E. L. is an 88-year-old widow who has advanced dementia. She is a retired secretary and is cared for in the home of her divorced daughter, who is her power of attorney for health affairs. E. L. requires assistance with all activities of daily living. She spends most of the day sitting in her orthopedic recliner (she has had bilateral hip replacements) or lying in bed. She does not speak or acknowledge the presence of others. Recently, E. L. has stopped eating all meals except for small banana slices. She resists a spoon when it is brought to her mouth, and she pockets food in her cheeks without swallowing. E. L. was admitted to the hospital several months ago for influenza and bilateral pneumonia. She was treated in the intensive care unit for three days and then sent home. The possibility of a feeding tube insertion was discussed during her hospitalization. E. L.’s daughter is seeking guidance on artificial nutrition and hydration.
Use the assigned readings to guide you in the development of five discussion points
Discussions points should reflect best practices that you will include as you speak with E. L.’s daughter regarding her mother’s end-of-life care.
Cite your references in proper APA Style.
End-of-life care is an essential aspect of healthcare that requires careful consideration and thoughtful decision-making. Patients with advanced dementia like E. L. require unique care that takes into account their specific needs and preferences. The purpose of this paper is to provide guidance on artificial nutrition and hydration for E. L.’s daughter, who is seeking advice on her mother's end-of-life care. The paper will present five discussion points that reflect best practices in end-of-life care, guided by relevant literature.
Goals of care and treatment options: The first discussion point is to clarify E. L.’s goals of care and treatment options.
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