comment on this write up Moral Distress

comment on this write up Moral Distress and Moral Resilience. End of life situation from the Moral Distress project The end-of-life situation I choose from the moral distress project is the situation of a patient who after sustaining an injury that impaired blood flow to the brain, left the patient in a vegetative state. Despite the family’s request to discontinue life-sustaining measures, the physician refused, prolonging suffering for the family who had already accepted their fate. This situation was chosen because it is directly related to my line of work. I work in a Vent unit, where all of my patients are on mechanical ventilation. My patients are paralyzed as a result of advanced ALS, which has forced them to rely on ventilators for breathing and G-tubes for feeding. My patients only use their eyes to type on computers, allowing them to communicate their needs. These patients can only bear all of this because they have family members who are deeply involved in their lives, sharing this journey with them and providing comfort as their situation deteriorates, so they know they are loved even to the end. IOM strategies to help improve the quality of care Even though the patient’s situation in the moral distress project was unexpected, steps can be taken to avoid similar problems in the future. The IOM identified several gray areas in healthcare that require adjustment and made several recommendations. Some of the issues identified as relevant to my case and in need of improvement include a lack of palliative care education (Institute of medicine 2014). End-of-life care education allows healthcare professionals to be more informed about how to help their patients and families during this difficult time. Resources should be made available to assist healthcare professionals in dealing with their feelings about end-of-life care, as well as information about who to turn to in times of ethical dilemma. Inadequate communication and advance care planning should also be addressed. Communication, as identified by the IOM, is also critical in ensuring that patients’ wishes regarding end-of-life care are respected. Even though it may be difficult to start, this discussion should begin as soon as possible because no one knows what the future holds. The vast majority of patients nearing the end of their lives will receive acute hospital care from doctors they have never met. As a result, advance care planning is critical to ensuring that patients receive care that is consistent with their values, goals, and preferences (Institute of medicine 2014). ANA strategies, as nurse leaders, to help improve nurses’ moral resilience Nurses face challenges on a daily basis that can lead to moral distress, burnout, compassionate fatigue, emotional distress, and other issues. To best handle these challenges at work, nurses must develop moral resilience. Cultivating moral resilience may be required to respond to clinical environment aspects that are not easily modifiable, such as caring for patients with complex, often life-limiting conditions and witnessing suffering, death, disability, and social injustices (American Nurses Association, (n.d)). Nurses had to care for this patient for two years in my end-of-life situation. It must have been difficult to see a patient suffer for so long without any visits from family or loved ones. Resources for nurses involved, education on ethical issues that may arise during practice, as well as how to deal with ethical challenges and where to find resources to help nurses boost their resilience. Nurses can gain a deeper understanding of themselves, their strengths, and weaknesses through mindfulness, which aids in the development of moral resilience. As a leader, a nurse can help other nurses build resilience by educating of ethical issues, how to deal with the, and participating in the ANA’s Healthy Nurse Healthy Nation strategies, which support nurses’ mental health, physical activity, quality of life, nutrition, and safety. In order to provide the best care possible we have to take care of ourselves too. Standardized screening and intervention tools can assist in assessing, recognizing, and addressing moral distress, as well as in building moral resilience (American Nurses Association, (n.d)). References. American Nurses Assosciation. (n.d.). Exploring moral resilience toward a culture of ethical practice. Retrieved February 15, 2023, from https://www.nursingworld.org/~4907b6/globalassets/docs/ana/ana-call-to-action–exploring-moral-resilience-final.pdf?TRILIBIS_EMULATOR_UA=ulvhbdkubeqb Institute of medicine of the national academic. (2014). Dying in America, Improving quality and honoring individual preferences near end of life. Retrieved February 15, 2023, from https://nap.nationalacademies.org/resource/18748/Key-Findings-and-Recommendations.pdf

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