End of life defines as a final

End of life defines as a final phase of a patient’s illness when death is imminent. Majorities of the elderly do not die in their homes and die in nursing home or assisted living since not all insurance cover hospice and palliative care, and frankly, not many people know about advance care planning (Miller, 2017). Many issues determine the place of death comprising the care to be given, the readiness and affordability of the cost involved with families. Dying at home is taken by many as being far better as compared to a hospital due to peace and grief. However, with no advance directive in place, families and/or healthcare providers are forced to make difficult healthcare decisions, potentially adding stress and to the point where patients are not able to die in their homes (Miller, 2017). In case of end-of-life care, providing psychological support, respecting and fulfilling the patient’s desire is important. As a health care professional, a nurse must be must show genuine care and compassion to provide the maximum comfort to the people receiving end-of-life care, even if it’s as simple as being available for the patient and their family (Green, 2018). Advocacy and autonomy are important concepts in palliative and hospice care as it facilitates ethical decision making, symptom management plan, and overall maintains the dignity of the patient in their final days. One way to promote autonomy is by providing education and encouraging to complete advance healthcare directives to help patients and families make informed decisions about the end of life (Miller, 2017). A health care proxy can also be established in the directive in which a person is legally designated to make health care decisions for the patient when they are unable to do so. This person can also advocate for the patient by being their voice and making sure their wishes are carried out. Having advance directives ensures that patients get the kind of care they wish for, eliminates the potential of conflicts, and improves a patient’s end-of-life experience (Miller, 2017). Therefore, it is the nurses’ responsibility to encourage the patient to complete advance directives. please reply to this DQ with 2 recent references less than 5-year-old SCIENCE HEALTH SCIENCE NURSING NRS 434V

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