End Life Palliative Care | Assignment


Added on  2019-10-16

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End life Palliative Care in Nursing1AssignmentEnd life Palliative Care in NursingStudent Name:Student ID:Course Name:Course ID:Faculty Name:University Name:

End life Palliative Care in Nursing2The Nursing practice requires many qualities. It requires specialised skills, knowledge and independent decision-making skills. There are many aspects of nursing practice. It includes the type of client, different disease management, palliative care and also rehabilitation. This relation is based on mutual respect and trust. It is a helping relationship in which the nurse should be sensitive to self and others . Providing physical, emotional, spiritual support to the patient and their family.To be a successful nurse excellent communication skills are important. This helps in building an interpersonal relationship with patient and family. The nurse is able to take better care of the patient if she able to communicate properly with the patient. This also helps in building a relationship among the staff of the institute. More the communication by the nurse there is fewer chances of error. Also, it helps in creating a trust and positive environment. The palliative practise involves communication between nurses with officials , patients and also their relatives. By effective communication, a comfort level with the patient is developedby which patient conveys his pain, fear , shares anxiety. Listening is a very important mode of communication. It requires nursing skills and attention. By this nurses can access the situation and problems of the patient. By being a good listener nurses can provide care at all levels of recovery.Along with listening , speaking with the patient also becomes important .Conversations should be held in appropriate condition. Each patient has its own way to discuss the problem. After the nurse has listened to all the problems she can talk to the patient.The most important core role of nursing practice is known as the therapeutic relationship. Its key role comes during palliative care. In this a person and its family members require support. This requires great sensitivity . Palliative care nurses need to be knowledgeable and they should carry enough experience in nursing to deliver sensitive information in a proper

End life Palliative Care in Nursing3manner. The role of the palliative nurse is extremely stressful . It is important for the nurse to focus on self-care along with the care of patient and family members. Physically palliative approach is followed to manage pain and physical discomfort in most of the situations. Pain being the most important complaint in the palliative approach to treatment. As the discomfort increases the need for palliative approach increases. It becomes very important where treatment is painful .Old age people become prone to life-threatening disease or their suffering increases due to the natural ageing process. In many countries, palliative services are provided at home only. Mostly people by the end stage of their life prefer to spend their time at home. The palliative approach helps patient’s family to cope withthe terminal illness of the patient. Palliative care leads to hospice care which includes focusing on comfort and quality of life. A personalised action plan is required for every patient for comfort and care. In this, it has been found that the survival expectancy is increased by 6 months. In this, the main focus is on pain control which troubles the patient most. Pain control is done by analgesics and comfort measures which can be achieved at home. It is important to develop an integrated care pathway for the dying patient. This is for the patients whose diagnosis is known and loss of life is inevitable. In this symptoms are closely monitored and palliative approach is followed accordingly. In few cases, older people denied access to palliative care. In these cases, their admission in hospital and nursing home becomes very important. Specialised palliative care is required in many patients (Towsley et al, 2015).Proper symptom control is impossible in older adults without proper communication. An accurate assessment of patient’s health requires effective communication. Communication is the centre of all treatment. Communication will deliver a great amount of palliative care to

End life Palliative Care in Nursing4the older adults. In the society conversation about death is often very awkward and difficult. Among the health care professionals, there is a requirement of improvement of techniques to overcome these obstacles. In last two decades, there is awareness of the importance of communication skills (Kinley et al, 2013).Nursing based care and in time quality decision, based on clinical expertise. The aim is to provide better, healthy and safe care to the patients with most new techniques available. To practice, nursing knowledge of the nurse along with multiple studies needs to be utilised. These all are part of nursing educationA palliative care is an approach which reduces the stress and pain due to suffering from terminal disease. This is adopted mainly in life-threatening diseases where the cure is not possible. The palliative approach is utilised to improve the life of the patient from the pain and suffering related to the disease. This also helps and supports the life of the patient who is having a natural death. The life-threatening disease can be encountered at any stage of life. Different type of palliative care is required for different age groups .Hence an age-related palliative approach is required .The palliative approach is based on individual needs , it differs in different age and medical condition. The palliative approach helps to comfort the individual suffering from the disease. (Aoun et al, 2015).In palliative care a nurse should be able to carry out tough conversations with the patients family. These conversations include patient’s current health , the progression of a disease andanticipated death. The information provided should be honest and it should be provided in a way that the family members should be able to understand the situation. Palliative care nursesneed to be knowledgeable and they should carry enough experience in nursing to deliver sensitive information in a proper manner. The role of the palliative nurse is extremely

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