Reaction paper about the attached Article

Reaction Paper
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Abstract
This paper provides a reaction to the paper to the article on advanced practice nurses and end-of-life care for patients with progressive chronic kidney disease and end-stage renal disease. Firstly, the paper targets an analysis of the idea presented by the author and how it is developed. The paper will provide a summary of the main points in the paper. The paper discusses the merits and the limitations of the article. The strong elements of the article and the weak points are briefly discussed. The paper also highlights some recommendations on how to improve the article. The paper aims to give a review of the article and assess whether it makes sense. It provides an evaluation of the points discussed by the author is identifying a problem and defining the solution in a manner that is easily comprehensible. The paper concludes by giving a verdict on the general assessment of the article.
Keywords: summary, merits, evaluation.

Reaction Paper
The article discusses the role of advanced nursing practice in the management of patients with progressive Chronic Kidney Disease (CKD). The article first describes the differences in palliative care and hospice care. It proposes that palliative care comprises the enhancement of the health status of the patient while undertaking an interdisciplinary approach. Further, the author states that the palliative care also involves supporting the patient’s family and providing personalized care.

The author describes hospice care as palliative care that is offered to patients with a life expectancy of six months. The article states that the nurses have been offering palliative care to CKD and End Stage Renal Disease (ESRD) without defining it as such. The author intends to communicate that the palliative care done by advanced nursing practitioners is essential in CKD management. The author also states that the current practice guidelines present a challenge in defining the role of an advanced nursing practitioner in providing support in the nephrology department while trying to extend the life of the patient (Montoya, 2017).
Merits of the article
The paper addresses an important aspect of nursing practice while stating the challenge experienced. The author states the current roles that the nurses undertake in the management of CKD through hospital visits. Further, the author highlights the difficulties experienced in lack of quality observed in ESRD patient management. The nephrology department fails to provide guidelines on where to place the advanced nursing practitioner. The author juxtapositions the role of the nurse as being crucial to the patient as they define the nurses as the most important healthcare professionals.
The author also addresses the area of research that should receive attention. The article quotes current research being done on the role of advanced nursing practitioners in nephrology. Further, the admits that more research should be done to undertaken before the development of guidelines on palliative care in the management of CKD and ESRD. The author states how the nurses should take part in palliative care in the nephrology department. Additionally the author also describes the changes that should be adopted to improve coordination and delegate responsibilities in addressing the challenges in the nephrology department.
Limitations of the article
The author only provides a brief discussion of the main topic. The article largely describes the background information relating to the main topic. The author should have provided an in-depth analysis of the challenges experienced in providing care to the patients suffering from CKD or ESRD. The article should list each problem and provide relevant recommendations on how to best solve the shortcomings (Gomez & American Nephrology Nurses’ Association, 2016). Additionally, the paper should also address the impact of the challenges experienced in nursing practice. The author should have also suggested a few mitigating procedures to reduce the negative impacts discovered (Kallenbach, 2016).
Conclusion
The paper addresses the key issues in the role of advanced nursing practitioners in the management of CKD and ESRD. The author defines the problem and provides sufficient background information in ensuring that the reader understands the main topic being discussed. The author then discusses the main topic and addresses some of the challenges experienced in defining the role of advanced nursing practice in nephrology. However, the discussion on the main topic is brief and should have involved a thorough analysis. The author proves to have advanced knowledge of the subject and develops an interesting article that addresses very crucial points.

References
Gomez, N. J., & American Nephrology Nurses’ Association. (2016). Nephrology nursing certification review guide. Pitman, N.J: American Nephrology Nurses’ Association.
Kallenbach, J. Z. (2016). Review of hemodialysis for nurses and dialysis personnel. St. Louis, Missouri : Elsevier.
Montoya, V. (2017). Advanced practice nurses and end-of-life care for patients with progressive chronic kidney disease and end stage renal disease. Nephrology Nursing Journal, 44(3), 256- 259.