End of Life Decisions Involving Patients and Their Families

The purpose of this study is to inform patients and others that it is possible to make a terminal decision in advance without requiring a terminal diagnosis. Palliative care is a process created to prevent patients from suffering at the end of their life. This is an evidence-based nursing research using a qualitative research approach. The clinical scenario is based on authors and researchers working on palliative care wards. In this department, there are many opportunities to discuss the decision to die with patients and their families.

Hospice determination is a process that health care providers, patients, and families of patients experience in a treatment process that is used or not used to treat life-threatening diseases. There are several forms of such a decision. First, the pre-directive (ie, willingness to live and / or permanent power of attorney) provides the patient with an opportunity to express his preference in writing before the onset of serious disease. Support trial 3 and related studies [9], [10] show that prior medical guidance has little effect on the actual care the patient receives at the terminal stage.

Patients often do not discuss doctors, caregivers, and families about end-of-life preferences. This sometimes leads to decisions made at the end of life that is not a dreaming treatment preference. Hospice care is a philosophy that allows nature to follow its own path and focus on the best quality of life up to the end of life. The goal is to provide patients with physical, emotional and spiritual comfort, and to help caregivers.

As with many aspects of patient care, it is also important to involve families and carers. Patients depend on loved ones when anxiety and health conditions are bad. Participating families in the decision-making process of care is an important strategy to support patient care and promote positive experiences. A group from a patient-centered primary care cooperative said: "If patients and their families become partners in their care planning and decisions, health outcomes will be better, patient experience and satisfaction will improve, And costs are often reduced. " The expert said. Nursing research institute centered on patient and family and planet

Patients and their families have participated in their care and are participating more and more. The results of several studies indicate that patients participating in their care decisions and management have better results than people not involved 126,127. Self-management, especially self-management of chronic illnesses has been shown to be associated with improved quality of life and health, reduced use of services, 130, improvement in physical activity 131, 132 The same was developed by Wagner et al. It is emphasized by the chronic care model 133-135. We will positively attract patients and make them recognize the importance of significant improvement of care. The patient center is recognized as an increasingly important career development 124 and offers great hope for improving medical quality and safety.