Chronic Kidney Disease Case Study Essay

The time of life we call dying is an extremely difficult part of the life cycle, but a normal part," says palliative-care physician Ira Byock, author of Dying Well. "The nature of it isn't medical, it's experiential. " My grandfather had stage 4 lung cancer with metastatic to liver . Only palliative care advised by doctors. He was an strong personality .He loved all his grand kids too much.

Johns Loss due to transition and point of view. John has gone through different experiences and transition from the age of 18, which may have left him with different memories, emotions and loss. When he was moved from home to the Coldwest Hospital he must have experience some loss due to transition such as loss of family ties, loss of independence, dignity and choice. Furthermore, after leaving Coldwest he must have made some friends and got use the routine of not having choice, independence and rights. Moving to the independent living environment would be a challenge for him because of his learning disability.

Now I am old enough to know that death is not the end, but it is the beginning of a new life. We have to submit our lives to God and ask him for the strength to move forward. Worldview about life after death will largely determine how the patient and families welcome death. Now, as a Christian nurse, I can see death in the light of the resurrection of Jesus Christ (GCU, 2015). If I can help the family members to go through this traumatic experience and the grieving process, my Christian calling as nurse will be

Death, facing it can paralyze people with so much fear, anxiety, and/or regret that they lose sight of the life still left ahead of them. Death is something that everyone has to face, and sometimes we forget to look at the needs of others, or even our own needs, when death is near. Introduction to Health Communication showed me the amazing work that San Diego Hospice does for people, and has given me a new path to follow in life so I can one day work in a hospice to bring peace to those that may feel that they are at their lowest. Working at a hospice will have its own challenges that I am willing to face because compassion and caring is what we need more of in the world today. I will first explain how uncertainty affects patients at a hospice, then I will examine the problems the caregivers and the patients

When a patient is at the end of life it is very important to value the patients self dignity and their decisions at the mere end of their lives. The end of life care is to relieve the weight of the patient 's shoulders physically and mentally. I approve of end of life caring. Basic end of life care is summarized by improving the care of quality of life and dignity of the ill person. The important themes to good ethics of end of life care is a combination of human rights,respect,dignified care,and privacy.

For my Life-Span interview project, I decided to interview someone who was in the late adulthood period of their life. The interview was conducted in the interviewee 's home, on November 12th, 2015. The woman I choose to interview was known to me, and she is currently 76 years of age, a grandmother with four children and seven grandchildren. We sat down and chatted for about an hour and a half. I started the interview by making small talk and then moved into the interview questions.

The challenge of making decisions, the after care of a ended life, factors that support ending life and guidelines for the withdrawal of life are major themes throughout making this decision. These challenges can often be caused by many other factors. Throughout this literature barriers to providing good end of life care was documented throughout, one of which was the overall environment that nurses provide. Which was also described as the nurse's work load, physical layout of the facility, visitation restrictions, procedures, and

A hospice provides a more suitable environment for those at the final stages of their lives compared to a hospital for a multitude of reasons. Hospice care is designed to care for all aspects of the person life; they provide physical, mental, and religious services, as well as caring for the patient’s family. Since hospice care is also available at home, the patient has the opportunity to die in familiar surroundings. On the contrary, hospital care provides primarily physical services to the patient and is focused on the patient’s disease. Also, dying in a hospital can be less pleasant because a connotation of hospitals is illness which is a negative quality compared to that of a home, where a person is surrounded by their memories and belongings.

1 Outline the factors that can affect an individual’s views on death and dying •Social •Cultural •Religious •Spiritual 2 Outline the factors that can affect own views on death and dying •Emotional •Past experience •Psychological •Religious •Social •Spiritual 3 Outline how the factors relating to views on death and dying can impact on practice Current and previous professional roles and responsibilities and past; boundaries limited by legal and ethical issues; professional codes of practice - internal and national; impact of management and leadership; input from other team members and workers. 4 Define how attitudes of others may influence an individual’s choices around death and dying different models of nursing care; person-centred

In all my experiences as a nurse, I’ve realized the importance of communication, providing holistic care to an individual and empowering them with the knowledge to manage their health. When an illness strikes a person, it affects not just his body, but also his mind and spirit. The art of communication is invaluable to patient interaction and establishing a therapeutic nurse-patient relationship, that facilitate coping mechanisms for patients, moreover it prepared myself as a nurse to meet their individual needs. Furthermore, there is at the moment an insurmountable demand for survivorship care as a result of the advancement in technology and medicine, which made living beyond life expectancy possible for increasingly more people. Living after cancer treatment is not free of complications as there are acute and chronic side effects of treatment that requires constant monitoring and attention, and this information spurred me to shift my focus from palliative to survivorship care.

SDLA 4: Activity 1 Palliative care continues to evolve in providing better end-of-life care and so does nursing care. Thus, nursing practice is enhanced to satisfy the demand of the palliative care. A nurse provides complex care and fulfils the needs of the patients. Nursing involves in caring work, which focus on patient experiencing agony in palliative and haematological cancer care. Nurses worked in a taxing environment, that can be highly stressful, and often they experience physical, psychological and spiritual exhaustion.

Being offered these services further highlights his declining health. This hospice clinical made me experience a variety of emotions. My first initial emotions were nervousness and awkwardness, I believe I felt this way because I have never been directly involved with hospice. The second wave of emotions consisted of sorrow and hopelessness. I felt these emotions because I couldn’t fathom being in their situation, but then I realized I cannot let these emotions affect the way I care for this patient and his family.

An Integrative Review. JAN Journal of Advanced Nursing, 1744. Karlsson, M. B.-F. (2015). A Qualitative Metasynthesis From Nurses’ Perspective When Dealing With Ethical Dilemmas and Ethical Problems in End-of-Life Care. International Journal for Human Caring, 40-48.

My personal philosophy of nursing seeks to incorporate the art of conveying nursing science holistically with care and human dignity. The four nursing metaparadigm concepts are described in relation to nursing as a science and an art and provide the base upon which my view of nursing and my personal philosophy are derived. As a nursing student at UIC, I am well aware of the fact that the best outcome for any patient may not be improvement in health, but rather, a dignified death during the end of life care. End of life care includes a significant quality in care and human dignity.

The patient was diagnosed for polyps and multiple diverticula at the age of 68. The Patient suffers of painful osteoarthritis of both knees, shoulder hips. Patient?s mother deceased at the age of 79 from breast cancer and her father deceased at the age of 54 from heart attack. The patient noted with bilateral lower extremities edema, and claimed that she uses 2 pillows as a comfortable position to sleep,