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Palliative Care in the UK for Persons with Terminal Conditions

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Added on  2023/06/12

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This research report focuses on the effectiveness of palliative care services in the UK for persons living with terminal conditions. It examines the concept of palliative care, its effectiveness in planning a good death, and ways to reduce its impact. The report discusses the role of palliative care in managing pain and other symptoms, providing psychological, social, and spiritual support to patients and their families. It also evaluates the quality of palliative care services in the UK and provides recommendations for improvement.

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RESEARCH REPORT

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Table of Contents
TOPIC..............................................................................................................................................3
INTRODUCTION 1500..................................................................................................................3
RESEARCH AIM............................................................................................................................5
RESEARCH OBJECTIVE..............................................................................................................5
RESEARCH QUESTIONS.............................................................................................................6
PRESENTATION AND DATA......................................................................................................6
CRITIC OR FINDING 2000...........................................................................................................6
RESEARCH METHODOLOGY 1500..........................................................................................10
Search strategy......................................................................................................................10
Database used.......................................................................................................................11
Research choice....................................................................................................................12
Research approach................................................................................................................12
Research tool and technique.................................................................................................13
CONCLUSION AND RECOMMENDATION 1000....................................................................13
REFERENCES..............................................................................................................................14
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TOPIC
“Palliative care in the UK for persons living with terminal conditions”
INTRODUCTION 1500
Palliative care services are defined as end-of-life care that is usually associated with a
chronic disorder which cannot be cured (Pavlič and et. al., 2019). Therefore, the proper support
and care are usually provided to the patient with their terminal condition for the planning of good
death. Palliative care services usually play a role in order to create comfortable as possible by
managing pain and other symptoms which is painful for the patient. It is usually included
psychological, social, and spiritual support to the family and the patient (Dunleavy and et. al.,
2021). It is also known as a holistic approach because it usually deals with the whole person not
with the illness or disorders face by the patient for a prolonged period. In addition, it is not just
about the end-of-life support and care but it is also associated with the support and care on the
emotional and physical level of the patient which depends on the therapy and other treatable
condition. Many health care professionals are usually providing end-of-life care as part of their
job (Hancock, Preston, Jones and Gadoud, 2019). For example, the general practitioner or
community nurse are usually taking their hands the patient with a chronic disease which cannot
be cured then they provide proper and support and care by reducing pain and managing their
quality of life that must be extended for a month or a year.
Some people are usually required additional specialised palliative care that may be provided
by team who is taking the responsibilities in the palliative care with the proper medicine, nurses,
occupational therapist play vital role in order to provide wellbeing to the patient and planning for
a good death (Firth and et. al., 2019). The palliative care team is made of different health care
professionals and they initially coordinate and communicate with each other in order to enable
the care of the patient with the incurable disorder. End-of-life care is usually begun with the
initial day months or years (Ziegler and et. al., 2018). In addition, the people are usually
suffering from a different situation that cannot be treated but they are slow down with the help of
end-of-life care. In addition, some of them may be expected to die within the next few hours or
days are receiving end-of-life care (Gao and et. al., 2020). For many months, people have usually
considered in the UK the approach of palliative care when they know that they died within the
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next 12 months. Although, they provided support and care through the general practitioner or
healthcare professionals, especially community nurses (Gadoud and et. al., 2020).
With the help of end-of-life care, the people who have advanced incurable illnesses majorly
include dementia, cancer, motor neuron disease, and many more which cannot be treated in the
advanced stage and the death is confirmed (Stanley and Nwosu, 2022). Therefore, palliative care
services are responsible in order to plan a good death for the patient who is facing the issue of
cancer or any type of disease which cannot be cured with medical or clinical features. While
taking the context of the United Kingdom, it is evaluated that the United Kingdom has the best
palliative care in the world but services are still inaccurate for the reasons (Dunleavy and et. al.,
2021). The quality of care is offered in the United Kingdom has been ranked 80 compared to
other countries around the world. These data are usually provided by the economist's intelligence
unit with the proper research and survey that provide a significant role of palliative care in the
UK where many people are usually the services to plan a good death (Leniz, Weil, Higginson
and Sleeman, 2020). The literature review is usually focus on the various aspect which is related
with the concept, effectiveness of palliative care service and ways and interventions that usually
reduce the impact of palliative care in the UK.
