In this assignment I need a peer response for the main discussion, that show below. The peers responses Discussion Grading Criteria: Agreeing and disagreeing do not mean just voicing ones opinion. The focus of the discussions should remain on the ideas posed in the readings. Agreeing and disagreeing mean making scholarly arguments from the literature that may support your own ideas. Faculty expects you to support your ideas from the readings or similar scholarly writing about the topic in nursing literature. Always cite your source(s) and reference in APA format. Remember the post and responses should include scholarly writing about the topic in nursing literature. Note por the professor: Hello class, Please refer to your APA format in your postings. The journal name and volume is italicized font. Ex. …The American Nursing Journal,7(9),,,, Please update your APA to reflect doi Top of Form Care at the end of life management Loanys Lazo Delgado Florida National University Nursing practice, education, and research are important in managing patients at the end of life. American nurses association position statement is aimed at providing direction for nurses to help in supporting patients as well as the families in acknowledging and adapting to the patient’s impending death. Nurses plays crucial role in determining the symptoms of the patients, taking measurements within their scopes to help in the administration of the drugs, offering other measures for the reduction of symptoms, and working together with other healthcare providers to improve patients’ comfort as well as the understanding and adaptation of the families (American Nurses Association (ANA), 2016). While caring for patients at the end of life care, nurses are required to be compassionate through recognizing that death is near and to convey such information to the families. Therefore to better their practices while managing care to the patients in the end life, nurses have to strive to achieve the standards of primary palliative care so that healthcare professionals possess the basic knowledge of palliative nursing to help in the improvement of care and families. In this case, nurses together with other healthcare professionals must make an effort to ensure that there is an expansion in palliative care services. It is important to ensure that there is an improvement in the healthcare quality at the end of life so that there will be no need for physician-assisted suicide (Ding, Saunders, Cook, & Johnson, 2019). Concerning education, individuals involved in the practice of secondary or tertiary palliative care will have special education and certification. Through an expansion of palliative care services, nurses and healthcare professionals have to develop perfect post-graduate healthcare training to help them have basic skills required for palliative care. There are some principles of palliative care for example those which involve the enhancement of the symptom evaluation and management, using the goals of the client and family vs. the problem-focused care as directive; being well informed about prognosis; delivery of the message with sympathy and understanding; and the process of acknowledging the spiritual, psychosocial, and cultural aspects of caring for patients with severe injuries. Therefore, it is important as a nurse to ensure that learning or training on these principles is well covered to improve the palliative healthcare services (Thomson, Faahpm, & Patel, 2013). About research, it is important to integrate evidence-based care across a dimension of end of life care. Research work is important in finding more effective types of palliative care. Through research work, management of the case becomes easier since it is associated with a clear understanding of the end of life choices and the methods of communicating the choices to the patients and their families (Ding, Saunders, Cook, & Johnson, 2019). Concerning administration, it is crucial to work towards the standards of palliative care available to the patients and the families from diagnosis of severe illness or injury. The issue of caring for a patient towards end of life requires interdisciplinary specialty as well as effective decision making with includes even families to help in improving the well-being of the persons with severe sickness. Through the use of support from all levels of the healthcare system through effective communication skills regarding major concerns, it becomes easier to overcome the challenges associated with meeting the standards of palliative care (Kelley, 2015) References American Nurses Association (ANA). (2016). Position Statement: Nurses Roles and Responsibilities in Providing Care and Support at the end of life. Retrieved September 24,2019,fromhttps://www.nursingworld.org/~4af078/globalassets/docs/ana/ethics/endoflife-positionstatement.pdf Ding, J., Saunders, C., Cook, A., & Johnson, C. E. (2019). End-of-life care in rural general practice: how best to support commitment and meet challenges? BMC Palliative Care, 18 (51). Kelley, A. S. (2015). Palliative Care for the Seriously Ill. New England Journal of Medicine, 373 (8), 747-755. Thomson, R. M., Faahpm, F. D., & Patel, R. C. (2013). Palliative Care Principles Primary Care Physicians Should Know. Primary Care Reports.