NURS 6540 Week 11 Discussion & Assignment
\nThere is a human tendency to postpone uncomfortable or
\nunpleasant tasks.
\n\u2014Nancy Kummer, geriatric patient
\nThis human tendency to avoid the unpleasant makes end-of-life
\ncare and hospice decisions difficult for many patients to discuss
\nwith their families. Kummer is a former social worker who used to
\ncounsel patients with terminal illnesses, yet she avoided
\ndiscussing her own end-of-life wishes with her children. While
\nmany Americans, like Kummer, agree that these discussions need
\nto take place, few have actually had these conversations with their
\nfamilies (Lazar, 2012). Although initiating conversations about endof-life care and hospice might be difficult for patients, as an
\nadvanced practice nurse, facilitating these conversations is an
\nintegral part of your geriatric nursing practice. For this Discussion,
\nconsider how you would facilitate care conversations with the
\npatients and families in the following case studies:
\nDiscussing End-of-Life Care Case Study 1:
\nMrs. Sloan, a 69-year-old widow, is about to enter the hospital for
\nan elective cholecystectomy; she is being medically cleared by
\nher primary care provider. During the discussion, she requests to
\nbe placed on a no code status during her hospitalization. Mrs.
\nSloan claims that besides her gallbladder problem, her general
\nhealth status is good. She wishes to have the surgery to avoid any
\nfurther attacks, which have been very painful. She states, however,<\/p>\n","protected":false},"excerpt":{"rendered":"
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