Analyzing Core Values: Providing Compassionate Palliative Healthcare

This essay discusses the importance of core values, particularly compassion, in healthcare, especially in palliative care settings. It emphasizes that compassion is essential for building strong relationships with patients and their families, enhancing the quality of life for patients in their end stages. The analysis explores how factors like technology, work-related stress, and societal changes can impact the provision of compassionate care. It also contrasts the attitudes of healthcare providers in developed and developing countries, highlighting the significance of bioethical knowledge and emotional support. The essay concludes that compassion, alongside regular medical care, significantly improves the morale and well-being of patients and their families, promoting a holistic approach to healthcare. Desklib provides similar solved assignments and past papers for students.

IMPORTANCE OF CORE VALUES TO SELF
Author (name) and student ID
Why core values are important to oneself ?
According to me core values are those principles or values in my life which are of primary importance. It has a special
significance in providing care and compassion towards others. According to the guideline led by the National Palliative Care
standards regarding core values, I believe that acting with compassion especially towards the recipient of care and their
respective family members or caregivers is the best possible way of establishing a strong relationship with the patient and
his family. These core values instilled within childhood help me in my growth and developmental processes. Moreover, the
significance of the core values lies in the fact that they help me to experience and create the future affecting my thought
process and decision making process in a positive and impactful way.
Introduction
Compassion as defined by the health systems of developed countries is the empathic understanding, recognition as well as the
emotional resonance which is related to distress pain , or suffering of others often compiled with motivation as well as
relational actions for amelioration of these conditions(Pfaff and Markaki,2017). All patients require care and support for their
escalation from their current health conditions. However, they deserve it more during the end stages when patients are
vulnerable, isolated and often suffer physically as well as mentally. The insights of such patients are useful as it optimises their
quality of lives and address their various spiritual, psychosocial as well as cultural needs (Fernando Rea and Malpas,2018). All
patients have their own understanding of the situation which is enhanced by proper care and warmth shown through various
ways. Four central themes have been found after interaction with palliative care patients which are respect, care, warmth and
affection and connection.
.
Discussion
Apart from the regular medications, compassion and care is essential for
patients under palliative care. The patients family and members provide
emotional social as well as spiritual support (Palliativecare.org.au, 2019).
It enhances the confidence and health of the patient and his family
members or caregivers though a holistic approach.
Various principles of bioethics can be applied along with interactive
sessions to engage and care for the patient through a stable relationship.
According to Pfaff and Markari (2017), compassion care and its provision is
combined to form the compassionate collaborative care.
References
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Borgstrom, E. and Walter, T., 2015. Choice and compassion at the end of life: a critical analysis of recent English policy discourse. Social
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Bunce, A., 2018. Experiencing compassionate care in practice: a travel scholarship. British Journal of Nursing, 27(13), pp.758-760.
Crowther, J., Wilson, K.C., Horton, S. and Lloyd-Williams, M., 2013. Compassion in healthcare–lessons from a qualitative study of the end of
life care of people with dementia. Journal of the Royal Society of Medicine, 106(12), pp.492-497.
Fernando, A., Rea, C. and Malpas, P., 2018. Compassion from a palliative care perspective. NZ Med J, 131(1468), pp.25-32.
Nyatanga, B., 2018. Embracing palliative care within compassionate communities: a personal viewpoint. British journal of community
nursing, 23(4), pp.200-200.
Paul, S.S., Renu, G. and Thampi, P.T., 2019. Creating a positive attitude toward dying patients among nursing students: Is the current
curriculum adequate?. Indian Journal of Palliative Care, 25(1), p.142.
Pfaff, K. and Markaki, A., 2017. Compassionate collaborative care: an integrative review of quality indicators in end-of-life care. BMC
palliative care, 16(1), p.65.
