When a person nears the end of life significant care is generally required. Picturing an elderly person it is easy to recognize that he or she may be frail, weak and suffering from mental decline. But in a world crippled with terminal diseases such as cancer, dementia and neurological disorders, general old age becomes even more complicated in terms of providing care. Despite that various healthcare systems are prevalent around the globe (hospitals, nursing homes, hospice centers, etc.) the bulk of the care giving often falls on the patient’s closest family members. Spouses, children and sometimes parents are not only faced with the emotions of losing their loved one, but they also face significant changes to their personal lives and …show more content…
Considering that most adults in the U.S. retire in their early to mid 60’s, one can devise that most caregivers are still holding full time jobs amongst other personal responsibilities. It is probable that psychological emotions may be running particularly high with this demographic group as they prepare for their own retirement and life planning while dealing with losing elder family members and friends. “The caregiver holds a unique position of both providing and needing support” (Harding, et al., 2015). When goals of palliative care are considered there are two variables: improving the patient’s quality of life until death and lessening the burden and stress felt by family caregivers (Kinoshita, et al., 2015). Burden of care affects personal, social, emotional, physical, spiritual and financial aspects of one’s life (Soto-Rubio, Perez-Marin, & Barreto, 2017). Financially, many caregivers who still hold full time jobs have to take a significant amount of time off, and often this can be unpaid time. In addition to losing income families are faced with costs of health care services and equipment such as oxygen tanks or hospital beds required for in home care (Guerriere, et al., 2016). Given (2017)) noted that as patients become more dependent the need for
Caring for patients at the end of life is a challenging task that requires not only the consideration of the patient as a whole but also an understanding of the family, social, legal, economic, and institutional circumstances that surround patient care.
Death is an experience that we will all have to encounter at some stage in life, but for those with elderly parents or relatives, the experience becomes more real. “The experience of dying not only affects the person who is dying but also caregivers, family members, and friends who are left behind” (Osterbur, 2015, p. 102 ) and I can associate with that. My maternal grandmother suffered a major stroke and was later diagnosed with Alzheimer’s disease. She died in the hospital 2 years ago. Unfortunately, she was not a recipient of hospice care and the task of caring for her was done at home with the help of a hired aide and family members. Novak (2012), explains that many are faced with the dilemma of institutional death or at home and the decision to prolong care or end treatment can be burdensome (p. 411). It was an uphill battle and emotionally draining for my mom and
This task I am going explain the process of distributing goods through different channels from the manufacturer to the customers. The term distribution means the process of delivering, storing and selling goods, so that they can be used by customers. (Source- Intermediate Retail and Distribution, Delivering is about what types of transport which are used to carrying and delivering goods, the types of transport is going to be Rail, Road, Air, Water for example rivers, ocean cargo and canals and People. Storing is about where the goods are going to come from and where they are going to be stored. Selling is going to be where you are going to sell the goods
The Institute of Medicine (IOM) September 2014 Report brief- Dying in America: Improving Quality and Honoring Individual Preferences near the End of Life addresses several necessities regarding end-of life (EOL) care. These necessities include; the needs and opportunities for improving EOL care, delivery of patient-centered and family-oriented care, clinician-patient communication and advance care planning, professional education and development, public education and engagement, as well as policies and payment systems to support high-quality EOL care. Taking care of the family and the patients near the end of life requires professional commitment and responsibility from all health care professionals including clinicians, clergy, caregivers, and support staff. The health system managers, payers, and policy makers also have obligation to make sure that EOL care is compassionate, affordable, sustainable, and high quality as possible. The IOM report point out that there has been a broad improvements towards the
Nurses: Assist the patients and families to cope with the end-of-life process such as assessing and
As we study and learn more about the importance of end-of-life care and we also learn about the positive implications of advanced care planning on patients and families alike. Coping with terminal illness and declining health is difficult but having clear and frank discussions about patient and family desires early on allow health providers to focus on what matters most. This paper presents a real life end-of-life care scenario. It then identifies some of the barriers to family-centered care within the scenario and analyzes strengths, weaknesses, opportunities, and threats present. Finally, scenario outcomes are examined and critiqued.
