Palliative Care in New Zealand

Running head: PALLIATIVE CARE IN NEW ZEALAND
PALLIATIVE CARE IN NEW ZEALAND
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1PALLIATIVE CARE IN NEW ZEALAND
Introduction
This essay will aim to emphasize on palliative care aspects of cultural competence,
family centred care, and person centred practices and adherence to ethical and legal
considerations for improvement of quality of life and dying across patients.
Discussion
Palliative Care in New Zealand
The palliative care framework operating in New Zealand and of emphasis here is the
New Zealand Palliative Care Strategy which was formulated by the Ministry of Health and
Healthy Funding Authority, in an attempt to expound upon the conclusions stated in the
project by the National Health Committee named ‘Care and Dying’ (Meier et al., 2017). This
national level palliative care framework was an established in an attempt to mitigate the
growing healthcare demands of a rapidly ageing population and for directing the increased
need for hospices and elderly care organizations to deliver aged care services in New
Zealand. The guiding principle for this framework was the acceptance that palliative patients
have a right to live a life of quality healthcare and alleviation of chronic symptoms
irrespective of belonging to the final stages of their lives (Morin et al., 2017).
Best Practice
Healthcare organizations delivering palliative care services attend to patients inflicted
with a variety of health issues along with the prevalence of emotional difficulties in their
respective families. Hence health professionals and organizations delivering palliative care
must ensure positive health outcomes and quality of life and dying by adhering to
professional practices considered to yield best practice trends (Harding et al., 2019). To
ensure compliance to best practice trends, palliative care specialist must firstly adhere to
culturally competent practices sensitive to the unique spiritual, cultural and religious needs of

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the patient, consider the importance of whānau’ in Maori culture and hence engage in family
centered practices by involving whānau’ caregivers in the patient care plan, consider usage of
person centered care by including the needs and preferences of the patient, conduct
interpersonal communicative practices by maintaining therapeutic relationships with the
patients, their families and whānau’ care givers and lastly engage in holistic deliverance of
care through inclusion of a multidisciplinary team adhering the physical, emotional, social
and psychological needs of the patient (Bright et al., 2017).
Significant Aspect of Care
An aspect of care which plays a significant role in ensuring compliance to the living
and dying needs of patients and families in palliative care, the considering of Maori cultural
principles of ‘Whānau’ and ‘Te Whare Tapa Whā’ by health professionals. ‘Te Whare Tapa
Whā’ in Maori healthcare practice is the belief that positive health outcomes and optimum
healthcare can be maintained in the presence of an equilibrium between four aspects of:
healthy mental functioning (mental health), healthy physical functioning (physical health),
ability to practice spiritual needs (taha wairua) and capability to remain connected with one’s
family (taha whānau) (Oetzel et al., 2019). Palliative care frameworks in New Zealand adhere
to the same by providing holistic care including multidisciplinary carting for physical and
mental needs of the patient, along with adherence to practices which are family centered and
culturally competent (Egan & Timmins, 2019). Similarly, Maori culture emphasize
significantly on whānau – implying relationships with one’s extended family. Palliative care
services adhere to aspect, not only by the adherence to family centered approaches but also
by empathizing and supporting whānau care givers in the palliative care of the patient (Isaac,
2018).