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E. L. is an 88-year-old widow who has advanced dementia. She is a retired secretary and is cared for in the home of her divorced daughter, who is her power of attorney for health affairs. E. L. requires assistance with all activities of daily living. She spends most of the day sitting in her orthopedic recliner (she has had bilateral hip replacements) or lying in bed. She does not speak or acknowledge the presence of others. Recently, E. L. has stopped eating all meals except for small banana slices. She resists a spoon when it is brought to her mouth, and she pockets food in her cheeks without swallowing. E. L. was admitted to the hospital several months ago for influenza and bilateral pneumonia. She was treated in the intensive care unit for three days and then sent home. The possibility of a feeding tube insertion was discussed during her hospitalization. E. L.’s daughter is seeking guidance on artificial nutrition and hydration.
Use the assigned readings to guide you in the development of five discussion points
Discussions points should reflect best practices that you will include as you speak with E. L.’s daughter regarding her mother’s end-of-life care.
Cite your references in proper APA Style.
Review the rubric for more information on how your assignment will be graded.
Submit as an attachment to the assignment area.
American Association of Colleges of Nursing. (2017). CARES: Competencies and recommendations for educating undergraduate nursing students. Preparing nurses to care for the seriously ill and their families. http://www.aacnnursing.org/Portals/42/ELNEC/PDF/New-Palliative-Care-Competencies.pdf?ver=2017-07-27-151036-973 (Links to an external site.)CPH and Associates. (2015). Who can give informed consent and what is the nurse’s role in obtaining consent for treatment? https://www.cphins.com/who-can-give-informed-consent-and-what-is-the-nurses-role-in-obtaining-consent-for-treatment/ (Links to an external site.)Fitch, M. I., Fliedner, M. C., & O’Connor, M. (2015). Nursing perspectives on palliative care 2015. Annals of Palliative Medicine, 4(3). http://apm.amegroups.com/article/view/7034/7817 (Links to an external site.)Hackethal, V. (2015). End-of-life care: 40 years of incremental progress. Medscape. https://www.medscape.com/viewarticle/839629#vp_1 (Links to an external site.)Hebert, K., Moore, H., & Rooney, J. (2011). The nurse advocate in end-of-life care. Ochsner Journal, 11(4), 325–329. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3241064/ (Links to an external site.)Miller, B.J.(2015). What really matters at the end of life [Video File]. https://www.ted.com/talks/bj_miller_what_really_matters_at_the_end_of_life?utm_source=tedcomshare&utm_medium=referral&utm_campaign=tedspread (Links to an external site.)Reichlin, M. (2014). On the ethics of withholding and withdrawing medical treatment. Multidisciplinary Respiratory Medicine, 9, 39. https://doi.org/10.1186/2049-6958-9-39
NURS_498L – Knowledge Assignment Rubric
This criterion is linked to a Learning OutcomeContent
4 ptsHighly Proficient
Content is clearly written, thorough, and organized effectively. The paper includes all criteria required in assignment.
3.4 ptsMostly Meeting Expectations
Content is mostly clear, thorough, and organized effectively. Some points are well supported. The paper includes all criteria required in assignment.
Content is somewhat clear, but may not be thorough, or organized ineffectively. Main points may not be well supported. Includes all criteria required in assignment.
Content is generally unclear, not thorough, and organized ineffectively. Main points are not well supported. The paper does not include all criteria required in assignment.
Content is disconnected and unorganized. The paper does not include any criteria required in assignment.
This criterion is linked to a Learning OutcomeClarity and Coherence
1 ptsHighly Proficient
Sentences are well constructed throughout the paper with no oversights, omissions, or inaccuracies. Writing flows smoothly from one idea to another. Transitions are seamless and link the writer’s points consistently. The assignment is written without spelling or grammatical errors.
0.85 ptsMostly Meeting Expectations
Sentences are structured to communicate ideas clearly with one or two oversights, omissions, or inaccuracies. Writing flows from one idea to another with one or two exceptions. Transitions between paragraphs make the writer’s points easy to follow. The paper contains one to two spelling or grammatical errors.
Sentence structure and the writing is not clear and may distract the reader, with three to five oversights, omissions, or inaccuracies. Writing flows from one idea to another with one or two exceptions. Transitions between paragraphs may not link the writer’s points. The paper contains three to four spelling or grammatical errors.
Sentence structure and writing is not clear and distracts the reader with more than five oversights, omissions, or inaccuracies. Transitions are limited and do not link the writer’s points. The paper contains five to six spelling or grammatical errors.
The paper contains poor sentence structure, and sentences do not make sense. The paper lacks clarity. There are no transitions, which makes ideas difficult to follow or understand. The paper contains more than six spelling or grammatical errors.
Total Points: 5