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Reflection on end of life care
Chapter 38 end-of-life care
Conclusion of end of life care
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I spoke with the patient 's wife via phone, The wife states that she needs additional assistance for the patient. She states that she is aware that the patient 's health is declining and that she wants him to be comfortable at home. I discussed hospice services with the patient and the wife. The wife states that she would like hospice to evaluate the patient, the patient also agree for hospice to evaluate. Case reviewed with the patient 's nurse, the charge nurse, case management and hospice.
A thirteen-year-old girl’s worries typically consist of having to decide on what movie to see or keeping up with the latest trend, certainly not worrying about the health of her little brother. I had never imagined that my life could change while watching a simple game of youth football. Watching my brother’s football games on Saturday were pretty routine. In this particular game, Randy, playing as running back, took more hard hits than usual. Then, an opponent twice his size body slammed him into the ground.
I begin with a sunset, as in the poem the sunset is a metaphor for death. I have myself waking up and realizing it was dark as though I am realizing I am close to death. I refuse to accept this getting up and turning on the light. The light is turned off several times and I have to fight to keep it on and keep living. When it stays on l look for what is turning it off I am subsequently chased down the stairs by an ambiguous being or force.
This video produced originally in 1981 follows three terminally ill patients during the end of their life, being cared for by family, at home. It is also the intimate portrayal of the family’s response to the fear, anger, and the overwhelming responsibility of caring for a loved one at home. I found this film powerful because I had a similar experience in my own life. My father cared for my mother at home for the last two months of her life. I remember the wide range of emotions in a manner that allowed me to process and understand the complexity of this kind of intimacy during death.
My fourth day at Agape hospice I was the administrative of the day. When I was asked to be the administrative of the day I was nervous again. I was nervous because I was in charge of the office in the front. By being in charge of the front,I had the opportunity to work at the front desk by answer phone calls, and help assist the staffs. I was afraid of things going wrong and thing did went wrong.
Through serving others, I have come to realize that every person, regardless of one’s cultural background, has something to offer to the community. As an immigrant, I was quite hesitant about accepting new challenges. The fear of others’ judgment regarding my performance hindered my progress. However, through serving others in various capacities, I was able to interact and help people in my community, who themselves helped me overcome my fears. Whether helping patients at St. John Providence or assisting refugees at the American Red Cross, I was amazed as to how much my presence made a difference, especially for those who needed me to interpret for them.
Making end of life decisions concerning treatment is never easy for the family of the dying patient. When educating loved one about the end of life care and treatment the healthcare provider must considered the cultural and spiritual prospective of the family. Futile treatment is describe by the author as “treatment which provides no chance of meaningful prolongation of survival or may only briefly delay the inevitable death of the patient”. The health care providers at time are stigmatized by the family members are even seen as a doctors who doesn’t care when face. When my sister in-law went into the ICU and her oncologist told the family not to considered any form of life supporting method, they were very reluctant ,and would like her to
The purpose of experiencing a hospice clinical was to give me the opportunity to observe and participate in the care of my patients who are receiving hospice care in their home. My first encounter occurred in Jenks, Oklahoma at the patient’s personal home. Upon entering the house, we were greeted by his wife and one of their sons. Before we spoke with the patient we had a pre-conference in the patient’s living room with his wife. My nurse asked how the patient’s wife was doing and the wife stated that she needs more help with his care.
ID#513295 who entered the trailer to locate the body and declared time of death at 1934 hours. Roberts did not disturb the body, nor the scene. The deceased was later identified by his Florida Drivers License as William Gilley. I spoke with the property managers Mike Kenny, and Brian Fannon. Kenny advised they received a call from Gilley's boss who grew concerned when he had called out sick and then did not show up for work on 10/22/15 when he was scheduled.
My next struggle was to keep Victoria alive. She would lock herself in her room and wanted no one around her. She started drinking a lot and just was not herself. She refused to go to counseling. This continued for several months.
When a patient is at the end of life it is very important to value the patients self dignity and their decisions at the mere end of their lives. The end of life care is to relieve the weight of the patient 's shoulders physically and mentally. I approve of end of life caring. Basic end of life care is summarized by improving the care of quality of life and dignity of the ill person. The important themes to good ethics of end of life care is a combination of human rights,respect,dignified care,and privacy.
After a death or loss of something close, people usually react similarly by going through the five stages of grief. These stages include denial, anger, bargaining, depression, and acceptance. During a death of my Great Aunt, my family went through the stages of grief. I was close with her when I was younger, but I do not have many memories I remember with her so I did not experience much grief. On the other hand, my Great Uncle went through a lot of grief since she was his older sister.
It was a good thing that Sterling came and rescued me from the heavy fog of depression. I'd missed a lot of phone calls. Fourteen of them to be exact. Most of the messages were from folks from our church family. They left messages asking if I needed anything, or they were just calling to check on me.
I have struggled with thoughts and fears of death for 30 years, but I also understand and accept the fact that “dying is an escapable part of life” (Quadagno, 2014, p. 299). However, this understanding and acceptance does little to ease my fears about dying. In reality, I do not fear death or dying as a process rather my fear is what awaits me on the other side. There are two correlating components associated with this fear, first is religion, which is followed by my sexual orientation. Having grown up in a Christian and church-going family, I understood homosexuality was a sin long before even knowing I was gay.
Near death experiences are frightening. At that moment all you can think about is what you have done in your life, and what you would have liked to do differently. I don’t like imaging death, or thinking about it for that matter. One hot summer day on my way to cross country practice I got in a car accident. That is a day that I will remember forever.