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Critical Analysis
Burridge et al.(2017) claims that compassion is never considered as an inspirational factor or provision for care provision and has an influence in a broad
spectrum. According to Banjar (2017), Presence of a high technology system in critical care might be paradoxical as nurses often find difficulty in treatment
limitations as well as decisions pertaining to end of life. Thus, increased stresses in nurses resulting in frustration, heavy stress as well as tension from the
stressful conditions which lead to the inability to show care and compassion towards the patients. Such clinicians often show susceptibility to burnout and
fail in maintain a co operative environment with their patients(Perez et.al 2015). Moreover, Borgstorm and Walter(2018) believes that although discourses of
compassionate care are shown in most of the hospice movements as well as that of palliative care successive scandals often occur which do not provide the
much need care to patients. Nyatanga (2018) have observed that family structure and communities often have a role to play as due to a hectic lifestyle and
nuclear families, children often refuse to care for their parents which is one of the reasons for the lack of compassion towards them. Caring and showing
Compassion is an ethics is distinctly different between developed and developing countries. Maschi et al(2014) puts the importance of providing compassion
and care in patients who have been in prison also. Among studies conducted among nurses in India most of them lack the knowledge of the various
bioethical principles and have no concern for palliative care given towards dying patients. Hudson et al(2015) believes that provision of palliative care can be
complicated among people especially those who are homeless and do not have the provision of caregivers. In contrast to the attitude of nurses in developing
countries Tessa (2016), have found that undergraduate nurses in UK have valued and understood palliative care. Moreover they have paid importance on
emotional support and care given to dying patients. Studies carried out by (Rambod et al. 2016) , has found out that various themes have emerged from the
interactions with patients like communication skills, professionalism, adherence to moral and pursuing a holistic approach. Studies conducted by Sinclaire et
al (2017) and his team have seen neuroplasticity among the patients opinions who often confuse the difference between compassion, sympathy and
empathy.
Conclusion
Overall, it can be found that out of various nursing attribute compassion and a caring
outlook towards patients especially during palliative care enhances the morale of old
people and has a positive impact on the patient concerned and his family members as
well .
Findings
Name of Author Date Name of the Article Common theme and results
Angela K. Banjar 2017 Till death do us part: The evolution o f end-of-life
and death attitudes
Due to work life imbalance and stress, nurses often fail in providing
care and compassion to patients.
Erica Borgstrom a, *,
Tony Walter b
2015 Choice and compassion at the end of life: A
critical analysis of recent
English policy discourse
Due to various scandals in healthcare patients do not receive the
care and compassion they deserve during treatment due to
marketization of care.
Brian Nyatanga 2018 Embracing palliative care within
compassionate communities:
a personal viewpoint
Not only nurse but family members also matter who often do not
provide enough compassion and care due to their busy lifestyles.
Sherin Susan
Paul1,2, G Renu3, PT
Thampi2,4
2014 Creating a Positive Attitude toward Dying Patients
among
Nursing Students: Is the Current Curriculum
Adequate?
Indian nurses lack the knowledge of basic bioethics which leads to
lack in provision of compassionate palliative care to the patients thus
stressing on the awareness of the principles in nursing.
Tessa Watts 2014 Final-year nursing undergraduates’
understandings of palliative care:
a qualitative study in Wales, UK
Tessa have found that in the comparison of knowledge about
palliative care around the world, UK nurses have a sound knowledge
and have a vast concept thus providing care to the students.
Shane Sinclair1,2,
Kate Beamer1, Thomas
F Hack3,4, Susan
McClement3,4,
2017 Sympathy, empathy, and compassion:
A grounded theory study of palliative
care patients’ understandings,
experiences, and preferences
Compassionate care have been often confused with terms like
empathy and sympathy which lead to mixed reaction from patients
regarding satisfaction of palliative care. Thus, patients do not receive
the required care often and unaware of the subtle difference in the
various terms.
Jacqueline
Crowther1 , Kenneth
CM Wilson1 , Siobhan
Horton2 and Mari
Lloyd-Williams1
2013 Compassion in healthcare – lessons from a
qualitative study of the end of life care of people
with dementia
Dementia patients could not differentiate between professionals
and thus were satisfied with the compassion and acts of kindness
received by non professionals.