The palliative care plays effective role within the patient with the terminal care who used to
face the issue of chronic disease and many more which may cause the issue with the health and
have limited time period which is counted for a months or year it all depend on the support and
care. The palliative care service plays effective role for the formulation of quality of health and
planning which is refer to the good death of the patient with incurable disease. with the context
to the overview of the purpose of the palliative care for the patient with the terminal illness. In
addition, the palliative care are usually shows the aspect which is related with the specialised
medical care that usually focus on the providing of patient from the pain and other symptoms
which is related with the serious illness. In addition, it usually shows no matter what but the
diagnosis or the stage of disease are well analysed and according to the term and care of
palliative care. The palliative care is usually show the aspect of team that is aim to improve the
quality of life for both patient and their families. The palliative care is usually show the aspect
which is related with the planning of good death for the person with incurable disease. In this,
they used to focus on person of care which is supportive in order to provide the planning for
good death that include fulfilment of requirement which is based on the patient desire, goals and

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decision which is may foster the support with their need and plan for the relaxation which
provide relieved from pain and other complication which may create difficulties for the health
issue and maintaining of peace. Therefore, palliative care also shows their support to patient and
their family in such a way which develop wellbeing and resilience. It also contributed within the
patient and families help developing sense of understanding which is focus on the care plan or
action plan which is beneficial to plan a good death. For temporary period, the improvement
towards the quality of health is analysed and provide proper aspect which is related with the pain
which is minimised as per the approach which is taken by palliative care team with services. The
palliative care team also support the patient in such a way which help to provide proper pain and
symptoms control for the patient which manage the pain and patient may feel relaxed with their
complexities. In addition, the effectiveness of the palliative care is usually focus on the body and
mind which provide relaxation to the patient and they plan their death in the good way. Overall,
the effective palliative care service with the team may support the patient in order to make proper
plan for their good death with help of terminal care. In the advance stage of disease which is
incurable and there is no any proper treatment which may support the patient to recover, such
disease is cancer and many more. therefore, the palliative care is only option which is useful for
the patient to manage pain and plan toward the good death. Under the comprehensive palliative
care, patient with the terminal cancer have good quality of life and experience a good even with
the short period of survival.
RESEARCH AIM
To understand the effect of palliative care services in the UK for persons living with terminal
conditions.
RESEARCH OBJECTIVE
To understand the concept of palliative care in the UK for persons living with terminal
conditions.
To determine the effectiveness of palliative care services, support persons with terminal
conditions in planning a good death?
To examine the ways and interventions used to reduce the impact of palliative care in the
UK for persons living with terminal conditions.
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RESEARCH QUESTIONS
What is the concept of palliative care in the UK for persons living with terminal
conditions?
How effectively do palliative care services support persons with terminal conditions in
planning a good death?
What are the ways and interventions used to reduce the impact of palliative care in the
UK for persons living with terminal conditions?
PRESENTATION AND DATA
The presentation of the research project is usually focus on the palliative care effectiveness
which is require in order to provide the people with terminal care a good death. The presentation
is well focus on the concept of palliative care which is strictly allow the reader in order to create
the good understanding which is appropriate for the knowledge synthesis. The knowledge regard
with the information or data is well rounded with the development of core aspect that is causes,
effectiveness of palliative care that play to support and care the person with terminal condition in
planning a good death. In this research process, the major of discussion is usually carry the main
aim which is helpful in order to create the understanding which is related with the palliative care
that play role in planning of good death. Along with this, the objective is also well focused on the
core development which focus towards the concept, causes and effectiveness which usually main
focus within the report. Therefore, the methodology section also carries source of data collection
such as approach, choice and many more.
