Exploring Advanced Care Planning in Nursing - Free Paper Example

Advanced Care Planning is another essential part that seeks to enhance medical care services as much as nursing is concerned. Other crucial areas in nursing require preparation to make the right choice while treating patients with different health complications. It would be vital to note one of the dilemmas or situations that would determine or will enhance a deeper understanding of people or individuals because it would be the only way to make the situation real. As mentioned before, it would be crucial to say or define advanced care planning to explore the topic effectively as it aims to capture all critical areas of the discussions. It is defined as a process that focuses on communication between individuals and agents of given healthcare, reflecting on the discussion, and planning for future healthcare decisions, especially at occasions or times when people are not willing to make their choices. It would be crucial to mention the type of dilemma that this definition suits. The situation is the end of life that has always appeared a complicated approach as people or patients at a particular stage would not make their own choices to determine their fate. The essay broadly analyzes advanced care planning by developing a dilemma in nursing, which is the end-of-life dilemma to understand the whole process of advanced care planning: it makes the entire process viable by discussing when to get started, roles and responsibilities, end-of-life coordination and record-keeping, and noticing signs of approaching to death to determine the situation.

Is your time best spent reading someone else’s essay? Get a 100% original essay FROM A CERTIFIED WRITER!

Order now

Advanced care planning is a necessary process, especially in a dilemma like the end-of-life scenario that seeks to make the right decision regarding a patient's death (Urman et al., 2019). It involves processes or an individual approach that would guide medical providers to conduct the process professionally as it requires a given way of managing it. The first step to advanced care planning in an end-of-life dilemma or scenario is getting started. Getting started calls for effective and sensitive communication, assessment, and care planning that will ensure god quality end-of-life care as each factor determines the nature of care offered here. There are different aspects to consider that may affect nurses' practice to ensure there is advanced care planning practice or processes in a healthcare setting. Some of these factors are communication, cultural, spiritual, and ethical issues. They are the font of affecting nurses' practice because people or each nurse hold different cultures or ethical backgrounds that may interfere with their practice as much as advanced care practice is concerned.

The second option that would determine a patient's advanced care planning approach is noticing healthcare roles and responsibilities. So, the question is, how does this enhance the nature of advanced care planning? Staff have many responsibilities that determine the nature of end-of-life care because they establish a range of factors that communicate a lot about the process. They may have sensitive communication that would evaluate the patient's preferences as they often interact with patients (Shi et al., 2020). It would be crucial to mention or teach healthcare providers to be vulnerable to the types of conservations they may be having with patients. Such would be essential because it would signal what a patient prefers. Once healthcare knows what their roles are, they will easily manage or make the concept of advanced care planning more comfortable because it would be easy to determine the patient's preferences at the end-of-life stage.

At the same stage, healthcare providers or nurses would learn to recognize any changes. They need to develop skills that would offer support as they work hand in hand to ensure advanced care planning becomes manageable. Also, nurses would be taught because this process needs a lot of skills to make such a process of success. So, how can such a process be made viable? It will be manageable only when nurses develop an urge to learn these skills as they will enable them to make the right choices they make for these patients (Bosisio & Barazzetti 2020). Therefore, advanced care planning would become manageable when an organization notices this and teaches their staff these skills to monitor the state's victims.

Still, under nurses or healthcare responsibilities, advanced care planning would be manageable if staff are taught treat victims compassionately, listen to them, communicate clearly and sensitively, identify and meet communication needs, determine if someone is getting into the last few days, and hours of life, involve others in the decision about their wishes, and keeping the person and family members up to date regarding the condition. It would be a fundamental approach, which ensures there is an aspect of advanced care planning. What does that imply about death and planning?

All these are processes that would seek to ensure that the patient's wishes are met. In the context of treating people compassionately, healthcare providers learn about when to treat those patients who are about to experience issues of end-of-life care (Bowman et al., 2019). Treating them with compassion signifies advanced care that would or may translate to noticing the victim's preferences. Listening to them is another aspect that nurses need to learn to keep advance care planning viable. Such an approach would be essential because, through listening, nurses can identify a patient's preferences and record them effectively.

