I need response for the following peers peer 1 yed Practice Effective pain and symptom management is an important part of patients with life-threatening diseases and their families. Reducing pain and other symptoms does not only provide relief to suffering patients but will also eases the grief that families will face after the patient’s death (Sun et al., 2015). Nurses play a huge role in reversing the treatment of pain and other associated symptoms and should therefore possess basic competencies in the management of symptoms. To achieve quality outcomes, nurses need to use patients and family fears together with the knowledge and skills regarding symptom management using pharmacological, nonpharmacological, and integrative therapies (Paice et al., 2018). Education Nurses need to learn about the seriously ill , other vulnerable populations and the required prioritization. According to the American Nurses Association (2017), Content about palliative care should be included in any curricula including the academic and development settings. Nurses also need to utilize palliative care learning materials as provided by nursing organizations and agencies. Research  Given that healthcare resources are limited, it is important that end of life care is evidence-based rather than solemnly based on the provider’s intuition. Chronically ill patients deserve quality, person-centered and evidenced-based care whether they are at the home, hospital, or any other facility. Evidence-based interventions help guide nurses in their choices of the most appropriate treatment plan (Black et al., 2015). Research also helps nurses highlight and be aware of the potential benefits and harms and make informed decisions based on the expected outcomes (Black et al., 2015). Administration An unhealthy work environment can lead to medical errors, conflicts and stress among healthcare teams, and ineffective care delivery (AACN, 2016). Due to these reasons, healthcare providers need to promote a healthcare environment that will benefit both the patient and the family. The goal is to provide quality care and leave the patient and family members fully satisfied. peer 2 lin End of life care constitutes several aspects, including pain and symptoms management, ethical decision-making, and cultural sensitivity.  Advanced practice registered nurses as the superiors in clinical practice and care delivery at the system level. Nevertheless, challenges are emerging in palliative care clinicians' current surroundings necessitating the advanced training of registered nurses to provide care for every patient and their families. Practice - Identity, assess, and treat psychosocial and spiritual issues conceded with palliative care.   APRN nurses strive to improve their primary standards of palliative care. Thus, compelling them to seek palliative care knowledge for an overall improvement in providing care for a patient and people close to them (Hoerger et al., 2018). In thei.

1. I need response for the following peers
peer 1 yed
Practice
Effective pain and symptom management is an important part of
patients with life-threatening diseases and their
families. Reducing pain and other symptoms does not only
provide relief to suffering patients but will also eases the grief
that families will face after the patient’s death (Sun et al.,
2015). Nurses play a huge role in reversing the treatment of
pain and other associated symptoms and should therefore
possess basic competencies in the management of symptoms. To
achieve quality outcomes, nurses need to use patients and
family fears together with the knowledge and skills regarding
symptom management using pharmacological,
nonpharmacological, and integrative therapies (Paice et al.,
2018).
Education
Nurses need to learn about the seriously ill , other vulnerable
populations and the required prioritization. According to the
American Nurses Association (2017), Content about palliative
care should be included in any curricula including the academic
and development settings. Nurses also need to utilize palliative
care learning materials as provided by nursing organizations
and agencies.
Research
Given that healthcare resources are limited, it is important that

2. end of life care is evidence-based rather than solemnly based on
the provider’s intuition. Chronically ill patients deserve quality,
person-centered and evidenced-based care whether they are at
the home, hospital, or any other facility. Evidence-based
interventions help guide nurses in their choices of the most
appropriate treatment plan (Black et al., 2015). Research also
helps nurses highlight and be aware of the potential benefits and
harms and make informed decisions based on the expected
outcomes (Black et al., 2015).
Administration
An unhealthy work environment can lead to medical errors,
conflicts and stress among healthcare teams, and ineffective
care delivery (AACN, 2016). Due to these reasons, healthcare
providers need to promote a healthcare environment that will
benefit both the patient and the family. The goal is to provide
quality care and leave the patient and family members fully
satisfied.
peer 2 lin
End of life care constitutes several aspects, including pain and
symptoms management, ethical decision-making, and cultural
sensitivity. Advanced practice registered nurses as the
superiors in clinical practice and care delivery at the system
level. Nevertheless, challenges are emerging in palliative care
clinicians' current surroundings necessitating the advanced
training of registered nurses to provide care for every patient
and their families.
Practice
- Identity, assess, and treat psychosocial and spiritual issues

