Palliative Care Nursing Assignment 2022

Running head: PALLIATIVE CARE NURSING
PALLIATIVE CARE NURSING
Name of Student
Name of University
Author’s Note

1PALLIATIVE CARE NURSING
Family caregivers play a major role in providing care to the patients, which are suffering
from acute illness, after being discharged from the hospital to their environment of home. In the
process of transitioning, sometimes the registered nurses in the hospitals are asked to become
caregivers to provide efficient palliative care. According to the NMBA standards of the
registered nurses, creating a health treatment plan for efficient therapeutic results is very
essential for the nurses as well as caregivers (Nursing and Midwifery Board of Australia
(NMBA), 2016).The procedure of transitioning from hospital to home requires significant
amount of care, for which the importance of caregivers and their perceived strain of the needs of
the caregivers have increased exponentially. It is believed that the whole procedure of
transitioning is highly effective for the patients, in terms of their recovery, but at the same time,
it also puts excessive amount of burden and stress on their respective caregivers. On this context
it can be said that the 5Rs reflection framework would be useful in the knowledge development
of the care givers which includes the factors such as the reporting, responding, relating,
reasoning and restructuring. The caregivers often consider the transitioning process in a less
positive way, because of their feelings of frustration and scarcity in terms of knowledge and
education. They are often treated in an environment of lack of trust. Because of the
unsatisfactory healthcare treatment, family often chooses to provide effective treatment from
home. The caregiver hence should be able to report the situation in order to record the situational
experience for the future development and thus it can be stated as the reporting part of the 5R
reflective framework. According to NMC codes of nursing the carers and nurses are supposed to
provide effective care and treatment when they have proper knowledge about the illness of the
patient and the effective treatment procedure, because of the increase in the ubiquitous fear of
unknown (Nursing and Midwifery Board of Australia, 2013).

2PALLIATIVE CARE NURSING
In the beginning, the caregivers often feel stressed and frustrated because of the change
of the environment and their life activities as of the observation of the life experiences that is the
responding part of the 5R framework. For older patients, the transitioning process are proved to
be effective only if the caregivers have a clear knowledge and understanding of the treatment
required and are able to cope up with the changes in the environment, their needs and emotions
(Plank, Mazzoni & Cavada, 2012). However, after successfully transitioning the patient from
hospital to home and as the patient is not anymore under the guidance and supervision of the
healthcare professional,the event of handling new challenges starts. This can be stated that the
factor of relating the personal and theoretical understanding of the caregiver. Hence, that is the
relating part of the 5R framework of reflection and would be useful in the process of the
knowledge development from personal experience. The increased uncertainty of every day
results in boosting the agitation, anxiety and frustration levels of the caregivers. The caregivers
feel helplessness, as they become solely responsible for the patient’s treatment and they cannot
afford any mistake, because of the severe consequences. The caregivers had to focus while
giving the medication to the patients as per the sayings of nursing ethics(International Council of
Nurses, 2012), because even a slight mistake can risk the life of patients. For the effective
treatment, the nurses and the caregivers follow the adaptation model, which involves six steps:
 Addressing the behavior of the patient
 Addressing the stimuli of the patient
 Patient’s diagnosis
 Patient’s health related goal setup
 Efficient interventions to achieve the goals
 End result evaluation