End Of Life Care Case Study

1013 Words3 Pages
bulb-icon

Recommended: Explain the features of an effective team

End-of-Life Care
Treatment options can vary widely for patients with any type of brain injury and the health care professional must take the necessary steps to ensure the patient and family have a clear understanding of the patient’s prognosis prior to making any decisions. Making a decision of this magnitude should be influenced by the patient/families understanding, values, and preferences (University of Rochester Medical Center, 2015). Hospice and palliative care can be incorporated in end-of-life care plans. Hospice and palliative care patients experience high levels of functional loss with disease progression, requiring assistance with mobility and activities of daily living (ADL’s). Depression and poor quality of life are linked to …show more content…

Communicating with the patient’s family or caregiver can assist the case manager in developing methods to help reduce stress, anxiety, depression, and fears associated with end-of-life planning (National Institute of Nursing Research, 2011). The case manager will implement in the plan of care, access to any treatment that will improve the patient’s quality of life. Evidence-based practice can be incorporated in the patient’s plan to enhance outcomes. In order to offer various treatment preferences as their condition changes, the case manager must be knowledgeable about the patient’s condition and the potential complications that can occur during the patient’s life expectancy. Communication is vital, keeping constant communication with the patient and family during this difficult time in their lives helps improve quality of care and satisfaction with the care they receive (Meyer, …show more content…

(2015). End-of-Life Issues and Care. Retrieved from http://www.apa.org/topics/death/end-of-life.aspx
Geurts, M., Macleod, M. R., van Thiel, G. J., van Gijn, J., Kappelle, L. J., & van der Worp, H. B. (2014). End-of-life decisions in patients with severe acute brain injury. The Lancet Neurology, 13(5), 515-524.
Lorenz, K. A., Lynn, J., Dy, S. M., Shugarman, L. R., Wilkinson, A., Mularski, R. A., & Shekelle, P. G. (2008). Evidence for improving palliative care at the end of life: a systematic review. Annals of internal medicine, 148(2), 147-159.
Meyer, S. (2012). Care Management Role in End-of-Life Discussions. Care Management Journals, 13(4), 180-183.
National Institute of Nursing Research. (2011). Investing in Palliative and End-of-Life Care. Retrieved from http://www.ninr.nih.gov
University of Rochester Medical Center. (2015). Variations in Decisions for Care of Patients with Brain Injury “Disturbing”. Retrieved from

Show More
Related

  • Clinical Nurse Leader Role in Psychiatric Department

    1298 Words  | 3 Pages

    Stanley, J., Gannon, J., Gabuat, J., Hartranft, S., Adams, N., Mayes, C., Shouse, G. M.,

    Read More

  • social workers role in end of life care

    539 Words  | 2 Pages

    Thanks in part to the scientific and technological advances of todays’ society, enhanced medicinal treatment options are helping people battle illnesses and diseases and live longer than ever before. Despite these advances, however, many people with life threatening illnesses have needs and concerns that are unidentified and therefore unmet at the end of life, notes Arnold, Artin, Griffith, Person and Graham (2006, p. 62). They further noted that when these needs and concerns remain unmet, due in part to the failure of providers to correctly evaluate these needs, as well as the patients’ reluctance to discuss them (p. 63, as originally noted by Heaven & Maguire, 1997), a patient’s quality of life may be adversely affected. According to Bosma et al. (2010, p. 84), “Many generalist social work skills regarding counseling, family systems, community resources, and psychosocial assessments are relevant to working with patients and families with terminal illness”, thereby placing social workers in the distinctive position of being able to support and assist clients with end of life decisions and care planning needs. In fact, they further noted that at some point, “most social work practitioners will encounter adults, children, and families who are facing progressive life limiting illness, dying, death, or bereavement” (p. 79).

    Read More

  • End Of Life Care Essay

    768 Words  | 2 Pages

    Hospice focuses on end of life care. When patients are facing terminal illness and have an expected life sentence of days to six months or less of life. Care can take place in different milieu including at home, hospice care center, hospital, and skilled nursing facility. Hospice provides patients and family the tool and resources of how to come to the acceptance of death. The goal of care is to help people who are dying have peace, comfort, and dignity. A team of health care providers and volunteers are responsible for providing care. A primary care doctor and a hospice doctor or medical director will patients care. The patient is allowed to decide who their primary doctor will be while receiving hospice care. It may be a primary care physician or a hospice physician. Nurses provide care at home by vising patient at home or in a hospital setting facility. Nurses are responsible for coordination of the hospice care team. Home health aides provide support for daily and routine care ( dressing, bathing, eating and etc). Spiritual counselors, Chaplains, priests, lay ministers or other spiritual counselors can provide spiritual care and guidance for the entire family. Social workers provide counseling and support. They can also provide referrals to other support systems. Pharmacists provide medication oversight and suggestions regarding the most effective

    Read More

  • Advance Care Planning in Palliative Care

    3228 Words  | 7 Pages

    The first journal article is about advance care planning (ACP) in palliative care. This is of interest due to several clinical experiences and the realization that many families either ignore the patient’s request for end of life (EOL) care or who have no idea of how to plan for EOL care. By reading the research and understanding the methods used, this will allow for insight into how to implement palliative care into clinical practice across different sites. The authors of this original research are Jeanine Blackford PhD, RN, senior lecturer at La Trobe University in Australia, and Annette Street PhD, associate dean of research and professor of cancer and palliative care studies. According to Blackford & Street (2011), this research is important as there are many countries that “report a low percentage of people who have completed an advance care plan” (p. 2022), and ACP is needed upon admission to facilities that offer palliative care.