The beginning of life is celebrated. Books and resources are shared among friends and family in preparation for becoming a new parent. So, what happens as one approaches the end of life? Unfortunately, the same care and sharing rarely occurs in those circumstances and many face the prospect of dying unprepared. Though most people state they would prefer to die at home, this is often not where death occurs. Many Americans spend their last days attached to medical apparatus that keeps the body alive, but it does not allow for communication with family and often requires heavy sedation. Additionally, this level of treatment comes at a high price. As a society, we must become as comfortable in addressing the end of life process as we
Unfortunately, 25-75% of patients will lose their capacity to make medical decisions at the EOL (Sudore et al., 2014). Therefore, family are involved to support the patient on their EOL journey by assisting them with medical decision making that is reflective of their wishes (Sudore, 2014). Therefore, as family involvement increases, patient advocacy improves (Sudore, 2014). Family involvement was unitedly defined as a family or friend caregiver who was most involved in the patient’s care. Caregiving tasks were direct, such as personal care and meals, or indirect, such as management and monitoring, and was provided on weekly to monthly basis (Williams et al., 2012). In the last month of life, 63% to 94.2% of decedents had family involvement with 87.5% of families being satisfied with the overall care they received (Sudore et al., 2014; Williams et al., 2012; Thompson et al., 2012). According to Williams et al. (2012), the indirect task of monitoring, such as advocating for medical care, diet and medication, had the highest involvement rate of
Physicians, nurses and other health care employees must be easily accessible to the patient and family. The same health care team should provide care for the patient, whether at home or in the hospital. The patient’s and family’s life style must be preserved, and their life philosophies respected by the health care practitioners. The loneliness, isolation and fears of abandonment are to be expected and should be dealt with accordingly. No one person can fully meet the needs of the dying patient, instead, a multidisciplinary team must be available to deal with any needs the patient or family may have. The patient should be treated as a person, not a disease. The family must receive adequate support to help in coping with the impending loss of a loved one. The terminally ill patient must be allowed to give as well as receive. The self-respect, identity and freedom of the dying patient should be built up. The family must feel a sense of participation in care giving and in the decision-making. The primary care person attending to a patient at home needs support and occasional relief.
1.1 Caring for patients at the end of life is a challenging task that requires not only the consideration of the patient as a whole but also an understanding of the family, social, legal, economic, and institutional circumstances that surround patient care.
Caring for patients at the end of life is a challenging task that requires not only the consideration of the individual as a whole but also an understanding of the
A person’s life can end at any age. They can depart quickly or slowly. End of life care, also known as palliative care, is the care of patients that are not only in their final hours or days but the patients with a terminal illness that has become incurable. End of life care takes into mind what the patient desires so it is recommended that they consider an advanced care plan also known as an advance directive and living will. These documents allow the patient to formulate decisions on the future of their care if, at any point, they cannot vocally express themselves.
Our society finds it difficult to talk about dying and euphemisms are the norm. It is typical for both doctors and patients to be hesitant to initiate a discussion on dying. Focus instead is often more often placed on interventions and actions for managing symptoms. This avoidance can leave patients and their families unprepared for the inevitable death. (Schapira, 2010) It also often results in requests for therapies which may be excessive, costly and even painful in the hopes for a cure. One study demonstrates that when patients are aware that they are terminally ill, the majority are able to reach a state of peacefulness and also exhibit lower levels of distress. (Ray, Block, Friedlander, Zhang, Maciejewski & Prigerson, 2006) It is also important that family members are willing to discuss end-of-life options with their loved ones. According to elderly patients, they are most often the ones who initiate these conversations with their
The results of the survey were put analyzed and the results shown in graphs and charts displayed above. These graphs and charts were picked specifically because they stood out as significant results which may support my hypothesis. The students surveyed were mostly females with 60% of the respondents identifying as female (Chart 1). This statistic stood out because it is similar to the percentage of females in the university in 2017 which according to the WCU Office of Institutional Research is 60.3%. The percentage of male respondents in the survey however was 35% which is way below what the research office reported, at 39.7%. I must include that there were 5% of respondents who declined to answer the question about their
“His interest in insanity and premature burials shows the morbid quality of his mind” (Wilt). Written by the infamous Victorian-era poet Edgar Allan Poe, “The Cask of Amontillado” is a classic example of the distinct, gothic trademark for which Poe is known. It tells the story of a man named Montresor who enacts revenge on his “friend” Fortunato by tricking him with a promise of a prized wine called Amontillado and burying him alive, a method used very often by Poe in his works ("Buried Alive!" 11). The foreshadowing, irony, and imagery in Edgar Allan Poe’s “The Cask of Amontillado” are used to illuminate the vengeful side of human nature.