INTRODUCTIONTitle “Palliative care and assisted dying ”Aim To analyse the role of palliative care over assisted dying on patients suffering from longterm and critical illness. Objective To recommend the palliative care services to patients with critical health condition. To analyse the barriers in providing palliative careTo evaluate the impact of palliative services on health outcomes and other possibleoptions for the patients at end phase of their life. To analyse the legal and ethical aspects of assisted dying. Research questionsWhy palliative care is recommended? What are the barriers which affect the quality and delivery of palliative care services? What is the impact of palliative care services and what are the other substitutes people areseeking for palliative care? What are the legal considerations and ethical perspective related to assisted dying? Rationale There has been increasing demand of palliative services but still most of the healthprofessionals fail to deliver these services. As a result there has been continuous debate to allowassisted dying so that patients can deal with their sufferings (Kavalieratos & et.al., 2016). Thestudy will analyse the perspective of both of these approaches so that healthcare quality can beimproved and better decisions can be taken for the patients. SignificanceThe study is very beneficial for the health professionals and people so that they canunderstand the importance of palliative services. It will also help professionals to enhance thedelivery of health services and to provide clarity over assisted dying concept (Beardsley, Brown& Sandroussi, 2018). LITERATURE REVIEW Palliative care and its need 1
According to Kelley & Morrison, (2015) palliative care is very effective and importantcare approach to improve the health quality of patients suffering from server life threateningdiseases such as cancer, neurological diseases and advanced lung or kidney diseases and HIVAIDs. Palliative care services aims to minimise the pain and suffering of patient by providingphysical, emotional, spiritual and psychological assistance. Along with the medications andtreatment palliative care services provide strength and positive motivation to patients so that theycan strongly face the critical phase of their life. Impact of palliative care on health outcomes Palliative care services plays very important role in improving the health outcomes ofpatients. The long term illness is not only painful for patient but also for their family members.As per Bakitas & et.al., (2015) palliative care strategies aims to demonstrate death as normalprocess so that people can face it without getting stressed or fear. However, it is not essential thatpalliative services are provided only during end stages of life. These services are also providedwith the onset of treatment process so that symptoms of diseases can be controlled and clinicalcomplications can be reduced. Thus, it can be concluded that these services have positive impacton overall well being of patient and enhances the quality of healthcare services. Role of nurses in providing palliative care The nurses and health professionals plays very important role in providing palliative care.The healthcare professionals must have necessary skills and knowledge so that they can identifythe palliative care needs of patients. Many patients in their last phases assume that either theywill suffer from pain until their last breath or they can avail assisted dying. With the help ofpalliative care nurses can develop better understanding and relation with their patients. Thisunderstanding also improves the nursing and care interventions. Sansó & et.al., (2015) stated thatpalliative services provided by nurses can give a choice to people that they can make their illnessless painful. Assisted suicide and perspective of healthcare professionals and service users Assisted suicide or euthanasia is defined as an action accomplished by an individual withthe help of others to end the life so that they can get rid from extreme pain due to long termillness which cannot be cured. The approach is not favoured by every one since people believethat palliative care can be used to help such patients. On the other hand it is also assumed byfamily members and patients that there is no use of living painful life which does not have any2
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