CRITIC OR FINDING 2000
While dying is defined as the normal part of the life which is related with any complication
that linked with chronic disease that incurable in nature. Death is often treatment as an illness. As
the complexities, various people are usually dying in the hospital, alone with the consistent pain
which must be managed. Palliative care is usually focus on the primary factor which is
anticipating, preventing, diagnosing and treating the symptoms which is experience by the
patient with the chronic disease or the life-threatening disorder and help the patient and their
families that make medically essential decision (Low and et. al., 2022). The ultimate goals or the
objective of the palliative care service is to improve the quality of life with the management of
pain and planning good death for the patient with the issue which is not treated with medical
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feature. In addition, the palliative care unlike the hospice care which does not depend on the
prognosis as the end of life that approach, the role of the palliative care which show them
intensifies and focus on the aggressive symptoms management and psychosocial support that
provide essential aspect for the development of effective palliative care services. The helping of
the patient and their families which show better understanding to the nature of the disorder and
prognosis which is critical part of palliative care which is near end of life. It is well analysed that
the palliative care shows the supportive role with the team who is specialist that help the patient
and their families in order to identify the appropriate medical care and they show them align the
patient care goal with those of the healthcare team. In addition, they used to establish the need
for the medical proxy, advance directive and resuscitation status which is defined as integral part
of the palliative care service at the end-of-life care (Larkin, 2022).
The traditional medical treatment model has shown their outcome that is dichotomous, lead
to create aspect for the physician in order to provide the curative or aggressive treatment which is
initially show their comfort care only when the other measure that provide aspect towards the
failure. The palliative care team provide various of medicine which help to support the goal and
objective in order to provide the comfort to all who is suffering in the all stage of disease and it
have no any limited comfort which may be associated with the care or end of life care. In
addition, the term of palliative care and the hospice care are sometime which is used
interchangeably. Therefore, according to the national quality forum, the hospice care is defined
as the service delivery system which help to provide the palliative care or medicine when the life
expectancy which is related with the 6 month or less and when the curative of life prolonging
therapy is no longer indicated. In addition, it is essential to make difference that show the aspect
of hospice provide the palliative care which is not hospice. Not all available therapeutic
palliative care which is based on the modalities within the hospice service delivery system
(Axelsson, 2022).
The alleviation of suffering which is an essential goal of medical care. However, it is also
analysed that it is first recognise with the occurrence of pain and suffering which may have
contributed to the worst part of patient complexities. According to the Saunder, they are first
describing the concept of total pain and interaction which is support among the various sources
of pain and persistent suffering. The total pain is the addition of patient physical, psychological,
social and spiritual pain. The major approach of the concept which is show the central

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assessment and provide proper diagnose of pain and suffering. The component which is may
require to settle down and promote towards the good planning of death for the patient. The
component of the pain is usually involvement (Alshammari, Sim, Lapkin and Stephens, 2022).
P: That is physical issue and problem, often multiple of issue which is must be specifically
diagnose and treatment.
A: Anxiety, anger and depression which is crucial component which is related with the pain
and addresses by the physician in order to make proper cooperation with the other related
healthcare professional that provide proper support for such aspect which may be contributed to
worst pain.
I: The interpersonal issue and problem that majorly include loneliness, financial stress and
the family issue which show the fraction with the fabric of the patient symptoms.
N: They are usually not accepting the approach of death, or the sense of hopelessness and
show the search which is predominately focus on the cause of the severe suffering that is
unrelieved by the term of medication (Mercadante and et. al., 2022).
With this all context, the psychological distress may cause the lack of support which is
associated with the mental level and status. Therefore, lack of social support and physical pain
which is associated with the treating a patient total pain that in imperative especially at the end-
of-life care. Optimal pain usually provides a wider unit of pain which is not possible unless all
the elements of the total pain which is addressed. Clinicians utilise other member which is based
on the multi-disciplinary team which majorly include social worker and Chaplin that provide
better understanding that is related with the different aspect of pain which is well required to
understand by palliative care team for the planning of good death for the person with the
incurable disease or illness (Vernon, Hughes, and Kowalczyk, 2022).
