditions, and ethical principles which influence their opinion regarding end-of-life options.

This report is focusing on elderly patients who are on a palliative care unit, and how they are respected and their dignity is persevered throughout their end of life care in a hospital setting. Throughout the Inter-Professional Learning (IPL) seminar sessions, there was many student midwives, student adult, child and learning disability students. There were many topics suggested and discussed between the group, which helped aid us choosing our focused topic. Grumbach and Bodenheimer (2004) reinforces the argument about IPL groups are important, as they found that when health practitioners work together has a positive impact on the patient outcomes. Therefore, they believe that IPL groups should be fundamental part of health professionals

The American population is getting older which presents us with many challenges but also present us with potential opportunities. With the length of life and quantity and fraction of older persons rise in most industrialized and many evolving nations, a crucial question is whether this population will be accompanied by continued or better-quality health, an improving quality of life, and adequate social and cost-effective resources. This answer lies in the ability of peoples and societies, as well as modern social, governmental, financial, and health service delivery systems, to provide optimum assistance to older persons.

Death is considered a dreaded word. Death is the final stage of an individual’s existence. Death is a word that makes people uncomfortable. The word death is something no one desire to think about, prepare for or discuss. But death is inescapable, unavoidable, and inevitable all humankind will experience death as part of their destiny. Therefore, each has the responsibility of addressing the issues that maybe related to a decline in their physical and mental function status, which render them incapable of making their life decisions.