Palliative Care Practice in New Zealand

Running head: PALIATIVE CARE PRACTICE
PALIATIVE CARE PRACTICE
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1PALIATIVE CARE PRACTICE
Introduction
The following essay will discuss aspects of a palliative care framework in New Zealand,
considering the holistic aspects of ‘Whānau’ and ‘Te Whare Tapa Whā’.
Discussion
Palliative care in New Zealand
One of the essential frameworks guiding palliative and end of care is the New Zealand
Palliative Care Strategy. The Ministry of Health and the Health Funding Authority, after taking
insights from the National Health Committee’s project on ‘Care of the Dying’, introduced the
framework in order to mitigate the emerging elderly population of the nation, along with care
burdens experienced by aged care organizations and hospices of New Zealand (Meier et al.,
2016). The New Zealand Palliative Care Strategy is considered for operation when an
individual’s health condition is beyond the scope for cure and further treatment. Such a palliative
care strategy relies on the principle, that irrespective of attaining the terminal stage of health, a
patient has the right to receive holistic care aimed at achievement of social, psychological and
physical wellbeing (Phillips, Ingham & Macleod, 2015).
Best Practice Trends
For the purpose of ensuring positive health outcomes, relief from debilitating symptoms,
improved quality of life in the patient who is terminally ill, palliative and end of life care services
consider adherence to a number of essential practices (Robinson et al., 2016). The practices and
healthcare palliative services which have been considered to yield the best results include:
conductance of care that is person centered and is inclusive of the patient preferences as a direct

2PALIATIVE CARE PRACTICE
determinant of the palliative decision making process, delivers terminal care which is sensitive to
the unique cultural needs and practices of the Maori population, incorporates sensitive
interpersonal communication between the health staff, the patient and his or her family/whanau,
administers a holistic care plan through participation of a multidisciplinary team for achievement
of psychological, social and spiritual wellbeing, includes family centered approaches which
allows terminally ill patients to be close to their near and dear ones and respects autonomy of the
patient especially in terms of selection of treatment (Landers, Dawson & Doolan-Noble, 2018).
Significant Contribution
One aspect of palliative care strategies such as the New Zealand Palliative Care Strategy,
which contributes significantly towards improvement of the quality of dying and life in end of
life patients and their families is the inclusion of the Maori aspects of ‘Whānau’ and ‘Te Whare
Tapa Whā’ (Gott et al., 2015). ‘Whānau’, translated as ‘extended family’ in the Maori
communities. Indeed, the cultural and spiritual practices of Maoris take into consideration the
importance of belonging to a closely knit community and respecting the emotions of near and
dear ones (Schill & Caxaj, 2019). Similarly, ‘Te Whare Tapa Whā’ is the foundational principle
dictating Maori health practices and is dependent on maintenance of an equilibrium between four
cornerstones of health. Hence, Maori culture defines optimum health as one consisting of
adequate physical growth and development (taha tinana), the ability to practice spiritual fate
(taha wairua), the capacity to be with family (taha whānau) and the capability to be mentally and
emotionally sound (taha hinengaroa) (Gott et al., 2017). New Zealand’s palliative care
frameworks contributes significantly to quality life and dying by respecting the importance of
family and delivering help to patient’s whānau. Additionally, palliative services incorporates the
four aspects of Te Whare Tapa Whā through provision of a multidisciplinary of health