The patient near the end of life which may experience the extreme symptoms that majorly
include the physical, spiritual and psychosocial suffering. The prevention and managing of such
symptoms which may help to show the optimisation that provide the quality of life throughout
that show the dying process that is related with the goal or objective of palliative care medicine.
The factor important in order to provide the seriously ill patient that include adequately
controlling pain and other symptoms that avoid prolongation of the process that is related with
the dying, the achievement towards the sense of control that finding for the meaning in life,
relieving the care which showing the burden of family and the loved ones that provide strength
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and completion of those with the same respect of relationship. Therefore, when the death of the
person is come to nearer, the symptoms burden is usually enhancing when the patient and family
tolerance of the physical and emotional stress that may be decrease. With the context to this time,
the primary palliative care and their intervention which is helpful take proper precedence and the
focus which is based on the restorative care that is decreased. The trigger which may influence
the people for the palliative care are usually include the following four symptoms which may
contributed in such a way which plays vital role in the development of quality of services
(Selman and et. al., 2022).
Physical pain: Pain is one of the most prevalent symptoms which is related with near the
end of life. it is also showing the aspect which unrelieved pain which can be source of the
distress for the patient and families which accelerate the symptoms that show the progression of
disease. the proper and adequate management of the pain at the end of life is usually imperative.
The pain killer which is from opioid class of drug that show their analgesic that are show the
standard of the care for the treating the moderate to severe pain in patient with the illness which
is based on the advance stage. However, the both effects are usually show the uncommon
symptoms with the opioid which is provided to the patient in the prominent dose which is
support individual through the release of pain. The healthcare professional who are usually show
the care for the chronically ill and for this at the end-of-life which is should acquire the
competency in the term of pain management (Rawlings and et. al., 2022).
Dyspnoea: This all term is effective to understand in order to provide the proper support and
care to the patient who require palliative care services. As per this, it helps to create an effective
sense of knowledge which is related with the factor which may be contributed with the planning
of good death. Therefore, Dyspnoea the subjective sensation of the shortness of breath is also
associated with the patient with the frequent and distress symptoms which is particularly focus
on the dying patient. The opioid and benzodiazepine which is one of the most widely prescribed
medication for the treating of the dyspnoea. When the death is predominately approached the
clinical aspect are may show their continuous infusion to the management of sign and symptoms
and provide the relieve suffering if the schedule or as needed disease which is not adequate. The
clinicians are usually showing the continuous assess towards the patient that they were schedule
or as needed dose which is require the dose which not adequate and proper. The clinicians which
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show the impact which is continually assess the patient and make proper adjustment with the
dose which is not required for the palliative care services (Rose and et. al., 2022).
Death rattle: As the responsive which show the decrease which is towards the end of life, it
become the enhancement which is rare for the patient to control the oropharyngeal secretion. The
death of the rattle is usually associated with the aspect of dying which is showing the second of
air movement which is related with the approach of pooled secretion. In addition, they focus on
the cause of suffering for the dying that provide the concept of death rattle which can be
disturbing for the loved one in order to hear. Therefore, the patient head and using the
appropriate anticholinergic such as atropine and other drug are may palliative medicine to
provide and comfort and provide path to better death which is without pain (Chen and et. al.,
2022).
There are number of patients who is face the issue of chronic disease and they are
pretending that their death is near and come suddenly but for the many, the knowledge that the
one death is imminent comes first. Those with this awareness often must focus on the complete
certain task which is allow the user to take a peaceful death such as offering of forgiveness,
being forgiven from someone and acknowledging various of regrets that has been taken in the
course of finding which have closure in the term of professional and community relationship that
is saying goodbye to their family and friend. The extension in their lifespan are usually focus on
the various aspect which has been taken and provided to the people with chronic disease in such
a way which develop quality of life and planning for the good death. Therefore, it is also
analysed that the people with the such complication require some kind of need which is related
with the day-to-day activities and reach to such point which is focused on good death and before
that the planning has been taken in order to provide the quality of life. The management of pain
is vital role which is perform by the palliative care service and their team show effective
strategies such as providing opioid analgesic and many more (Bhattacharyya and Agarwal,
2022).
