Please do a paragraph about this post with this instruction . 

post most have  4 or more  sentences .

 you also have to have a high quality post from a content perspective. This means it also needs to do more than agree with or praise a class mate. If you agree with a classmate, explain why, give an example, share what you learned in the readings

A huge portion of the elderly express the desire to die at home but majority end up dying in hospital or long term care setting. The number of elderly dying in a hospital care setting is on the rise. A case study shows very few patients were asked where they wanted to die when the time comes. It is shown most DNR orders were obtained just days before death and there was not enough time to plan a safe and comfortable discharge home. Some elderly patients lived alone and did not have others to help care for them and others had family members that did not feel comfortable to watch the dying process. Their family wanted hospital staff to filter the sadness and perform the end of life care that they could not handle. (Adenwala, Ahearn, Kallat, Nidh, & Varman, 2013).  “ A failure to take responsibility for enabling people to return home to die if that is their wish’ has been cited as a barrier to good palliative care for older people in acute settings. Reasons for this may include a lack of awareness of supported home discharge as a possibility among staff, patients and relatives, when hospice transfer is not an option” (Adenwala, Ahearn, Kallat, Nidh, & Varman, 2013).  Evidence based practice shows that nurses and hospital staff need to start the end of life discussion earlier and have a plan. Assess if the family is able to take on the responsibility of family member dying at home and if the patient is able to make the transport. If the patient or family is not able then making the hospital room/ area as comforting as home as they can. Implementing comfort measures and making them pain free in their last days is vital. For the family educate if patient has a DNR order than the discussion needs to be facilitated about the prognosis being poor and having no transport to hospital and letting the patient die at home. .(Adenwala, Ahearn, Kallat, Nidh, & Varman, 2013).