CNA409 Renegotiating And Reinforcing Appropriate Care


Task Description. You will need to submit a portfolio detailing your involvement with the unit’s learning objectives and professional reflections throughout the semester.

This portfolio is a compilation of work which shows that you have participated in discussions, reflections or research.

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You must include the following items in your portfolio.

Four (4) discussion forum activity entries (minimum 1 per module), that show your engagement in concepts and/or responses to students.

To assess your contribution to the module discussion, choose what you think are the most valuable entries.

These should be added as an appendices.

Reflective episode where you provided care for a patient in their final year of life. Discuss.

This piece should be based on your professional experience, personal reflection, extensive research of literature and unit resources.

Include the episode of your practice in your summary paper.

Summary paper of 800 pages describing your personal and professional insights from CNA409. This will refer to your discussion posts and interactions with other students, as well as new knowledge gained through academic research.

When possible, include examples from your daily practice in the summary.

The portfolio should be a single document. It should contain an introduction and summary paper. A reflective episode, four of your top discussion posts, and a concluding paragraph.

The introduction, conclusion and summary are not included in your word count.

If you upload documents to the assignment folder in single items, marks will be deducted from the Assessment Criteria.

Answer to Question: CNA409 Renegotiating And Reinforcing Appropriate Care

Mortality is one of those unavoidable aspects of life that everyone must face.

Modern trends have led us to see aging as a part of our life and not just as a stage.

This new outlook has changed the way we view end-oflife care. It is now more realistic.

Experts in health care are focusing their attention on this area.

Being involved with people in their last years of life, is an obligation that all citizens have to fulfill.

The lessons I’ve learned from working as a doctor with patients and their loved ones to end life-sustaining intercessions have been invaluable.

I’ve seen the families grieve over the death of a loved one, and have called their relatives to help them.

While this is not a casual job, it’s a relief to me that I am able to help patients and their families during the most crucial time in their lives.

It is easy to fall for the traps of grief, sadness and confusion after the death announcement.

This has forced me to take different perspectives on death and life after a person passes away.


The end of life is a topic that physicians are involved in many discussions, some of which could be addressed through legislation.

The National End of Life Care Program strongly endorses the funding and development of end of lives in hospitals.

Abhay (2016) says that health care homes offer the best environment for providing end of life care.

The public is still not sure about the practices of the end-oflife care homes.

The community is unaware of how much care their patients receive.

Uncertainty remains about the extent to which their needs have been met.

Specialists in the final stages of life care often stress the importance and value of personal care (Butcher 2010).

Even though the staff at care homes are aware of the importance and necessity of providing personal care to clients, they often fail to offer it.

Because of the small staff, it may be difficult to spare time for the dying or ensure their comfort.

If each patient is treated individually, some patients may not be taken care of.

Establishing informal relationships and trust with the residents is a way to keep them motivated and to avoid withdrawing (Butcher, 2010,).

The staff will be more approachable to residents, which can help them feel more secure.

People who are living to their final days must maintain dignity and respect (Duderstadt 2013).

The patients should have self-respect. Family members, friends, and staff in health care facilities must be attentive to their needs and interests.

By helping them to maintain their cleanliness and by offering services such as manicures, pedicures and chin taming, this can improve their self-respect.

Respect can also include acknowledging differences in personal, ideological, or cultural nature (Duderstadt (2013)).

When serving clients, caregivers should put aside any beliefs, religions, or ideologies.

Medicine has won in many cases of life. This includes curing and preventing diseases, making births more pleasant and conquering associated complexities (Morley 2013 p. 616).

Curing old age, and death is however the elephant in your house.

The effectiveness of any medication has been overwhelmed by mortality.

Sometimes, the medicine may even worsen the suffering.

While medical professionals attempt to prolong lives during such critical times, not every one of their efforts has been successful.

The specialists and affected families will have to work together if the results of the medical treatment are not what they want (Morley (2013)).

It is best to avoid this happening.

O’Neill & O’Keeffe (2010, p. 1282) The greatest goal of any medical practitioner should be to save lives. Nobody delights at death.

This raises the question of whether or not those in their final days should be admitted to the hospital.

However, most health centers will accept responsibility for the deaths and do everything they can to save them.

End-of-life choices about withholding or withdrawing life-prolonging care for dying patients are common (Ewegen, 2012).

In the ideal world, patients in their last years of life or last months should receive maximum care. They should also be allowed to live as long as they need and with dignity.

The client’s preferences, needs, and wishes should be taken into consideration by care providers.

It will help them plan for the client’s care.

It is not limited to the client’s needs. It also includes the environment.

You should show concern to those who are most important to you.

It is important that the client supports his or her family members.

This support covers all needs, both physical and psychological.

Many family members do not know how to handle the death of a loved one.

This may impact their emotional and bodily behavior, especially if they tell their stories about their relationship with the victim (Ewegen 2012.

This can be caused by guilt or remorse.

Conflict among family members about legal or a decision is likely.

This is where external intervention is necessary, particularly from spiritual professionals.

Pastoral care at death is essential to aid the affected in coping with the situation.

Reflective Experience

I’ve learned how to conquer any medical condition, no matter their weight, through the duties that I usually have to perform in my field.

I thought it was all easy, especially because of the many encounters with still births or death.

I only realized this when I had a very personal experience with my grandfather.

It’s possible to live with grandparent, which can make life more enjoyable.

However, it can also be a horrible experience that you wish to avoid.

Everyone wants their loved ones to be happy.