The role of palliative care at the end of life is usually focus on the aspect which is related
with relieve the suffering of patient and their families by the comprehensive assessment and
treatment of physical, psychological and spiritual symptoms patient experience. As the death
approach to the patient, then the symptoms and sign are act as burden on the body and function
of the body are start showing error with the process and patient condition become worse and

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require more aggression palliation that is related with the effective planning of death. In addition,
the comfort is usually show the measurement which is helpful in order to provide the intensify
that they can support the patient before dying. The palliative care team focus on the collaborative
decision making which process the patient for the good death (Patel and et. al., 2022).
Overall, the conclusive aspect of literature is well focus on the significance that provide the
aspect which situated within the context that is provide a relevance that support the people with
the help of palliative care team. Therefore, the people with the incurable disease are well focus
on the aspect that derive the solution which provide the captive source in term of evaluation
which is validated and reliable for the health outcome. The major strength of the literature is well
focused on the various aspect which include the need, importance and effectiveness of piece of
paper with the term of palliative care. whereas, the weakness is also analysed that is related with
the weak argument which is usually developed on the topic and with the prior limitation such as
people with the other disease that they have unpredictable death and the palliative care does not
support the patient in the proper ways.
RESEARCH METHODOLOGY 1500
Search strategy
The search strategy is usually referring as the aspect which is undertaken within the
research process which is based on the collection and selection of data from the various source
which may place relevance in the research. The search strategy is usually focus on the various
aspect that help to provide the proper counter towards the source and resource which is evaluated
for the research with the purpose of data collection and selection. The search strategies are may
defined as the source which may be useful to cover the wide range of data that must be review
and gather the information which is productive for research process. In addition, the major search
strategies are well focused on the various website, books and article for the appropriate data
collection and selection. In addition, the search strategies are focused on the PubMed Central,
Springer Link, Science direct and Elsevier. These all are helpful aspect which is related with the
context of search strategy that they are provide knowledge and information that is associated
with palliative care and their effectiveness for the planning of good health. In addition, the search
strategy is usually focus on the various aspect which may configure the good planning which is a
form of data and it is collected with the reliable source that is above mentioned. The PubMed is
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usually consisting of various of article that is related with palliative care services and helpful to
provide proper data and information which may support during the research process (Keown,
2022).
Database used
The database is also providing a wide range of information which may associated with the
selected topic that help to provide the quality of research process with the evidence-based data.
The database usually provides the access to scholar the research that include Journals article,
conference proceeding and books which may cat as the resource for the collection of data. They
also provide the access to different type of specific material which contribute towards the quality
of information which majorly include maps, film, news and many more. Within the research
process, the major of database are defined as PubMed central, EMBASE, CINHAL and
UpToDate. Therefore, these all aspect are usually show the contribution which may place
effective contribution for the persistency of relevance that is related with the data and
information (Bellamy and et. al., 2022).
PubMed Central: PubMed is defined as the most reliable source which undertaken for the
research process. it is usually hosted by the National Institute of Health and help to provide the
information that usually include the abstract and links which is related with the full text publisher
website with the article that is more than 28 million.
EMBASE: It is defined as the Excerpta Medica Database is defined proprietary research
database that is include in its corpus PubMed. It is also can be assessed by the other database that
provide the such as Ovid that is productive for the research process. it usually covers the 38
million of article that is related with the data or information which is focused on abstract
(Roberts, A., 2022).
Cochrane library: The Cochrane library is also known as the best and suitable aspect
which is related with the systematic reviews. There are approx. 53 review group which is taking
into the aspect which may provide the surety regards with the published review which has been
taken with the high quality and evidence-based practice. The Article is usually showing the
aspect which is taken over the time to reflect the new research. It usually covers the thousands of
high-quality reviews.
UpToDate: There are some of the aspects which is related with the UpToDate provide the
detailed review which is showing the clinical topic that has been constantly focus and updated in
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order to provide an UpToDate view. There are some of the aspects which is related with the
several of thousand articles.
