******* please respond to the discussion below with a paragraph add citation and references 🙂 *******Why does making end of life decision for a patient have a big impact on the family? For some families the bond is strong and tend to respect the patient’s decision to pass, but for others it is hard to let them go and tend to go against the patient’s wishes. As nurses it is our job to honor the patient’s wishes but at the same time, respect the family’s feelings. When an elder loses his/her independence due to critical illness and must be cared by the family, stress and problems tend to build up amongst the family. Now these days most family have a two adult working and becomes difficult to step up and become their mother/father’s caregiver. It is important for the patient to create advance directives for end of life care and visualize their own death as being peaceful and dignified, in order to communicate their decisions with their family. According to Sue Z. Green, “time often passes between creation of an advance directive, including correlation discussions with practitioners and family regarding wishes, and the time in life when the directive is needed” (Green, 2019). Naturally, the family wants to honor the patient’s decision to pass at home, but financial support of a hospice nurse tends to be expensive for some. This is when physicians, nurses, and social workers can step up and help provide other options to ease the patient and family. Regardless of what conflicts the family may have on the decisions the patient has made, advocating and following the patient’s Advance directives are the priority. Educate the family and the patient on all end of life options and help them come together as a unity to make the end process easy. Reference: Green, S. (2018). Health assessment foundations for effective practice: Health Assessment of the Aging Adult. Retrieved from: https://lc.gcumedia.com/nrs434vn/health-assessment-foundations-for-effective-practice/v1.1/#/chapter/5