University Assignment: Palliative Care Practice Case Study Analysis

This report analyzes three case studies illustrating the implementation of palliative care. The first case examines Betty, a patient with stage 3 Chronic Kidney Disease, and highlights the importance of early diagnosis, symptom management, and patient-specific care strategies. The second case emphasizes the significance of addressing health disparities and cultural sensitivity in providing optimal care to Amy and her family, including the use of interpreters and respect for religious practices. The third case underscores the need to respect patient choices, as seen with Tom, an Aboriginal patient, and the importance of incorporating cultural values and preferences in care delivery. The report concludes with a call for healthcare professionals to deliver patient-centered care, considering cultural and ethical dimensions to improve patient satisfaction and health outcomes.

Running head: PALLIATIVE CARE PRACTICE
PALLIATIVE CARE PRACTICE
Student Name
University Name
Author Note

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Introduction
Quality of life of patients and their families can be improved by implementing a
palliative care approach. Patients experience physiological and psychological stress when
they are diagnosed with a life-threatening illness (Johnson, 2017). This can be prevented by
early stage diagnosis and nursing assessments by giving impeccable treatment to the patient
by promoting their mental well-being. Ethnicity, culture, and beliefs should be incorporated
for health care professionals to provide a holistic care to the patient as well as their family.
Patient-centred care is the main focus of the approach of palliative care (Murray et al., 2017).
This paper will discuss about three scenarios where palliative care approach has been
implemented in providing the patient and their family with the advanced care at the end of
their lives.
Discussion
Case Study 1
1. In the case study that has been provided, Betty has been suffering from stage 3
Chronic Kidney Disease (CKD) for the past three years. She had revealed to her renal
specialist that she is also suffering from hypertension and type 2 diabetes. Although,
even after the diagnosis, Betty was unaware of the severity of her kidney with a
patient-specific diet and appropriate medicines. She has been happy by the care that
she was provided with in the initial stages but what makes her worried is the onset of
new symptoms that she has been experiencing lately. She is constantly feeling tired
with irregular bouts of nausea with her legs experiencing oedema (Romagnani et al.,
2017). Betty was planning on sharing the symptoms to her renal specialist and the
probable treatment that she will be offered with. The collaborative team that will be
looking after Betty should plan a care strategy that is specific to Betty by giving

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necessary information about the treatment. It has been observed that patients who
suffer from type 2 diabetes, peripheral vascular disease and ischemic heart disease
experience nausea and shortness of breath (Thomas, Cooper & Zimmet, 2016). Betty
has been suffering from all these illnesses in addition to her CKD. It can be assumed
by her symptoms that the kidney functioning has deteriorated which cause her legs to
swell and experience oedema. Swelling results from the inability of the blood to flow
in that area. It is a major symptom in case of stage 5 of Chronic Kidney Disease.
2. In the last stages of the illness that has been observed in Betty, there is not anything
left for the nurses and the GP to do except for ensuring that the patient has a peaceful
end of her life. After a while of experiencing the symptoms, Betty was bedridden
which made her unable to travel to the clinic to her doctor. It is for this reason that,
Leanne, one of the team members, with the GP and team providing palliative care,
arrive at her place. Multiple issues like uremia, nausea, anaemia, extreme pruritus
with also the trouble of swallowing the tablets have made the team to arrive at her
place and plan a case conference to ensure peaceful passing away of Betty. The team
ensured that her husband, her daughter and her beloved grandchildren were all present
during her final days.
Case study 2
1. Health disparity has been a major issue that is faced by patients from a different
ethnic background than the nurse. Equal treatment of the patients is not achieved
because of the discrimination of different culture or race or color. The health care
professionals are more focused on providing optimum care to patients belonging to a
similar background like theirs (Eh et al., 2016). This way, patient-centered care is not
achieved and the patient leaves dissatisfied with the treatment that is provided.

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2. As seen in the video, the service that has been provided to Amy and her family was
optimum without any discrimination of their culture and language. Health care
professionals should always ensure in providing the best care to the patient in concern
irrespective of their culture, language, religious practices and tradition. The health
outcome and the satisfaction of the patient is increased if a palliative care approach is
undertaken by the organization to provide care to the patient. In the case of Amy, the
professionals made attempts to not make language a barrier in providing the optimum
care to Amy. An interpreter was arranged by the hospital to make sure that Amy’s
traditional language was not acting as a barrier for receiving the best care (Meuter et
al., 2015). Effective communication forms the central factor for the promotion of a
palliative based care to the patient of a different cultural background. The hospital
organization respected and allowed them to perform their religious practices without
any hindrances by providing maximum support to the family of Amy.
Case study 3
1. The patient’s choices should be respected and considered while delivering a patient-
centered care. The needs and concerns of the patient as well as the family should be
heard by the hospital. Compassion and empathy should have been showed towards
Tom and his family by required respect and support in consideration with their
decisions (Hunt et al., 2015).
2. It is Tom’s desire to return to his homeland to die because he wishes to share stories
and the experiences that he has had with his family members. Interaction with the
family members will make his passing away a peaceful one. However, it is observed
that because of his declining medical health, he is unable to travel back to his country.
3. Medical professionals should ensure a palliative based approach to be provided to the
patients who are Aboriginals. Employing Aboriginals in the hospitals will ensure in

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delivering palliative care to patients by meeting culturally relevant requirements of
patients (Slatyer et al., 2016). Consideration towards their values, preferences and
beliefs should be taken to ensure a perfect patient-centered care being provided.
Conclusion
Finally, it can be concluded that health care professionals should deliver best care to
the patients irrespective of their values, culture, color and ethnicity. Patient satisfaction and
their health outcomes observes an increase if a holistic care approach is provided to the
patients. Every aspect of the health condition of the patient needs to be strategically planned
by the collaborative team to ensure a positive outcome for the patient.

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References
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