End-of-life care becomes an issue at some point for elderly clients. Even with the emergence of palliative care programs and hospice programs, most elderly people do not die in their own home as is their preference. What are the reasons for this trend? Discuss what you can do as a nurse to support your clients regarding end-of-life care in accordance with their wishes. Support your response with evidence-based literature. 500 words, 5 APA reference, NO PLAGIARISM. Purchase the answer to view it

End-of-life care is an essential aspect of healthcare, particularly for elderly clients, who often face complex medical conditions and increased vulnerability. While palliative care and hospice programs have emerged to provide comprehensive support during this stage of life, a significant proportion of elderly individuals do not have the opportunity to die in their preferred setting, such as their own home. This essay aims to explore the reasons behind this trend and discuss the role of nurses in supporting clients regarding their end-of-life care wishes, drawing upon evidence-based literature.

One key reason for elderly clients not being able to die at home is inadequate access to appropriate resources and services. In many cases, healthcare settings, such as hospitals and long-term care facilities, lack the necessary infrastructure to provide comprehensive end-of-life care to patients, leading to a default option of hospital deaths (Tolson, 2018). A study conducted by Aslakson et al. (2014) highlighted the importance of enhanced access to palliative care services for elderly individuals. The authors found that patients who received such care experienced reduced hospitalizations and were more likely to die in their preferred setting, indicating the significance of ensuring adequate access to appropriate services.

Another factor contributing to the trend of elderly individuals not dying at home is the lack of accurate communication and coordination among healthcare providers, patients, and their families. This issue is particularly common in cases where patients have not explicitly expressed their end-of-life care preferences, commonly known as advance care planning (ACP). A study by Sudore et al. (2008) demonstrated that patients who engaged in ACP were more likely to have their end-of-life care wishes respected compared to those who did not. Therefore, educating patients about the importance of ACP and facilitating appropriate communication among all stakeholders is crucial in supporting clients regarding their end-of-life care choices.

Furthermore, social and cultural factors influence end-of-life care preferences and contribute to the trend of elderly clients not being able to die at home. In many cultures, the idea of dying at home is deeply rooted in personal values and beliefs. However, societal changes, increased urbanization, and changes in family dynamics have led to a decline in the availability of familial caregivers, making it challenging for elderly individuals to remain at home during their final stage of life (Gomes & Higginson, 2006). The complexities of providing adequate care at home, such as managing symptoms, ensuring appropriate medical equipment, and obtaining necessary medication, further exacerbate this issue.

As nurses, there are several ways to support clients regarding their end-of-life care preferences. First and foremost, it is essential to prioritize open and honest communication with patients and their families. This includes discussing patients’ values, beliefs, and goals of care to ensure that their end-of-life preferences are understood and respected (Tolson, 2018). Furthermore, nurses can facilitate the process of advance care planning by providing information and resources to patients and encouraging them to discuss their preferences with their loved ones and healthcare providers (Sudore et al., 2008). This can help to ensure that patients’ wishes regarding their end-of-life care are documented and honored.

Additionally, nurses play a pivotal role in advocating for their patients and ensuring that their end-of-life care preferences are prioritized within the healthcare system. This involves collaborating with interdisciplinary teams to facilitate appropriate referrals to palliative care and hospice services, as well as advocating for policies and resources that support end-of-life care in various settings, including the home (Tolson, 2018). By actively engaging in research and staying up-to-date with evidence-based practices in end-of-life care, nurses can enhance their knowledge and provide high-quality care tailored to their clients’ preferences and needs.

In conclusion, the trend of elderly clients not being able to die in their preferred setting, such as their own home, is influenced by various factors, including inadequate access to appropriate resources, lack of accurate communication and coordination, and social and cultural factors. Nurses can support their clients regarding end-of-life care by facilitating open and honest communication, promoting advance care planning, and advocating for their patients within the healthcare system. By prioritizing evidence-based practice and engaging in ongoing education, nurses can play a crucial role in improving the end-of-life care experience for elderly clients.