Overall, these all database are usually play vital role in the developmental of quality of
information while process the research on the selected topic. Usually, topic focus on the
palliative care that help to provide the vital aspect or planning for the individual or people with
chronic issue and have a limited period of life then palliative care service and their team take
action for the planning of good death for the individual (Liu and et. al., 2022).
Research choice
The research is usually focus on the qualitative method as a choice which help to configure
the information that is expressed in the form of word, concept and theory which is based on the
qualitative aspect that is reliable and validated for the collection of data. The qualitative data are
used to show the aspect which is focus on the various aspect which help to provide the proper
information which is without any numerical data or graph configure the numerical value.
Therefore, the qualitative data show the aspect for the palliative care that support the people with
terminal care. The palliative care usually focuses on the terminal care to the patient with
effective planning that developed action for the good death. Therefore, these all data and
information are usually show the aspect which is related with the choice that is qualitative
method. In addition, the research process is usually focus on the model and theories that is
related with the selected topic (Khan and et. al., 2022).
Research tool and technique
The major research tool and technique which may support the research process are usually focus
on the survey, questionnaire and self-assessed questionnaire and many more. In addition, they
also show the aspect which is able to analyse concept and effectiveness of palliative care. the
questionnaire which is self-made to review the importance of palliative care are (Chokshi and et.
al., 2022),
Question 1: Gender?
A: Male B: Female
C: Others D: Not required
Question 2: When patient require terminal care?

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A: For incurable disease B: Due to ageing
C: Not sure D: Others
Question 3: How to find the eligibility?
A: For incurable disease B: Due to ageing
C: Not sure D: Others
Question 4: Where will people receive palliative care?
A: Hospital B: Clinics
C: Home D: Residential care
Question 5: How family and relative involve in palliative care
A: In hospital B: In clinics
C: In home D: In residential care
CONCLUSION AND RECOMMENDATION 1000
As per the above discussion, it is well defined as a correlation with the improvement in the
symptom control, patient satisfaction, and understanding of the diagnosis and treatment that is
provided to the patient in order to plan a good death. The goal of palliative care usually align the
patient and search a way by respecting their values and preferences that is attached to the
treatment while attending the family members follow the concerns and their desires. Therefore,
the family support to the various care plan that also an essential aspect of the valid care that show
their immense help in providing the support and care to the family in the all-round way.
Therefore, it is also analysed that are usually that provide proper assistance for the clinical
management towards the complexities that patient face for the prolong period. In addition, the
discussion also focusses on the various complex situation that required valuation in order to
manage the pain and other essential symptoms which may cause complexity. The practitioners
especially, the physician usually know the consequences and complexity of the patient and they
provide proper managing emergency to control the symptoms that may be cause pain and other
factor. In addition, it is also analysed that the advanced care planning for the patient with the
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chronic diseases or incurable diseases are usually focus on the various support and services
which is provided by community nurse and others. While taking the contrast of the palliative
care, the team are usually support the individual with the advance stage of chronic disease such
as cancer and many more. The patient requires proper physical support, social support or any
emotional support to handle the situation with the help of proper communication and interaction
during the last stage of the year life that is completely provided by a team with the services.
The patient is usually approach good death which can be benefited from services by
receiving the aggressive management of symptom such as pain, hunger, and many more.
Therefore, in order to take the services of palliative care which is usually helpful for the patient
at their end-of-life stage. The palliative treatment is usually taken long place a long side for the
curative care.
Overall, the palliative care is usually provided and interprofessional team-based approach that is
helpful for the patient care and their support. In addition, it is very effectious in order to provide
improvement towards the quality of life and providing a proper planning for the good death. In
addition, the palliative care has a combination of various healthcare professionals with their
specialist approaches that play effective role in order to provide a better planning for the death of
individual with the advance stage of any chronic disease. In addition to this, the palliative care
usually provides various of approaches that is relatively focus on the concerns behaviour and
providing them or sense of knowledge regards with the death or the pain management and other
symptoms that must be reduce before it create complexity with the people in their health issues.
