Sdl4 Activity 1

They areinvolved in providing palliative care,into a system of medical care that emphasizes palliation and psychosocial support of patients diagnosed with a life-limiting illness, through professional nursing or other therapeutic services, such as physical therapy, home health aides, nurse assistants, medical social work, nutritionist services, or personal care

Hospice care in the other hand; is generally done in the patient’s home. This type of care provides support and care to patients in the final stages of fatal conditions. Because hospice patients have a life expectancy of six months or less, their treatment is more targeted towards symptom relief rather than a cure. The symptom management regimen allows for the patient and their families to concentrate on the emotional aspect of dying. Conclusions and Future

Hospice and palliative care can be easily intertwined; they are both concerned with promoting comfort and relieving patient pain. Hospice and palliative care, however, are different in some aspects. Patients who receive hospice care are nearing the end of their lives and there is no effort to cure their disease; the goal is to provide pain relief, a sense of belonging from family and friends if desired, support through the dying stages, and to assure that the person is able to die with dignity. Palliative care is also focused on reducing discomfort; however, the patient receiving care can be at any stage in their disease. Additionally, palliative care can also be administered during a time when a patient is receiving treatment to cure their illness.

1 Outline the factors that can affect an individual’s views on death and dying •Social •Cultural •Religious •Spiritual 2 Outline the factors that can affect own views on death and dying •Emotional •Past experience •Psychological •Religious •Social •Spiritual 3 Outline how the factors relating to views on death and dying can impact on practice Current and previous professional roles and responsibilities and past; boundaries limited by legal and ethical issues; professional codes of practice - internal and national; impact of management and leadership; input from other team members and workers. 4 Define how attitudes of others may influence an individual’s choices around death and dying different models of nursing care; person-centred

What is a solution for nurse burnout? Nowadays a great of organizations are finding that the engagement and commitment of nurses coincide with good quality patient care. When nurses are better engaged and committed you’ll find that you’ll notice that they work harder and perform better in their job. You may also find less absenteeism and less turnover.

The term medical professionals use to describe the type of events surrounding death is called end of life care. A person is given a choice to receive care in a hospital setting or in the privacy of their own home using a service called hospice. This paper will explore the benefits and drawbacks of hospital vs. hospice for end-of-life care, the current resources that are available for patients and their families, and the reasons that people choose one over the other.

The main tenants of the palliative care relate to the management keeping the preferences and goals of care; sustained and result-oriented communication with all involved in the care of the patient. Thus palliative care basic aim is to give relive to the patient suffering with any stage of disease that is not limited to EOL (end-of-life) (Ferrell et.al, 2010). The main purpose of this essay is to provide information related to the definition of palliative care whilst provide an outline of the various types of palliative care services and providing the key goals for a palliative care consultation with benefits of communication in the expected care of the

However, as more people are living longer with chronic illnesses, the need for effective palliative care has become increasingly clear. Palliative care is an approach that focuses on improving the quality of life for patients with serious illnesses, by addressing their physical, emotional, and spiritual needs. According to a report by the World Health Organization (WHO), palliative care should be considered an essential component of healthcare for all patients with serious illnesses, not just those who are nearing the end of life (WHO,

Explanation of the theory Peaceful end of life theory was developed to address complex nursing practice problems identified by multiple research projects in relation to death and dying in terminal conditions such as cancer once deemed terminal. The theory recognizes that the goals of care in end of life are not to optimize care as it has already been determined that the patient?s condition will not improve and therefore the goals of care change to providing care that will enhance the quality of life and result in a peaceful death. Areas of advances practice that use or could use this theory Application of Ruland?s theory of peaceful end of life is often seen in palliative and hospice care programs. ? End of Life nursing theory may be utilized in any care setting where the focus of care is not aimed towards a cure but rather on making sure that the patient is free of pain has comfort, dignity, peace, all while maintaining closeness with significant others.

The process normally brings nurses, doctors, social workers, family members and other related professionals together as a standard care team. The main goal of the team is to make sure that the patient is comfortable during his or her last days. Hospice emphasize symptoms management, pain control, natural death and the required comfort of the patients’ body. The process respects the anatomy of the patient by encouraging the individual to take part and choose right decision on the available options at the end of his or her life. The main idea being to give the patient a “good death” (Singer, 1999).

- The palliative care services should fully identify and support the cultural, linguistic and spiritual needs of care recipients and their families, including rituals and practices around death and dying. - Make sure the cultural and religious acceptability of certain treatments and medications. - Different people will have different views of the concept of quality of life, and that these may be culturally and religiously viewed - Clearly establish the role of family members in decision-making about care and treatment. - Resolve any conflicts around palliative care between staff and care recipients and/or family members by highlighting culturally aware concepts that are acceptable to all included - Give information about palliative care and support services in the preferred language of the patients and their families. - Ensure patients and their families have access to culturally appropriate emotional support and spiritual

Hospice/Palliative care for a dying patient needs to be well planned and managed to ensure that all aspects of care giving are taken care of. The plan provides a reference for nurses and other practitioners who are involved in giving care to the patient. This is so as to ensure that they all know what needs to be done and does not. The plan also includes the relatives or family of the patient who need to be involved in the process not only to give emotional support but also physical support to the patient. However, this is just a plan and the nurse’s actions are independent and governed by the scope of practice of the state and specific country as well as the comfort levels of the nurse.

Palliative care is “whole person” care that involves focus on quality of life, or living well, for all family members when they are dealing with a life-limiting illness. It can start long before the end-of-life period, as early as at the diagnosis of a life-limiting illness, and extend beyond death to bereavement. End-of-Life care is a very broad topic and possibly more angles could have been addressed within the chapter. For example Advance Healthcare Directives and its impact on the patient and their quality of life for families who can’t let go of a love one of

The multidisciplinary team including physician, nurses, social workers and case managers should be all attended. It is necessary to care for families facing the ethical dilemmas of futile care with sufficient medical knowledge, ethical knowledge and communication skills (Coustasse, 2008). The nurses as a caregiver and advocate for patient, they have the responsibility to provide the primary care for the patient and work independently, including prioritizing care needs, managing bedside technology, and acting as the primary support and first source of information for the families (Payne, 2009).They spend more time with the patient than any other clinicians and they are always present during patient suffering (Hamric and Blackhall 2007). The futile treatment may cause pain or discomfort for the patient. Their perspectives are important for end of life discussions (Hamric and Blackhall 2007).

Overview In 2002, The World Health Organization (WHO) had go into detail about palliative care definition. It states, Palliative care is an approach which improve the quality of life of patients and their families facing the problem 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. Palliative care : • Provides relief from pain and other distressing symptoms • Affirms life and regards dying as a normal process • Inteds neither to hasten or postpone death • Integrates the psychology and spiritual aspects of patient care • Offers a support system to help patients