End-of-life care becomes an issue at some point for elderly patients

Full Answer Section

• Lack of caregiver support: Many elderly people do not have family or friends who are able to provide them with the care they need at home. This can make it difficult for them to remain at home, even if they would prefer to.
• Cultural factors: Some cultures have a strong preference for dying in a hospital or other healthcare setting. This may be due to religious beliefs or a belief that hospitals provide the best care possible.

As a nurse, there are a number of things you can do to support your patients regarding end-of-life care in accordance with their wishes:

• Educate your patients about their options: Many people are not aware of the different types of end-of-life care available to them. You can help by providing them with information about palliative care, hospice, and other options.
• Help your patients make advance care plans: Advance care plans allow people to document their wishes for end-of-life care. This can help to ensure that their wishes are respected if they become unable to make decisions for themselves.
• Be a resource for your patients and their families: Provide your patients and their families with support and guidance as they navigate the end-of-life care process. This can be a difficult time for everyone involved, and you can play a valuable role in helping them cope.
• ** advocate for your patients:** If your patients are having difficulty accessing the care they need, you can advocate on their behalf. This may involve working with insurance companies, hospitals, or other healthcare providers.

Here are some evidence-based literature that support the above-mentioned points:

• A study published in the Journal of the American Medical Association found that only 20% of Medicare beneficiaries died at home. The study also found that the percentage of people dying at home has been declining in recent years. [1]
• A study published in the Journal of Palliative Medicine found that financial constraints are a major barrier to accessing end-of-life care. The study found that people who were uninsured or had low incomes were less likely to receive hospice care. [2]
• A study published in the American Journal of Public Health found that lack of caregiver support is another major barrier to accessing end-of-life care. The study found that people who did not have family or friends to provide them with care were more likely to die in a hospital. [3]

Sample Answer

• Lack of access to palliative care and hospice services: Palliative care and hospice services are designed to provide comfort and support to patients who are facing a terminal illness. However, these services are not always available, especially in rural areas.
• Financial constraints: The cost of end-of-life care can be a barrier for many families. Nursing homes and hospitals are often more expensive than home care, and many people do not have the financial resources to pay for these services.