One of the main goals of the palliative care is to provide proper medicine that create comfort
and relief from the pain and suffering that make create complication and complexities with the
patient. Unfortunately, the cure is not possible with some of the chronic diseases then the
palliative care plays vital role in order to limiting the progression of disease and delay the
complexities that may arise in the instant way. Therefore, the team of the palliative care services
are focus on the various strategies and intervention that may applied in the form of medicine or
therapies to prevent the progression of disease and extend the life span of the people who is
facing or dealing with the consequences of health issues. The main goal of the palliative care is
to delay or slow the progression of disease that provide advantage to the patient for planning a
good day with the terminal care.
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Palliative care plays an important role in end of life of the patient over suffering from
high level of disease which have no any treatment and prevention. In these, it can create high
difficulty for the patient in their chronic illness with the help of Palliative care. It can enable
healthcare professional to provide better care health care services to the patient during their end
of life. In this, there is need to provide proper comprehensive assessment and treatment that
includes spiritual, psychological and physical symptom which are experienced by the patient and
during their end of life. This is the death approach where patient symptoms should be taken in
consideration to provide better health care services that can help them to assure about minimum
pain and discomfort. Palliative care is highly effective and can support to dying patient and their
family. It can help them to focus on primary care that can help individual with chronic illness to
manage the symptoms and reduce the pain and side effect. Palliative care can help to focus on
anticipating, preventing, and treating symptom and diagnoses that can help to provide better
experience to patient during their end of life.
Palliative care also provide better care and support from life-threatening illness and help
patient in making better medical decision. It can also help to improve the quality of life where it
can help in managing disease and its consequences where pain and suffering should be reduced
to the minimum that can enable patient to minimum suffering. Palliative care also help patient
and their family member to understand the prognosis and nature of the illness. It can help in
understanding about the negative health impact which can be caused due to chronic illness where
the patient is not able to get treated and improve in their illness. This can lead to create the end of
life where Palliative care help to minimize the consequences and help and support an individual
with minimum suffering.
Palliative care enables healthcare professional to deliver proper care services that can
help and provide management to the pain. This can help in managing elevation of pain that can
create suffering for the patient and create difficulty during their end of life. Here, patient should
get physical, social, psychological and spiritual pain where delivery of healthcare services should
be provided in such a way that it can help to reduce and minimize it and improve the quality of
life. Palliative care also help in managing common physical symptom that include suffering and
pain and provide prevention from optimizing the negative health impact. Here, through using the
Palliative medication, it can enable healthcare professional to reduce the factor and seriousness
of a uncontrolled pain and other system which can help in avoiding prolongation of the dying

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process. It cannot have also help in achieving a sense of self-control and provide better meaning
of life. Palliative care can help to provide better relief from physical pain, dyspnea and
restlessness. It can help a to minimize the suffering to the patient from different illness
symptoms. This can help in providing better help in managing illness symptoms where patient
with chronic illness should not suffer more during end of life.
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REFERENCES
Books and Journals
Dunleavy and et. al., 2021. ‘Necessity is the mother of invention’: Specialist palliative care
service innovation and practice change in response to COVID-19. Results from a
multinational survey (CovPall). Palliative medicine, 35(5), pp.814-829.
Firth and et. al., 2019. Establishing key criteria to define and compare models of specialist
palliative care: a mixed-methods study using qualitative interviews and Delphi
survey. Palliative medicine, 33(8), pp.1114-1124.
Gadoud and et. al., 2020. Palliative care for non-cancer conditions in primary care: a time trend
analysis in the UK (2009–2014). BMJ Supportive & Palliative Care.
Leniz, J., Weil, A., Higginson, I.J. and Sleeman, K.E., 2020. Electronic palliative care
coordination systems (EPaCCS): a systematic review. BMJ supportive & palliative
care, 10(1), pp.68-78.
Park and et. al., 2020. Strengthening the UK primary care response to covid-19. Bmj, 370.
Pentaris and et. al., 2018. Palliative care professional’s perceptions of barriers and challenges to
accessing children’s hospice and palliative care services in South East London: A
preliminary study. Death Studies, 42(10), pp.649-657.