    Read More

  • Improving End-of-Life Care in The United States

    2060 Words  | 5 Pages

    End-of-life care in the United States is often fraught with difficult decisions and borne with great expense. Americans are often uncomfortable discussing death and

    Read More

  • Case Study Applying the Model of Human Occupation

    770 Words  | 2 Pages

    Forsyth, K., Taylor, R., Kramer, J., Prior, S., Richie, L., Whitehead, J., Owen, C., & Melton, M.

    Read More

  • Influenza Vaccination Should be Mandatory

    892 Words  | 2 Pages

    Ottenberg, A. L., Wu, J. T., Poland, G. A., Jacobson, R. M., Koenig , B. A., & Tilburt, J. C.

    Read More

  • Hospice and Palliative Care: Nursing Roles

    967 Words  | 2 Pages

    The end-of-life nurse’s primary objective is to provide comfort and compassion to patients and their families during an extremely difficult time. They must satisfy all “physical, psychological, social, cultural and spiritual needs” of the patient and their family. (Wu & Volker, 2012) The nurse involves their patient in care planning, as well as educating them about the options available. They must follow the wishes of the patient and their family, as provided in the patient’s advance directive if there is one available. It is i...

    Read More

  • The History of Treating Mental Illness

    1895 Words  | 4 Pages

    Kobau, R., Zack, M. M., Manderscheid, R., Palpant, R. G., Morales, D. S., Luncheon, C., et al.

    Read More

  • Physician Assisted Suicide Case Study

    875 Words  | 2 Pages

    When a patient receives a terminal or life-altering diagnosis, the subsequent life changes are not limited to the medical challenges. Patients encounter the physical trauma of the medical diagnosis while also experiencing psychological difficulties, social changes, and even existential concerns. In Oregon Health Authority research, 91 percent of those who were assisted with suicide cited loss of autonomy as their motivation to end their lives, and 71 percent cited loss of dignity as their motivation. Only 31 percent cited inadequate pain control. These needs require different forms of care. Palliative care seeks to take into consideration every facet of the patient’s situation—with professionals who can attend to all aspects of the patient’s needs. (Anderson, R. 2015).

    Read More

  • Essay On End Of Life Care Plan

    1361 Words  | 3 Pages

    The care of patients at the end of their live should be as humane and respectful to help them cope with the accompanying prognosis of the end of their lives. The reality of this situation is that all too often, the care a patient receives at the end of their life is quite different and generally not performed well. The healthcare system of the United States does not perform well within the scope of providing the patient with by all means a distress and pain free palliative or hospice care plan. To often patients do not have a specific plan implemented on how they wish to have their end of life care carried out for them. End of life decisions are frequently left to the decision of family member's or physicians who may not know what the patient needs are beforehand or is not acting in the patient's best wishes. This places the unenviable task of choosing care for the patient instead of the patient having a carefully written out plan on how to carry out their final days. A strategy that can improve the rate of care that patients receive and improve the healthcare system in general would be to have the patient create a end of life care plan with their primary care physician one to two years prior to when the physician feels that the patient is near the end of their life. This would put the decision making power on the patient and it would improve the quality of care the patient receives when they are at the end of their life. By developing a specific care plan, the patient would be in control of their wishes on how they would like their care to be handled when the time of death nears. We can identify strengths and weakness with this strategy and implement changes to the strategy to improve the overall system of care with...

    Read More

  • Eating Disorders during Adolescence

    1894 Words  | 4 Pages

    Ornstein, R., Rosen, D., Mammel, K., Callahan, S., Forman, S., Jay, M., Fisher, M., Rome, E., &

    Read More

  • Gender Roles and Stereotypes

    1756 Words  | 4 Pages

    Zosuls, K. M., Ruble, D. N., Tamis-LeMonda, C. S., Shrout, P. E., Bornstein, M. H., & Greulich,

    Read More

  • Aging, Death, Dying and End of Life Care

    2419 Words  | 5 Pages

    The purpose of this essay is to analyse various theories on ageing, death, dying, and end of life issues from different perspectives such as: biophysiological theories, psychosocial theories; and taking in consideration the cultural, historical, and religious implications around the aforementioned life stages. One will also discuss important issues relevant to social work practice such as dignity, autonomy, and their relationship with the concept of a successful ageing and a good death. One considers these areas important since they upheld anti-discriminatory practice and may perhaps promote the development of personalised care pathways, as well as fair and justifiable social policies.

    Read More

  • Palliative Care Case Study

    1371 Words  | 3 Pages

    Palliative care involves the holistic care to maintain and improve the quality of life of the patient and family during hospitalisation until the terminal stage. Palliation of care refers to the multidisciplinary approach of providing comfort and support for the terminally ill patient and family, thus has an important role in maintaining and improving the quality of life of the whole family. Chronic illness such as cancer gives a physiologic and emotional burden for the patient and family. Education and counselling of the possible options as well as treatments for pain and other symptoms that could help alleviate anxiety, suffering and discomfort. Palliative care provides assistance for the family as a channel for communication between the

    Read More

More about End Of Life Care Case Study

Open Document