End Of Life Health Care Decisions
End Of Life Decisions Paper
Write an article for a community newsletter for a local retirement village that explains the laws, policies, and choices surrounding end-of-life health care decisions.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
- Competency 1: Explain the effect of health care policies, legislation, and legal issues on health care delivery and patient outcomes.
- Identify the primary policies that define current health care practices in regard to end-of-life health care decisions.
- Explain the legislation that generated end-of-life health care policies.
- Competency 2: Explain the effect of regulatory environments and controls on health care delivery and patient outcomes.
- Explain the effect of end-of-life regulations and controls on patient outcomes.
- Competency 3: Apply professional nursing ethical standards and principles to the decision-making process.
- Describe the role of the nurse in end-of-life decision making with patients and their families.
- Describe the ethical considerations that have influenced policy decisions in regard to end-of-life decisions.
- Competency 4: Communicate in a manner that is consistent with expectations of nursing professionals.
- Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.
- Correctly format citations and references using APA style.
Context
Nurses are at the bedside during the dying process; they spend entire shifts with patients and families; they develop trusting relationships; and they are competent to assess patient and family needs. Nurses gain a unique perspective that allows them to become aware when a patient is not responding to treatment. This perspective places nurses in a position to facilitate end-of-life decision making. (Adams, Bailey. Anderson, & Docherty, 2011, para. 4)Adams, J. A., Bailey, D. E., Jr., Anderson, R. A., & Docherty, S. L. (2011). Nursing roles and strategies in end-of-life decision making in acute care: A systematic review of the literature. Nursing Research and Practice, 2011.Reference
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Suggested Resources
Internet Resources
Access the following resources by clicking the links provided. Please note that URLs change frequently. Permissions for the following links have been either granted or deemed appropriate for educational use at the time of course publication.
- American Nurses Association. (2016). Position statement: Nurses’ Roles and Responsibilities in Providing Care and Support at the End of Life. Retrieved from /orders/www.nursingworld.org/~4adf1c/globalassets/…
Assessment Instructions
Preparation
Search the Capella library and the Internet for scholarly and professional peer-reviewed articles on end-of-life care. You will need at least three articles to use as support for your work on this assessment.Directions
Write an article of 750–1,000 words (3–4 pages) that discusses the laws, policies, and choices surrounding end-of-life health care decisions. Address the following in your article:
- Describe the role of the nurse in end-of-life decision making with patients and their families.
- Explain the legislation that generated end-of-life health care policies. Was the legislation an outcome of a specific medical case?
- Identify the primary policies regarding current health care practices related to end-of-life health care decisions. How to these policies affect treatment decisions?
- Explain the effect of end-of-life regulations and controls on patient outcomes. What effect does this have on the nurse-patient relationship?
- Describe the ethical considerations that have influenced policy decisions in regard to end-of-life decisions.
Additional Requirements
Your article should meet the following requirements:- Written communication: Written communication should be free of errors that detract from the overall message.
- References: Cite a minimum of three resources; a majority of these should be peer-reviewed sources. Your reference list should be appropriate to the body of literature available on this topic that has been published in the past 5 years.
- APA format: Resources and citations should be formatted according to current APA style and formatting.
- Length: 750–1,000 words or 3–4 typed, double-spaced pages, excluding title page and reference page. Use Microsoft Word to complete the assessment.
- Font and font size: Times New Roman, 12-point.
End-of-Life Decisions Scoring Guide
| CRITERIA | NON-PERFORMANCE | BASIC | PROFICIENT | DISTINGUISHED |
|---|---|---|---|---|
| Describe the role of the nurse in end-of-life decision making with patients and their families. | Does not describe the role of the nurse in end-of-life decision making with patients and their families. | Describes the role of the nurse in end-of-life decision making with patients and their families but the information is incomplete. | Describes the role of the nurse in end-of-life decision making with patients and their families. | Describes the role of the nurse in end-of-life decision making with patients and their families, and identifies strategies for an effective process. |
| Identify the primary policies that define current health care practices in regard to end-of-life health care decisions. | Does not identify the primary policies that define current health care practices in regard to end-of-life health care decisions. | Identifies some policies that define current health care practices in regard to end-of-life health care decisions but key policies are missing. | Identifies the primary policies that define current health care practices in regard to end-of-life health care decisions. | Identifies the primary policies that define current health care practices in regard to end-of-life health care decisions, and explains how the policies have changed the way health care professionals work with patients. |
| Explain the effect of end-of-life regulations and controls on patient outcomes. | Does not explain the effect of end-of-life regulations and controls on patient outcomes. | Explains the effect of end-of-life regulations and controls on patient outcomes but key elements are missing from the explanations. | Explains the effect of end-of-life regulations and controls on patient outcomes. | Explains the effect of end-of-life regulations and controls on patient outcomes and why it is important to make end-of-life decisions with a health care professional. |
| Explain the legislation that generated end-of-life health care policies. | Does not explain the legislation that generated end-of-life health care policies. | Identifies but does not explain the legislation that generated end-of-life health care policies. | Explains the legislation that generated end-of-life health care policies. | Explains the legislation that generated end-of- life health care policies and includes a brief summary of why these laws were passed. |
| Describe the ethical considerations that have influenced policy decisions in regard to end-of-life decisions. | Does not describe the ethical considerations that have influenced policy decisions in regard to end-of-life decisions. | Identifies but does not describe the ethical considerations that have influenced policy decisions in regard to end-of-life decisions. | Describes the ethical considerations that have influenced policy decisions in regard to end-of-life decisions. | Describes the ethical considerations that have influenced policy decisions in regard to end-of-life decisions and illustrates with real-world examples. |
| Write content clearly and logically, with correct use of grammar, punctuation, and mechanics. | Does not write content clearly, logically, or with correct use of grammar, punctuation, and mechanics. | Writes with errors in clarity, logic, grammar, punctuation, or mechanics. | Writes content clearly and logically, with correct use of grammar, punctuation, and mechanics. | Writes clearly and logically, with correct use spelling, grammar, punctuation, and mechanics, and uses relevant evidence to support a central idea. |
| Correctly formats citations and references using APA style. | Does not format citations and references using APA style. | Formats citations and references with errors. | Correctly formats citations and references using APA style. Citations contain a few errors. | Correctly formats citations and references using APA style. Citations are free from all errors. |
ADDITIONAL INSTRUCTIONS FOR THE CLASS
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- Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.
- Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
- APA Format and Writing Quality
Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.
- Use of Direct Quotes
I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source. End Of Life Health Care Decisions
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- Late Policy
The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
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