End-of-Life Care Transitions and Palliative Care
Unit outcomes addressed in this Assignment:
- Identify best practice in strategies facilitating autonomy and patient self -determination in the aging population.
- Examine ethical and legal challenges related to end of life and palliative care in the aging population.
- Examine the advanced practice nurse role working in primary care in transitions across health care settings of aging patients.
Course outcome addressed in this Assignment:
MN584-05: Form a collaborative relationship with the patient, family, and other health care providers.
Case Study: Mrs. Georgia Dâ€™Angelo
Mrs. Georgia Dâ€™Angela is 76 years old. She has been married to her husband Marcus for 58 years. Marcus is 80 years old. The Dâ€™Angeloâ€™s live in a well-kept, middle class home. The Dâ€™Angeloâ€™s have three grown children: two sons and one daughter. All of the children are married and only their daughter lives close to them. The two sons each live more than 3 and a half hours away. The Dâ€™Angeloâ€™s are very close to their children and talk with the children every day. Four months ago, Mrs. Dâ€™Angelo noticed her skin was â€œyellowishâ€ in color and upon calling her primary care provider, she was told to go immediately to the emergency room for evaluation. After having a CT scan of the abdomen and laboratory studies, Mrs. Dâ€™Angelo was told she had pancreatic cancer and that she should immediately have a Whipple Procedure. This news was devastating to the Dâ€™Angeloâ€™s and their family and friends. Mrs. Dâ€™Angelo called a friend who is a nurse and asked who she might go to for a second opinion. A second opinion was obtained and the second opinion reaffirmed the diagnosis of pancreatic cancer however the recommendation was to have chemotherapy prior to the Whipple Procedure. Mrs. Dâ€™Angelo began the chemotherapy and has suffered severe issues secondary to the chemotherapy and her quality of life is greatly impacted with a huge decrease in her functional status and activities of daily living. As of today, Mrs. Dâ€™Angelo has not discussed her fear of dying with you as the primary care provider or with her family. She has an excellent attitude about â€œfighting this horrible disease.â€
Based on this case study, imagine you are the nurse practitioner providing primary care for Mrs. Dâ€™Angelo. Please prepare a 10â€“12 slide PowerPoint presentation. The title slide and reference slides are not included in the slide count. You should have 5 peer-reviewed scholarly references no more than 5 years old to support this Assignment. Please address each of the following grading criterion. Include the Grading Criterion as a subheading in your paper in APA 6th edition format.
- Discuss the advanced practice nurse role facilitating end-of-life care and advance directives for Mrs. Dâ€™Angelo.
- Compare and contrast the types of advance directives and discuss the relevance of advance directives to this case study.
- Describe how you would approach the topic/issue of advance directives with Mrs. Dâ€™Angelo.
- Identify 2 ethical principles and 2 legal challenges related to end of life and palliative care for Mrs. Dâ€™Angelo that could be an issue if advance directives are not addressed at this time.
- Describe communication strategies you will use as the nurse practitioner to effectively engage and collaborate with other members of the intra professional healthcare team and Mrs. Dâ€™Angeloâ€™s family
To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.
Before finalizing your work, you should:
- be sure to read the Assignment description carefully (as displayed above);
- consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
- utilize spelling and grammar check to minimize errors.
- Your writing Assignment should:
- follow the conventions of Standard English (correct grammar, punctuation, etc.);
- be well ordered, logical, and unified, as well as original and insightful;
- display superior content, organization, style, and mechanics; and
- use APA 6th Edition format as outlined in the APA Progression Ladder.