a. These are the instructions that the person responded to below-
b. Discuss the laws in your state related to the nurse practitioner’s (NP) role and
responsibility in creating and signing advanced directives (ADs). Indicate if the NP
can independently complete AD documents or a physician is required to sign or
cosign the documents.
c. Consider clients you’ve encountered in practicum (or in your practice as a
registered nurse). Identify at least ONE client who may have benefited from a
referral to hospice or palliative care. Indicate why this client would have benefited
from these services. Describe how as an NP you might approach the conversation
with the client.
d. Discuss at least TWO recommendations you have for improving palliative and
hospice care access to vulnerable and underserved populations in your
community.
Read this. This is what you are to respond to- The laws of California allow NPs to
discuss clients’ choices concerning treatment and explain the possibilities of end-
of-life care. According to Kandrack et al. (2021), they should document these
decisions in ADs. A collaborative agreement or standing procedure with a
collaborating or supervising physician is crucial. It guides NPs when developing and
signing ADs unless they are utilizing full practice authority as stated under the
California Nurse Practitioner Act starting January 1, 2023. While on my practicum, I
came across a 72 years old client diagnosed with metastatic lung cancer and had
been admitted severally due to extreme pain and respiratory failure.
As an NP, I would explain the situation gently and. I would comfort the client to
aSirm that they are heard and understood during such a conversation. According to
Cai and Lalani (2022), barriers such as transportation issues, lack of local
healthcare facilities, financial limitations, and community awareness hinder
palliative care. Culturally appropriate education can challenge misconceptions and
present knowledge on the utility of those services for the management of symptoms
and quality of life. The use of mobile palliative care units or telehealth services
would bring services directly to clients’ homes. These recommendations serve to
minimize barriers in delivery of services and guarantee that vulnerable and
disadvantaged populations have access to timely and adequate treatment
irrespective of the location and their income.
Instructions- Engage by oSering new insights, applications, perspectives,
information, or implications for practice. Communicate using respectful, collegial
language and terminology appropriate to advanced nursing practice. Communicate
with minimal errors in English grammar, spelling, syntax, and punctuation. 2 APA
references using a scholarly article within 5 years. Please write on an advance
college level.
