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Advanced Directives
Laws related to the nurse practitioner's (NP) role and responsibility in creating and signing advance directives (ADs) in Florida are based on who initiated the procedures and what care is required for the patient. In Florida, NPs are allowed to sign advance directives as long as they are the ones who initiated the patient's care and provided the appropriate medical care. However, if a physician originally saw the patient, the physician would need to be present to sign the document (Nettles, 2022). furthermore, if the NP is providing medical care and the patient's condition changes or is complicated or complex. The NP may need to consult with the patient's physician before signing the document.
I encountered a client in my practicum who may have benefited from a referral to hospice or palliative care. This client was an older woman in her late sixties diagnosed with end-stage cancer. She had a history of multiple hospital admissions for pain control and aggressive symptom management. Despite many treatments and interventions, her condition was not improving, and it was clear that she was getting progressively weaker and closer to the end of her life. In this situation, the patient and her family would have greatly benefited from a referral to hospice or palliative care. As an NP, I would approach this conversation with the client compassionately and thoroughly. I would provide education and information about the advantages of receiving hospice and palliative care and emphasize the importance of providing the best quality of life and living according to the patient's wishes (Montagnini et al., 2020). Communication is key in this situation, and I would work to ensure that the patient and her family are comfortable and understand the potential benefits of hospice or palliative care……….. Continue
Instituition / Term | |
Term | Uploaded 2023 |
Institution | Chamberlain |
Contributor | Maylin |