Stanley, S. and Nwosu, A.C., 2022. 36 How can technology be used to support communication
in palliative care beyond the COVID-19 pandemic?.
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Gao and et. al., 2020. Effect of short-term integrated palliative care on patient-reported outcomes
among patients severely affected with long-term neurological conditions: a randomized
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Axelsson, B., 2022. The Challenge: Equal Availability to Palliative Care According to Individual
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Alshammari, F., Sim, R.J., Lapkin, S. and Stephens, R.M., 2022. Registered nurses’ knowledge,
attitudes and beliefs about end-of-life care in non-specialist palliative care settings: A
mixed studies review. Nurse Education in Practice, p.103294.
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Mercadante, S., Giuliana, F., Bellingardo, R., Albegiani, G., Di Silvestre, G. and Casuccio, A.,
2022. Pattern and characteristics of patients admitted to a hospice connected with an acute
palliative care unit in a comprehensive cancer center. Supportive Care in Cancer, 30(3),
pp.2811-2819.
Vernon, E., Hughes, C. and Kowalczyk, M., 2022. Measuring effectiveness in community-based
palliative care programs: A systematic review. Social Science & Medicine, p.114731.
Selman, L.E., Farnell, D.J.J., Longo, M., Goss, S., Seddon, K., Torrens-Burton, A., Mayland,
C.R., Wakefield, D., Johnston, B., Byrne, A. and Harrop, E., 2022. Risk factors associated
with poorer experiences of end-of-life care and challenges in early bereavement: Results of
a national online survey of people bereaved during the COVID-19 pandemic. Palliative
Medicine, p.02692163221074876.
Rawlings, D., Miller-Lewis, L. and Tieman, J., 2022. ‘It’s like a wedding planner’: Dying2Learn
Massive Open Online Course participants views of the Death Doula role. Progress in
Palliative Care, pp.1-7.
Rose, L., Allum, L.J., Istanboulian, L. and Dale, C., 2022. Actionable processes of care
important to patients and family who experienced a prolonged intensive care unit stay:
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Chen, I.H., Kuo, S.F., Lin, Y.K. and Huang, T.W., 2022. Knowledge of and barriers to palliative
care perceived by healthcare providers before and after promotion of the Patient Autonomy
Act: A cross-sectional study. International journal of environmental research and public
health, 19(7), p.3884.
Bhattacharyya, O. and Agarwal, P., 2022. Adapting primary care to respond to COVID-
19. Canadian Family Physician.
Patel, H.V., Kim, S., Srivastava, A., Shinder, B.M., Sterling, J., Saraiya, B., Mayer, T.M.,
Ghodoussipour, S., Jang, T.L. and Singer, E.A., 2022. Factors associated with palliative
intervention utilization for metastatic renal cell carcinoma. Clinical Genitourinary Cancer.
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assisted dying debate. Theoretical Medicine and Bioethics, pp.1-3.
Bellamy, A., Clark, S. and Anstey, S., 2022. The dying patient: taboo, controversy and missing
terms of reference for designers—an architectural perspective. Medical Humanities, 48(1),
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Liu, K.Y., Kulatilake, A., Kalafatis, C., Smith, G., King, J.D., Serra-Mestres, J., Huzzey, L., Ng,
N., Kandangwa, P., Elliott, T. and Sommerlad, A., 2022. Infection control and the
prevalence, management and outcomes of SARS-CoV-2 infections in mental health wards
in London, UK: lessons learned from wave 1 to wave 2. BJPsych Open, 8(2).
Khan, I.M., Sahadev, S., Rashid, T. and Banerjee, S., 2022. Social media and empowerment in
hospitality and tourism decision-making: A study among UK Muslim women. International
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Chokshi, A., Belekar, D.M. and Chokshi, S., 2022. Sexual Health of Colorectal Cancer Patients
—a Systematic Review. Indian Journal of Surgery, pp.1-11.
Roberts, A., 2022. A referral pathway for stoma patients. British Journal of Nursing, 31(1),
pp.16-18.
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