To what extent does the family involve in making decision to initiate end of life care

This research aims to analyze the extent of family involvement in decision making for initiating end of life care. It focuses on the concept of palliative care and factors affecting decision making for different treatments.

To what extent does the family involve in
making decision to initiate end of life care

Contents
2. INTRODUCTION.......................................................................................................................1
2.1 Background............................................................................................................................1
2.2 Rational..................................................................................................................................2
2.3 Aim and Objectives...............................................................................................................2
3. Methodology................................................................................................................................3

2. INTRODUCTION
There are different types of health related issues that are faced by people. In this context,
it is important to make sure that proper services and delivered from the side of health and social
care so that patients are able to overcome the problems in effective manner. Further, there are
cases in which family members get involved for making decisions for patients when they are not
able to take their own decision. There are conditions in which decision are made in behalf of
patients when they are not in condition of taking up appropriate decisions. Present research is
focused on determining the extent to which involvement of family members in decision making
to initiate end of life care. Further, it is also determine to be palliative care in which it is a type of
specialized medical care that is provides to people who are in serious illness. This is provided so
that relief from the symptoms and stress of serious illness. There are professionals who
understand the requirement or the type of issue that are faced by them and appropriate steps are
taken so that the rate of health related problem can be solved in effective manner.
2.1 Background
Palliative care is generally provided to people who are elderly but there are also young
people who are provided with this type of care. However, it requires to have proper
understanding of the health related issues that are faced by each of the patients and appropriate
steps are taken in which it includes appropriate plan that help to overcome or reduce the rate of
problem. Nurses are closely engaged in end-of-life care procedures and in majority of situations
they play a significant part in shaping these processes. Nurses are the Health professionals who
speak with patients and gathered all the issues faced by them. Further, they are considered to be
the most consistent at homes or in hospitals. Nurses often get requests from people for allowing
them to die or who wish to obtain advice on ways to end their suffering. Nurses are often
witnesses of life-prolonging treatments that seem to be intrinsically unwarranted, but are
struggling with their inability to change anything and often feel that their opinions are overheard
in majority of discussions over such type of situations. Nurses are considered to be substitutes as
they understand the requirement of patients and have to act in such a way that they will be able
to overcome their health-related issues. Further, there are conditions in which no family
members are there to support and in such situation, it is the responsibility of nurses to play the
part of family member as well.
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In palliative care, there are a team of professionals involved who work together so that
the health related issue can be solved. However, it is important to make sure that there are
appropriate communication that take place with each other so that all have effective coordination
with each other and proper steps are formed with the help of which the problem can be solved.
Further, there are partnership that is required with family members so that all the proper
understanding for the type of care that has to be delivered. There are conditions in which during
the time of end of life, family members and even the patients have their own preference and
needs. In such condition, it is the responsibility of nurses to make sure that they take up
appropriate steps so that the rate of problems that are faced by them can be solved and all their
requirements are satisfied.
2.2 Rational
Main rational of the study is to develop in depth understanding at the time when the
patient is near to their death. As this is the stage when there are different type of requirements
and need that are conveyed from the side of family members and patients. This research also
focus on reflecting on the part that families play in eliminating life care systems. It is important
that all the views that are provided from the side by families should be considered properly so
that they may not develop negative perception with the mind for the services delivered. Apart
from this, process should take into consideration of viewpoints of the person who cares and takes
care of the affected. All the decision that is taken by the professional should be consideration
with the requirement of the family members.
2.3 Aim and Objectives
In order to carry out the research in effective manner, the research topic is divided in to
aim and objectives. This is helpful enough to carry out the research in effective manner. In this
context, below given are the aim and objectives:
Aim: To analyze the extent of decision making by family member during end of life: A Study on
NHS(palliative care)
Objectives:
 To understand the concept of palliative care.
 To determine the factors should be considered in decision making for patient for end of
life.
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 To identify the factors that affect decision making and its process for different treatment
suggested.
Research questions:
 What is the concept of palliative care?
 What are the factors should be considered in decision making for patient for end of life?
 What are the factors that affect decision making and its process for different treatment
suggested?
3. Methodology
This is determine to be important part for carrying the research in effective manner. it is
important to follow the techniques, methods and approaches so that step by steps analysis can be
made in effective manner. This part of research enables researcher to present the data and proper
and in presentable manner. This help to make proper evaluation of information and to make
others understand about the information in a systematic manner. Below given are the research
methodologies that are covered in order to carry out the research effectively and efficiently:
Research philosophy: This is determine to be effective for that helps to develop in depth
understanding for the research topic that are selected by the investigator.
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