This paper intended to highlight some issues confronting nurses as they deliver palliative care to dying patients. It aimed to gather valuable practices of health institutions in providing palliative care. …
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This holistic care services may be carried out in most clinical setting, including patient's home.
Role of Nurses in Palliative Care
Issues of death and caring for dying patients are certainly emotional human experiences that demands for a compassionate care. ICN reiterates that nurses should reduce suffering and help improve the quality of a dying patient's life, so with the family members. Nurses are expected create and maintain a relationship with the client who is therapeutic; working with them in a peaceful environment conducive for mitigating pain. As health care providers, they must be effective as clinical managers, supervisors, coordinating services, able to set priorities, monitor care outcomes, conducting health teachings to patient and the families, managing resources and efficient in providing nursing leadership in caring for dying patients.
Issues and Challenges in Nursing Palliative Care
In line with their work, several nurses experienced moral and ethical dilemmas. In January 2004 issue of Journal of the American Medical Association (2004, 11), authors who conducted survey about the end-of-life experiences of people who passed away shared that, majority of people preferred to die at home. Regardless of the setting, respondents shared that, the care
given by the staff were inadequate: dyspnea (22%), pain (24%), and emotional needs (50%). There was higher patients' satisfaction with hospice care than the care provided by nursing homes, hospitals, and home care providers. Undoubtedly, the goals of care and care itself are interdisciplinary.
On the contrary, The Institute of Medicine (IOM) elaborated that, in nursing homes, there is insufficient knowledge regarding the experience...
This report approves that The health care team with the family must do advance planning so that, during the course of decision making, patient’s preferences are ensured. The patient needs to be guarded against any aggressive and inappropriate care near death. The team also has to make the time spent by the dying and the family precious. Despite declining physical health, the patient’s quality of life must be ensured. The financial burden of the family must be minimized; patient and the family should be educated in terms of insurance which cover treatment of the illness and help the family with bereavement should be given. All these are important and health care providers should be educated of the said principles.
This essay makes a cocnlusion that good health is a responsibility of everyone. The overall health outcomes of a patient greatly depends on the collaborative efforts of the patient and family, health care providers and institution, insurance companies, and all the more, the government. When health care costs are rising, insurers must see to it that they address properly the patient’s needs. The public and policy making bodies must adopt the prolonging-life-at-any-cost approach in order to upgrade the existing quality health care system. Nurses should not only predict the moment of patient’s death but should anticipate the risks and difficulties patient experience, rather discuss dying, support patient and family by informing them about appropriate treatment decisions.
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The term encompasses helping an individual be functional, healthy, and independent and as comfortable as is possible despite diseases’ including chronic and debilitating disease such as is frequently treated in the field of oncology. In diseases that are not curable care is always considered palliative care.
The reason perhaps is that a increasing number of children are in need of palliative care. The central theme of such care is putting the child and their family at the centre of all with a focus on the quality of life and its length. To be able to do this, a holistic team-based approach is essential.
There are approximately 23,750 cancer patients who registered in the Hong Kong Cancer Registry Hospital Authority in 2006. Cancer is one of the diseases that palliative care establishments cater to. It is known to be a deadly disease and can significantly change a person's, as well as their families, life.
It is best delivered by an interdisciplinary team which can offer integrated focus to physical, psychological, social spiritual and practical dilemmas of both the patients and their families.
However, does a person have to be dying to receive palliative care Palliative care is meant for people who are fatally or incurably ill, seriously ill, or chronically ill with life-limiting conditions that cannot be remedied by surgery or therapies.
Moreover, the catheter and the colostomy bag are a burden to handle, and he is further unable to move freely. Having fulfilled his family obligations, he feels that he has no reason to live and ask his family to support his decision to have his life
ng care as well as treatments for patients having limited life span or a chronic disease, which has a chance of reoccurring or has a chance to be a cause of a prolonged suffering for the patient in order to relieve sufferings (ICSI, 2013).
The case is referred to an adult aged
The main goal of palliative care is to assist the patients with serious illnesses such as cancer, lung diseases, heart diseases, kidney failure, diabetes, HIV/AIDS, dementia among others to feel better. The
Projects in this reference namely Palliative Care by Department of Health are such programs. Trainings and literature providing best practices are arranged for professionals to implement their rationale.
The writer informs that palliative care is an approach that improves the quality of life both for the patient and the family facing a problem associated with a life-threatening illness. In understanding the palliative care, this paper presents a case of Mr. Martin Cavanagh, who was diagnosed with a COPD and was undergoing an end of life care management.
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