When their lives force them to non-contentment, it is hard not to feel sorry for them.

Death, even though it’s not ideal, can be our greatest rescuer.

When these encounters are beyond our control, comfort that we had before becomes unbearable.

I have had a personal experience with my grandfather as he battled with his old years in recent times.

Old age brings along many other problems, such as loss of hearing, sight, memory, and relationships with your best friends.

Some chronic illnesses, such as diabetes, certain forms of dementia, heart failure and heart attack, are also associated with it.

The time spent with my grandfather was unforgettable.

It taught me a lot about death and aging.

Although I have been his favorite person, he no longer has the same intimacy with me.

After reaching 100 years old, he was unable to recognize any person, not even his children.

He had lost all of his senses.

The once lively, independent, and happy grandfather couldn’t see.

He could no longer hold substantial conversations.

He had to be carried all the way from one place.

He lost his sense of touch and had to have food, water, and clothes changed.

He was very emotional and claimed to feel all sorts of physical pain.

We tried everything we could to make him more comfortable, but it was not enough to bring about any significant changes.

His past poor living conditions exacerbated his suffering.

His bones were damaged and his muscle was weakened by several accidents.

He was also an addict to drugs and a smoker.

He could have died much sooner if his doctors hadn’t discouraged him from using drugs.

The drug use did not stop instantly.

Even though I was a trainee medical practitioner, it was impossible to provide for all his needs. He grew more demanding as days passed.

Hospital visits increased as time passed.

Although charges increased day after day, no change was apparent.

Friends and family continued to take out their savings to cover the large hospital bills.

Although we knew the condition would not be treated, we couldn’t help but to keep our faith in the community.

We had to be willing to do our best, regardless of how serious the problem was.

Modern societies are very critical of neglecting the elderly.

You could face severe legal penalties for mishandling them.

Families and society members that have been entrusted to the elderly person are responsible for protecting their rights, dignity, and ensuring they are respected.

He died after a lengthy battle with his grandpa.

Each member of the family had different reactions.

Both men and women were unable to contain their grief, while the men tried to remain calm.

We felt deeply hurt by his passing, but found comfort in the fact he had rest.

We shouldn’t apply too much pressure to the elderly, in my opinion.

As this can cause them greater pain than death, we should not force them to live.

I see no reason to keep them from experiencing their suffering.

Transitional problems that affect patients, caregivers and their families are a result of cultural attitudes and organizational practices (Samaraweera1 Maduwage (2016)).

It is necessary to question the various ideologies and solutions that are available for ethical dilemmas. According to Abraham Maslow in his hierarchy of human needs, the highest level is self-actualization/self-fulfilment.

He states that the greatest need in a person is to be able to help others reach their full potential.

This can create a complicated debate.

Does this make it harder for those who are independent to realize their potential?

No, it could be true.

People who live beyond their nineties could become burdens to their loved one.

They are completely dependent on them in all areas, including financial aid and personal chores.

End of life care homes can be a good place to end your life (O’Neill & O’Keeffe 2010).

Personally, I think it’s best to be able to face death with dignity.

I am happy to endorse patients who are receiving the best care and services.

These stations can become overwhelming and cannot meet the patient’s individual needs.

Alternatives might be available if the care home is not functioning to one’s satisfaction.

The possibility of keeping patients at hospitals may be an option, but only in areas with sufficient infrastructure to accommodate them (Han 2012.

Families and friends will often decide to keep the victims at their homes.

As long as adequate care is given, it’s not a problem.

End of life care does NOT necessarily require the expertise of specialists.

Experience and training at this point in life are important but not essential.

The most important ingredient is devotion and dedication to serving others.

Medical practitioners cannot be called the superior ones in this case.

There are many dilemmas that medical professionals must face when faced with the reality of death.

Yousif Hussain & Mhakluf (2010).

Professional ethics require that they safeguard human life at any cost.

However, clients’ interests should be protected.

It is possible to have different opinions about how elderly people and terminally ill are treated because of the lack of autonomy.

It is possible to wish the past 100 happy birthdays and not consider whether or not they like our sentiments.

Consider if their lifestyle is attractive to you.

We may be happier about their life than their comfort.Conclusion:

The final point is that patients, relatives and healthcare providers should work together.

Sometimes the decision-making process can be difficult for the family members and doctors.

These decisions include deciding where the patient should live their remaining years of life.

The patient should feel at ease with the decision.

This bond fosters openness and allows for the best outcomes.References:Abhay, M. (2016).

India’s Elderly Care System: A Way Forward.

Journal of Gerontology & Geriatrics 5 (5), 2-3.Butcher, L. (2010).

L. Butcher, (2010). Oncology Times, 32 (3), 12.Duderstadt, K. G. (2013).

Affordable Care Act, States Move Forward with Health Care.

Journal of Pediatric Health Care. 27 (2), 158–168.Ewegen, S. M. (2012). Being Just?

Just being.

Philosophy Today 56 (3), 285-294.Gilewski, M. J. (2010).


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Myanmar seniors’ health care.

Regional Health Forum, 16 (1). 23-28.Morley, J. E. (2013).

Aging successfully.

Aging Health, 9(6): 615-618.O’Neill, D., & O’Keeffe, S. (2010).

Ireland’s Older Persons’ Health Care.

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How to meet the future and present needs for health-care.

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Geneva: Who Press.Yousif, N. a., Hussain, H. Y., & Mhakluf, M. D. (2010).

Health Care Services use and satisfaction among seniors in Dubai, UAE.

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