3. conceded with palliative care.
APRN nurses strive to improve their primary standards of
palliative care. Thus, compelling them to seek palliative care
knowledge for an overall improvement in providing care for a
patient and people close to them (Hoerger et al., 2018). In their
practices, especially among dying patients, they designate
specific care and preferences. Such consideration would
improve their technique and recognition of conditional changes
and compassion and support to the patients and those important
to them.
Education
- Advances knowledge about palliative
care.
Availability of End-of-Life Nursing Education Consortium
(ELNEC) improves palliative care by offering new directions
and improving the preceding techniques. According to Dahlin
and Coyne (2018), ELNEC advances knowledge about end of
life care among nurses through various projects, including train-
the-trainer course, professional development seminars and
conferences, and hosting a regional training session to help
nurses from both rural and underserved communities to improve
their innovative ways in caring for dying patients.
Research
- Asses the bonding of patient, family satisfaction, and their
utility of health care resources for palliative care
choices.
According to Weave et al. (2019), improving nursing care for
dying patients extend to research constituting investigation and
evidence-based recommendations. Therefore, the research
assesses and reassesses challenges conceded with palliative

4. choices, the objectives, and disseminating standards for
palliative care (Ferrell et al., 2018). Hence, it offers credible
information for improving comfort and quality of life among
palliative patients.
Administration
- Support palliative care.
Precisely, the administration supports the development and
incorporation of palliative care for patients and families by
coordinating tools, equipment, and medical staff to ensure
smooth running during palliative care. Tertiary-level healthcare
providers are obliged to provide inpatient services, including
radiotherapy and other treatment care, for people with
intractable complications and suffering. However, the role of
the family is critical in palliative care. Medical staff aceturate
that the patient and their families understand the essence and
prognosis and the medication prescribed. The support of health
workers and the family member contribute the effective
collective decision-making (Ferrell et al., 2018)
THE ORIGINAL ASSIGMENT WAS THE FOLLOWING:
End of Life
End-of-Life Care (including advanced directives, palliation)
Topics to review: Article: Nurses roles and responsibilities
Providing care and support at end of
life. https://www.nursingworld.org/~4af078/globalassets/docs/a
na/ethics /endoflife-positionstatement.pdf
Choose 1 focal point from each subcategory of practice,
education, research and administration and describe how the

5. APRN can provide effective care in end of life management
Using the American nurses association position statement,
recommendations for improvement in end of life management
focuses on practice, education, research and administration.
Listed below are steps that nurses can take to overcome barriers
in healthcare practice.
Practice
1. Strive to attain a standard of primary palliative care so that
all health care providers have basic knowledge of palliative
nursing to improve the care of patients and families.
2. All nurses will have basic skills in recognizing and managing
symptoms, including pain, dyspnea, nausea, constipation, and
others.
3. Nurses will be comfortable having discussions about death,
and will collaborate with the care teams to ensure that patients
and families have current and accurate information about the
possibility or probability of a patient’s impending death.
4. Encourage patient and family participation in health care
decision-making, including the use of advance directives in
which both patient preferences and surrogates are identified.
Education
1. Those who practice in secondary or tertiary palliative care
will have specialist education and certification.
2. Institutions and schools of nursing will integrate precepts of
primary palliative care into curricula.
3. Basic and specialist End-of-Life Nursing Education

6. Consortium (ELNEC) resources will be available.
4. Advocate for additional education in academic programs and
work settings related to palliative care, including symptom
management, supported decision-making, and end-of-life care,
focusing on patients and families.
Research
1. Increase the integration of evidence-based care across the
dimensions of end-of-life care.
2. Develop best practices for quality care across the dimensions
of end-of-life care, including the physical, psychological,
spiritual, and interpersonal.
3. Support the use of evidence-based and ethical care, and
support decision-making for care at the end of life.
4. Develop best practices to measure the quality and
effectiveness of the counseling and interdisciplinary care
patients and families receive regarding end-of-life decision-
making and treatments.
5. Support research that examines the relationship of patient and
family satisfaction and their utilization of health care resources
in end-of-life care choices.
Administration
1. Promote work environments in which the standards for
excellent care extend through the patient’s death and into post-
death care for families.
2. Encourage facilities and institutions to support the clinical
competence and professional development that will help nurses

7. provide excellent, dignified, and compassionate end-of-life
care.
3. Work toward a standard of palliative care available to
patients and families from the time of diagnosis of a serious
illness or an injury.
4. Support the development and integration of palliative care
services for all in- and outpatients and their families.