NR 305 Week 8 Discussion

Student Name

Chamberlain University

NR-305: RN Health Assessment

Prof. Name:

Date

Week 8 Discussion: Reflection on End-of-Life Care

End-of-life care is a universal reality that requires a compassionate and understanding approach. Having worked extensively with the elderly throughout my adult life, I have seen how the natural decline in bodily functions leads to inevitable changes, including organ failure and diminished strength. Dry mouth and lips often make eating and drinking difficult for patients during their final days, contributing to their discomfort. Witnessing these struggles can leave families feeling powerless, especially those who lack the experience or support of medical professionals. However, in my personal experience, most final moments are often peaceful, even in challenging medical conditions like severe Chronic Obstructive Pulmonary Disease (COPD) and Congestive Heart Failure (CHF). Such conditions may cause respiratory distress for days or weeks before death, and comfort measures, including medications, play a critical role in easing this transition.

I recall the death of Jane, a close acquaintance from my village. Jane had one daughter who remained by her mother’s side during the final days. Unfortunately, no visitors came during the last two days of Jane’s life. Her daughter’s pain and inability to overcome her grief after her mother’s death left a lasting impact on me. Such moments highlight the emotional toll on families, particularly when there is limited support. While some individuals find solace in their spirituality, others without this framework may struggle more to accept the inevitability of death. Planning ahead, such as scheduling end-of-life discussions and preparations, can help alleviate the emotional and financial burden on families. Nurses play a vital role in providing personalized care and guidance, ensuring patients and families are equipped with appropriate resources and support.

Table: Reflection and Discussion on End-of-Life Care

Aspect	Observation	Recommendations
Patient Experience	Many patients face challenges like dry mouth, organ failure, and respiratory distress before death.	Comfort measures, including medications and hydration, should be prioritized to ensure dignity.
Family Impact	Families often feel powerless, especially without medical expertise or spiritual coping mechanisms.	Provide emotional support and involve families in care planning to ease their stress and acceptance.
Role of Healthcare Providers	Nurses must offer personalized care and guide families toward appropriate resources for managing grief and decision-making.	Conduct thorough assessments and educate families about end-of-life care options and available support.

Responses

Robin Elliott
Hello Robin,
Thank you for your thoughtful contribution to this week’s discussion. I am deeply sorry for your loss. Losing both parents simultaneously must have been profoundly overwhelming. Your courage in sharing your experience is commendable, and it resonates with others who have faced similar challenges. The range of emotions you describe—shock, anger, guilt, and profound grief—are natural responses to such a significant loss. Your resilience in navigating these emotions is inspiring. Wishing you strength and healing.

Colin Herndon
Hello Herndon,
I appreciate your insights into this week’s discussion. The global impact of the COVID-19 pandemic has indeed been far-reaching, especially in healthcare settings. The restrictions on visitors have created significant challenges for families hoping to be with their loved ones during critical moments. I completely agree with your perspective; these restrictions, although necessary, have added an emotional burden on families and patients alike. Thank you for shedding light on this pressing issue, and I hope your experiences inspire better practices in healthcare during extraordinary circumstances.

References

American Psychological Association. (2020). Publication manual of the American Psychological Association (7th ed.). Washington, DC: Author.

Hospice Foundation of America. (n.d.). End-of-life care. Retrieved from https://www.hospicefoundation.org