After nurses have recognized that someone may be entering the last few days or hours of their lives, they may inform or involve colleagues to make the right decision as per the client's wish. It would be honorable to note and precisely make the wishes of the victims. Those patterns and what define the planning approach is what individuals call advanced care planning at the end-of-life dilemma. It would be worth noting to keep those under this condition up to date because they need to know it.

There is another approach or stage, which is end-of-life care coordination and record-keeping that would determine advanced care planning. So, the question here would be, how would nurses identify and keep records of these people? They would recognize it by developing a conversation between individuals and those who are close to them (Dhawan & Memon 2020). The same way would make it possible for nurses to get useful information worth recording. Through the discussion, individuals may be tempted or share their wishes about end-of-life care. It is an excellent approach that would help nurses act as they wish because they would have shared what they wish to happen to them at that time of critical care. It is the best way to act because it demonstrates how the end-of-life care of a person would look. Nurses at this juncture need to know when to keep records professionally. They also have a role that can help victims or patients make their end-of-life care choices as the need arises.

Nurses' principles are another thing that would help in managing advanced care planning. Principles like ethical and legal integrity, accountability, and responsibility would determine the nature of advanced care planning. Nurses who use such an approach or principles would note potential conflict within the family regarding the management of important issues like nutrition to help the victim.

Communication at the need of the hour is essential to determine, support, or establish a patient's wishes. It is difficult to talk about death, and people find it not interesting. But the case is different in the case where patients are nearing their end. It will call for proper communication to make or manage their preferences, which is part of the advanced care planning. Nurses at this juncture should learn when to communicate with patients who are about to die. It is at this point that nurses would determine patients' personal choices about end-of-life care as what they communicate is what they expect.

The same thing may happen to those patients with the anticipated condition, and nurses should learn every step that accounts for advance care planning. It mostly happens to patients who experience chronic diseases because they push them to a near-death experience. It is called anticipatory care planning which is part of advanced care planning. In anticipatory care planning, there are other roles or ways that nurses may learn to enhance or develop advanced care planning that would help prevent unnecessary admissions. Different types of care determine anticipatory care planning under advanced care planning. So, these concepts that learn the nature of anticipatory care planning are potentially curative, supportive and palliative care, and bereavement care, before and after.

Conclusion

In conclusion, advanced care planning is a fundamental approach that nurses need to develop. It is achieved through various skills and factors like communication, cultural and spiritual considerations, and staff roles and responsibilities. They have roles that determine the nature of advanced care planning. Some of these roles that determine the kind of care are treating people with compassion, identifying communication needs, and being involved in the decision-making process to make the right move.

References

Bosisio, F., & Barazzetti, G. (2020). Advanced care planning: Promoting autonomy in caring for people with dementia. The American Journal of Bioethics, 20(8), 93-95. https://www.tandfonline.com/doi/abs/10.1080/15265161.2020.1781958?journalCode=uajb20

Bowman, M. A., Neale, A. V., & Seehusen, D. A. (2019). New Research on Back Pain, Diet, and Diabetes, Advanced Care Planning, and Other Issues Frequently Seen in Family Medicine. https://www.jabfm.org/content/32/6/759.abstract

Dhawan, N., & Memon, N. (2020). Assessing Resident Confidence and Enhancing Advanced Care Planning in an Outpatient Resident Clinic (GP722). Journal of Pain and Symptom Management, 60(1), 258. https://www.jpsmjournal.com/article/S0885-3924(20)30364-X/pdf

Shi, Z. Y., Li, X. L., Tang, M. Y., & Peng, Y. Y. (2020). Investigation and Analysis of Undergraduate Nursing Students’ Attitudes Toward Advanced Care Planning and Their Willingness to Implement. American Journal of Hospice and Palliative Medicine®, 1049909120902123. https://journals.sagepub.com/doi/abs/10.1177/1049909120902123

Urman, R. D., Gross, C. S., Sadovnikoff, N., & Bader, A. M. (2019). Improving Preoperative Completion of Advanced Care Planning Documents in Patients With Expected Postoperative Intensive Care Unit Stay. A&A Practice, 12(12), 455-458. https://cdn.journals.lww.com/aacr/Fulltext/2019/06150/Improving_Preoperative_Completion_of_Advanced_Care.12.aspx