Mrs. Georgia D’Angela has a 76-year-old mother. Marcus, her husband, has been her husband for 58 years. Marcus is eighty years old. The D’Angelos live in a nice, middle-class house. The D’Angelos have three children, two sons and one daughter. All of their children have married, and only their daughter lives nearby. The two sons live more than three and a half hours apart. The D’Angelos are very close to their children and communicate with them on a daily basis. Mrs. D’Angelo noticed her skin was “yellowish” in color four months ago and called her primary care provider, who advised her to go to the emergency room right away for evaluation. Mrs. D’Angelo was diagnosed with pancreatic cancer after a CT scan of her abdomen and laboratory tests, and she was advised to undergo a Whipple Procedure right away. This was heartbreaking news for the D’Angelos and their family and friends. Mrs. D’Angelo called a nurse friend and asked who she could consult for a second opinion. A second opinion was obtained, and while the diagnosis of pancreatic cancer was confirmed, chemotherapy was recommended prior to the Whipple Procedure. Mrs. D’Angelo began chemotherapy and has suffered severe side effects, and her quality of life has been greatly impacted by a significant decrease in her functional status and activities of daily living. Mrs. D’Angelo has not discussed her fear of dying with you, her primary care provider, or her family as of today. She has a positive attitude toward “fighting this horrible disease.”

Assume you are the nurse practitioner providing primary care for Mrs. D’Angelo based on this case study. Please prepare a PowerPoint presentation with 10–12 slides. The title and reference slides are not counted among the slides. To support this Assignment, you must have 5 peer-reviewed scholarly references that are no more than 5 years old. Please address each of the grading criteria listed below. In APA 6th edition format, include the Grading Criterion as a subheading in your paper.

Discuss the role of the advanced practice nurse in facilitating Mrs. D’Angelo’s end-of-life care and advance directives.
Discuss the importance of advance directives in this case study by comparing and contrasting the various types of advance directives.
Describe how you would broach the subject of advance directives with Mrs. D’Angelo.
Identify two ethical principles and two legal issues concerning Mrs. D’Angelo’s end-of-life and palliative care that may arise if advance directives are not addressed at this time.
Describe the communication strategies you will employ as a nurse practitioner in order to effectively engage and collaborate with other members of the intraprofessional healthcare team as well as Mrs. D’Angelo’s family.