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.