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QUALITY IMPROVEMENT IN HOSPITALS2QUALITY IMPROVEMENT IN HOSPITALSPurpose Of The Program Or ProjectIn healthcare, continuous quality improvement is required. Better quality will give betterpatient satisfaction and speedy recovery of the patient. Quality improvement projects andstudies are aimed at making positive changes in the health care processes.In quality improvement projects it is important to establish three main aspects 1 ) What is thegoal of the project? 2) how will we come to know that the goal has been reached 3) What isto be done to reach the goal.Target Population-Here we will discuss providing better end life palliative care to theterminally ill patients. There are many approaches which we required to follow to achieve ourgoal of better end life palliative care.Benefits Of The Program– It will provide a better journey towards end of life of patient.Physically palliative approach is followed to manage pain and physical discomfort in most ofthe situations. Pain being the most important complaint in the palliative approach totreatment. As the discomfort increases the need for palliative approach increases. It becomesvery important where treatment is painful .Old age people become prone to life-threateningdisease or their suffering increases due to the natural ageing process. In many countries,palliative services are provided at home only. Mostly people by the end stage of their lifeprefer to spend their time at home. The palliative approach helps patient’s family to cope withthe terminal illness of the patient. Palliative care leads to hospice care which includesfocusing on comfort and quality of life. A personalised action plan is required for everypatient for comfort and care. In this, it has been found that the survival expectancy isincreased by 6 months. In this, the main focus is on pain control which troubles the patient
QUALITY IMPROVEMENT IN HOSPITALS3most. Pain control is done by analgesics and comfort measures which can be achieved athome.It is important to develop an integrated care pathway for the dying patient. This is for thepatients whose diagnosis is known and loss of life is inevitable. In this symptoms are closelymonitored and palliative approach is followed accordingly. In few cases, older people deniedaccess to palliative care. In these cases, their admission in hospital and nursing homebecomes very important. Specialised palliative care is required in many patients. (Towsley etal 2015).Proper symptom control is impossible in older adults without proper communication. Anaccurate assessment of patient’s health requires effective communication. Communication isthe centre of all treatment. Communication will deliver a great amount of palliative care tothe older adults. In the society conversation about death is often very awkward and difficult.Among the health care professionals, there is a requirement of improvement of techniques toovercome these obstacles. In last two decades, there is awareness of the importance ofcommunication skills . (Kinley et al 2013).The palliative practice involves communication between nurses with officials , patients andalso their relatives. By effective communication, a comfort level with the patient is developedby which patient conveys his pain, fear , shares anxiety. Listening is a very important modeof communication. It requires nursing skills and attention. By this nurses can access thesituation and problems of the patient. By being a good listener nurses can provide care at alllevels of recovery.
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