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Principles of palliative care
Palliative care with cancer essay
Principles of palliative care
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I spoke with the patient 's wife via phone, The wife states that she needs additional assistance for the patient. She states that she is aware that the patient 's health is declining and that she wants him to be comfortable at home. I discussed hospice services with the patient and the wife. The wife states that she would like hospice to evaluate the patient, the patient also agree for hospice to evaluate. Case reviewed with the patient 's nurse, the charge nurse, case management and hospice.
The time of life we call dying is an extremely difficult part of the life cycle, but a normal part," says palliative-care physician Ira Byock, author of Dying Well. "The nature of it isn't medical, it's experiential. " My grandfather had stage 4 lung cancer with metastatic to liver . Only palliative care advised by doctors. He was an strong personality .He loved all his grand kids too much.
The reporting party (RP) stated on 8/1/15 as she was assisting a Memorial Hospice patient shower she heard the front door alarm sound. The RP stated a staff person (Abundio Serenio) was assisting with the shower at the time of the incident. The RP stated she heard the sound of running footsteps and a woman 's voice screaming she wanted to leave, she had to get out of here. The RP stated she heard the staff call out the name "Claire" during the incident. The RP stated she finished assisting with the shower and went to the hallway and observed "Claire" running towards her saying "Chris" kicked her.
Legacy Hospices missions statement is to affirm life and focus on the quality of life. Legacy Hospices consist of twenty-one offices located in seven states, including Alabama, Louisiana, Arkansas, Missouri, Kansas, Oklahoma, and Mississippi. Legacy Hospices provides care for people who are in their last stages of life. Hospices allow nurses, doctors, spiritual leaders, and rehab teams to stay and work with the patient so the family members can carry out their everyday lives. Hospices job is not to postpone deaths, but to prepare the family in every way possible for that time.
SDLA 4: Activity 1 Palliative care continues to evolve in providing better end-of-life care and so does nursing care. Thus, nursing practice is enhanced to satisfy the demand of the palliative care. A nurse provides complex care and fulfils the needs of the patients. Nursing involves in caring work, which focus on patient experiencing agony in palliative and haematological cancer care. Nurses worked in a taxing environment, that can be highly stressful, and often they experience physical, psychological and spiritual exhaustion.
Medicare beneficiaries might need to jump through some hoops to get that palliative care. Hospice is one of the services covered for Medicare beneficiaries and is obviously a necessary service at the end of life. In the past, Hospice had four benefit periods, two-90 day periods, one-30 day period and one unlimited period. Prior to 1998, if a member entered the unlimited period but did not die, they lost all future Medicare Hospice coverage.
A grief process for the patient with cancer and all those related in the system of
Some cancer patients pass away feeling little pain or discomfort. Both diseases have misconceptions about them. The reason these misconceptions exist is because both diseases have been associated with death (Sontag 18). However, cancer is still associated with death and it is impossible to try and romanticize cancer like tuberculosis was
It is of the utmost importance for the nurse to take all the competencies into consideration while caring for a patient, but the most important competency for a palliative care nurse is systems thinking. I believe the need for this capability supersedes the others, as according to Matzo & Sherman (2015) it is through this competency that the nurse is able to apply the knowledge they possess and it in turn offer the patient an improved quality of life as they are undergoing palliative care. This allows for the nurse to have the capability to provide the patient with the care they require. This capability enables the nurse to be competent and recognize the patient’s needs and tailor a specific care plan unique to the specific needs of the patient.
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.
In all my experiences as a nurse, I’ve realized the importance of communication, providing holistic care to an individual and empowering them with the knowledge to manage their health. When an illness strikes a person, it affects not just his body, but also his mind and spirit. The art of communication is invaluable to patient interaction and establishing a therapeutic nurse-patient relationship, that facilitate coping mechanisms for patients, moreover it prepared myself as a nurse to meet their individual needs. Furthermore, there is at the moment an insurmountable demand for survivorship care as a result of the advancement in technology and medicine, which made living beyond life expectancy possible for increasingly more people. Living after cancer treatment is not free of complications as there are acute and chronic side effects of treatment that requires constant monitoring and attention, and this information spurred me to shift my focus from palliative to survivorship care.
Pharmaceutical Care Patch Adams is a 1998 semi-biographical comedy-drama film based on the life story of Dr. Hunter "Patch" Adams and his book, Gesundheit: Good Health is a Laughing Matter, by Adams and Maureen Mylander. (Wikipedia) The movie is all about a medical school student, Patch Adams who is eager and passionate in helping patients in a way which his dean disagreed on. Despite being warned by his dean and lecturers, he still holds on his principle in treating the patient as a person, not treating the disease.
I would have more patience and try to get to the root of the problem instead of dismissing it. I would try not to get frustrated so easily and have the empathy to care for this patient. Empathy is essential for person-centred care and nurses must have empathy in order to understand the situation from the patient’s perspective (Girffiths et al, 2012). If I responded with more empathy and less frustration I think the patient in turn would be less frustrated and although the problem may not be resolved, anxiety will be reduced and a trusting relationship will develop.
Psychosocial Advances in Oncology Research and Practice In the 1800’s, a cancer diagnosis was viewed as the equivalent of death (Holland, 2002). In this day and age, there was no known cause or cure, and it was considered inhumane to reveal the diagnosis to the patient. In a constantly changing and advancing society, this ideology was transformed as the result of an accumulation of technological advances, education, and research initiative. This led to the acceptance of the notion of cancer worldwide.
It is very easy to get wrapped up in the day to day tasks that we complete as nurses. But in order to give our patients the best possible care, we must look at our day through a holistic lens. The following essay will outline the theory as created by the “lady with the lamp” Florence Nightingale. We will look at the different components that are important to a patient’s health and outline on to incorporate these components into current practice.