Sheelar Moo October 10, 2016 Palliative care Research paper
Proper medical care is needed by all individuals whether they are in good medical condition or not. People should not wait to develop serious medical conditions before visiting the medical centers. Most people live with condition without cure called “terminal illnesses. However, these people have the possibility to prolong their lives through the use of special medication called Palliative. On a Saturday morning, Nancy went to see her doctor because she wasn’t feeling well lately and she had a big lump on her chest, Dr.Sue gave her an assessment. After a few weeks, she received a letter in mail about her recent checkup. “You have a lump on your chest due to the cancer that has been developing”, was written in the letter, She was shocked and she felt horrible. Her daughter wedding is coming up in six months. She wants to spend as much time with her daughter and attend the wedding. However, she doesn’t want aggressive treatment, which would keep her away from home and be hospitalized. She wanted to look happy and healthy at least for her daughter 's wedding. She doesn’t want to go through chemotherapy either, because chemotherapy can have serious effects on her. She learned about palliative care. According to the Palliative Care Organization, Palliative care is a type of care relieves the patient from symptoms, pain and stress related to serious illnesses. According to Meier and McCormick “Palliative care aims to
I would contact the palliative care office and perceive how they could bolster us. Some professionally helped help gatherings, casual dialog sessions, and adaptable time plans. We could do some questioning with another companion or a medicinal services proficient may likewise be useful. We could keep up an associate support framework and develope an emotionally supportive network out of the work
The World Health Organisation (2010) defines palliative care as: An approach that improves the quality of life of patients and their families facing problems associated with life threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual. It is also our duty to support John and his wife`s in their decision for John to die at home, Department of health (2008) patients should have a choice over the care they receive and where.
Getting prepared for death can be an exhausting experience for the patient and their family. It is very important that the patient not only knows what they want as far as their right to receive or reject treatment and medications or knowing whether they want to receive palliative care at home or in a hospital setting to include the advantages and disadvantages of each. The main focus of this paper is to give the reader an in depth look on how an end of life crisis affects a patient and their family. Ella is a breast cancer patient who just came out of remission and is at the end of her life.
This author’s personal perceptions concerning patients facing a lingering terminal illness, have been shaped by over 20 years of critical care nursing experience. Facing death and illness on a daily basis requires self-examination and a high degree of comfort with one’s own mortality, limits and values. Constant exposure to the fragility of life forces respect for the whole person and the people who love them. A general approach to patients who are actively dying is to allow them to define what they want and need during this time. The nurse’s role
Death is inevitable. It is one of the only certainties in life. Regardless, people are often uncomfortable discussing death. Nyatanga (2016) posits that the idea of no longer existing increases anxiety and emotional distress in relation to one’s mortality. Because of the difficulty in level of care for end-of-life patients, the patient and the family often need professional assistance for physical and emotional care. Many family caregivers are not professionally trained in medicine, and this is where hospice comes into play. Hospice aims to meet the holistic needs of both the patient and the patient’s family through treatment plans, education, and advocacy. There is a duality of care to the treatment provided by hospice staff in that they do not attempt to separate the patient’s care from the family’s care. Leming and Dickinson (2011) support that hospice, unlike other clinical fields, focuses on the patient and the family together instead of seeing the patient independent of the family. Many times in hospitals, the medical team focuses solely on the goal of returning the patient back to health in order for them to return to their normal lives. They do not take into account the psychological and spiritual components of the patient’s journey and the journey that the family must take as well. For treatment of the patient, Leming and Dickinson agree that hospice does not attempt to cure patients, and instead concentrates solely
Hospice patients often receive palliative care to help them cope with the stress, pain, and anxiety that comes with hospice care. Galfin, Watkins, and Harlow (2011) explored the need to train palliative care nurses how to provide not just physical care, but also psychological care. The authors reference previous studies that addressed similar training programs, but point out that many lack an explanation of what the palliative care entails, or statistical evidence to show if guided self-help improved patient’s psychological distress.
Palliative care is a relatively new concept, stemming from the hospice movement of the 1960s. This type of care focuses on the quality of life of its patients at any time in their treatment process. Palliative care is a concept that is often used synonymously with hospice care. Although it can be congregated with hospice care, they are not the same thing. Thus, it can easily be misunderstood. Sherner (2015) explains that both clinicians and people alternate palliative care and hospice. Unfortunately, she says, these people believe that palliative care implies the patient is refusing curative care. The purpose of this analysis is to explore the concept, clarify the meaning, and differentiate the concept of palliative care.
The purpose of this paper is to examine communication strategies related to palliative and end-of-life care with a focus on Aboriginal clients. Firstly, I will explain the role of cultural competence in the nursing care of an Aboriginal client. Secondly, I will argue the cultural challenges a nurse may face when caring and communicating with Aboriginal clients receiving palliative end-of-life care. Thirdly, I will present solutions to the aforementioned communicative challenges. Lastly, I will discuss the impact I believe this experience may have on my future practice.
The United States needs to provide more hospice care awareness. Hospice care provides services for individuals who have six months or less to live. They are able to enjoy the end of their lives rather than using physician assisted suicide.
The movie “Wit” is a great educational tool for healthcare professionals in terms of dealing with terminally ill patients. It teaches that nurses and medical professionals should always remember that their patients are not a case nor illness nor experiment but rather human beings with souls and pains. Palliative care is one of the most disputed issues of worldwide importance. While bureaucrats in different countries are making laws on the use of palliative drugs, patients with excruciating pains learn how to “take deep breaths and be strong” (Nichols & Brokaw, 2001). That is what nurse Susie Monahan from “Wit” advises her dying patient Vivian Bearing suffering from unbearable pains due to stage IV ovarian cancer after eight painful rounds
Many patients who receive hospice care expect to die soon. But research shows that many people now survive hospices. It’s not uncommon for patients in hospice care to get better. Miracles can and do happen. Entering hospice care no longer means that your life expectancy is short. There is life after hospice.
Palliative care is designed to holistically individualize symptom management with the intention of increasing quality of life for each individual patient. Palliative care providers use therapeutic relationship skills help establish a trusting relationship with each individual patient. It is important for health care providers and nurses to learn more about the importance of palliative care so that the barriers can be overcome. The use of the HNT in palliative care can help in the creation of middle range and mirco range theories that are specific to clinical situations. It is also important for nurses and health care provider to use critical thinking skill when determining the right course of action for each individual patient. The goal of
Before I started this class I thought palliative care was only used as end of life care, or for when a curative treatment was unavailable or had failed. As we learned about the different models of care, and how they have changed over the years, it became evident that the use of palliative care has changed drastically over the past several decades. In the 1800s to 1900s, palliative care was only used once the patient had reached the dying stage, and only included the patient in this care, not their families1. Before taking this course, this is what I thought of palliative care as well. Since the late 1900s though, palliative care has been used in a more proactive approach. From the moment an individual receives a life threatening illness, palliative care begins. This includes caring for the family of the patient as well. This care increases as the patient’s illness progresses, and even continues for the family after the death of the patient. Learning this has really made an impact on how I would like to work as a
I have always believed that health cannot be optimized through the treatment of disease only. Rather, health should be addressed on a biological, physical, psychological, social, and spiritual continuum. Palliative care addresses an often-overlooked aspect of the patient experience, which is symptom management of their chronic illnesses. Health care professionals tend to treat acute episodes of
Care team members need to be aware of this tendency to overestimate survival, to reduce residents’ and families’ potential distress.