Essay about Nursing Care 2022

Running Head: NURSING CARE
NURSING CARE
Name of the Student
Name of the University
Author Note

NURSING CARE1
Introduction
Advance care planning (ACP) is stated as having a person-centered approach, for the
ongoing process of communication that facilitate the patients' reflection, understanding,
values and discussion of goals, preferences for the future care (Lund, Richardson & May,
2015). There is enough evidence which shows that ACP helps in having an increased
compliance with the end-of-life choices of patients and that improves the quality of care at
the end of life. This essay is going to discuss about the different perspectives of the advanced
form of care planning for palliative care. The palliative care reduces the distressing
symptoms in the terminal phases of illness, and also to improve the quality of the remaining
life. Therefore, effective communication is thus, the key to the ethical palliative care. The
essay thus, provides a direction for the proper handling of the patients in the advanced care
planning along with inclusion of the proper ethical dilemmas. The essay will also provide the
details about the palliative care planning along with discussion for the two most frequently
occurring errors in the care plan (Rietjens et al., 2013).
Discussion
Advance care planning is very important for the people who are old and chronically
ill. The individual who is undergoing the ACP can record their wishes by the help of the
healthcare personnel. An Advance Care Directive for an individual who is in palliative care
should have the preferences for the management of pain, cultural support, personal care and
emotional support. ACP is the right of every individual is an important discussion for the
healthcare personnel that involves values-directed discussion with the patients, other health
professionals, and their family or agent (Robinson et al., 2013). The patients are happy and
expect that the doctors will initiate the conversation about the ACP. However, there can be
instances where the conversations are being performed by the other professionals. Advance
care planning demands that the patients are given correct information regarding their disease

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and the options for the health care treatment and prognosis; the chance to talk about their
demands with their clinicians as well as with their chosen decision-makers; and that their
demands are properly documented, updated at regular intervals, and can be obtained when
required. The Advance care planning or ACP should start at an early stage in a patient's
illness, and should be a part of the routine clinical care. However in certain cases an
individual who is completely healthy want to do the ACP. The health system processes are
very critical for the effective advance care planning, and the changes in the healthcare system
are likely to be required for the advance care planning in order to be an integral part of the
routine clinical care (Rietjens et al., 2013).
The practices that can be used as a standard for the development of a proper advanced
care planning includes having a patient centered approach that is helpful for the reflection of
the personal views and choices of the individual and that choices should be respected at all
the time throughout the course of the treatment. The ACP should also respect the autonomy
of the individual who is being treated under the palliative care plan. The autonomy can be
practised in a number of ways as per the culture, background, spiritual belief and religious
belief of the person (Piers et al., 2013). If the person does not have the ability to make
decision regarding the treatment then the directive can be applied to check whether the person
has agreed or refused to the treatment. The best treatment plan should consider the adults
competent enough so that he or she can complete the entire the entire treatment plan. The
health decision that are being outlined in the advanced care directive might be wider than the
medical treatment and might involve the preferences that are related to the quality of life,
unavoidable situations, and concern about the future. The decisions that are planned or made
in the advanced care planning can also be related to the future time period for medical care
and not just at the time of end-of life care. This way the person can also participate at the
decisions making process during the time of any healthcare emergency (Lund, Richardson &