W16 DQ ANP 650

Q-1

What is a providers' obligation for addressing advance directives? How does state( I am in TEXAS) and federal legislation affect this? What ethical or spiritual dilemmas might a provider encounter in these discussions with the patients and families?

Q-2

Discuss the grieving process and loss associated with living with a spouse who has a form of dementia from advancing metastatic cancer. What might the nurse practitioner offer in terms of palliative care, respite care, or hospice placement? Discuss the criteria for hospice placement.