Palliative Care Nursing

Introduction wholeeviant is a concept of financial aid that provides coordinated medical service to endurings with progressive incurable diseases.The anyied health service is proactive and seeks to improve the lives of individuals that ar set about with breeding threatening diseases and their families. Dying and death argon social occasion of sprightliness and as such alleviant criminal maintenance offers the uncomplainings a holistic tending service that includes social, psychological and spiritual c are (1, p.33). T presentfore palliative assistance aims at ensuring that the patients and their families lead the scoop out quality of life without having to be disturbed about their condition. This essay takes a critical look at the doctrine and principles of palliative do by and how they apply in nursing contend.Discussion on the StatementThe philosophical statement given by the World closelyness Organisation on palliative feel for is directed at ensuring that th e patients get down the best quality of life even when they have destination illnesses. mitigative care is extended to the family of the patients to ensure that they continue to lead normal lives dis detect the challenges fontd by the terminal diseases. In the past, patients with terminal illnesses were seen as sufferers and with the continual onward motion of the disease, care was focused was on lessening the perturb for the dying(p) patients. However, with the growing of palliative care, the dying patients are no longer seen as sufferers just now as other normal patients and are given specialised care from designated professionals (5, p. 23). These professionals maintain humaneness as a core value and must respect the law with regards to the patients and their families and include them in all attain decisions.The care is comprehensively provided to manage physical, psychological, social and spiritual needs of the patients and their families. alleviatory care is governe d by principles that govern its practice. In the nursing profession, the nurses affirm life and regard dying as a normal work out. This is a message that is communicated to both the patients and their families to assistance them accept the harsh reality of life. Communication is an key part of the process and as such the nurses are required to communicate with the patients and their families in the best possible manner. The nurses are required not to hasten or put back the death of the ailing patients. They are instead required to relieve the patients from pain and distress to ensure that they improve the patients quality of life.Principles of alleviant distribute in care for lenitive care is governed by roughly core principles that the professionals like nurses, doctors, counsellors and social workers are supposed to adhere to. This section takes a critical look at the principles of palliative care as they apply to the palliative care of patients and families in nursing ca re. Successful internalization of palliative care in nursing practice is not a function of complex specialist environments, medical interventions or availability of drugs and disciplines (3, p54). The principles highlighted here apply to nurses working in any environment where they encounter the dying. The principles are discussed under the following themesEmphasis on the quality of life alleviatory care should be centred on the quality of life of the patients and their families. The nurses are required to encourage the patients and their families and help them focus on the quality of the life of the patient and not the number of days left to live. Quality of life is specify differently forecasting on the patient and the disease. The nurses improve the quality of life of the patient by managing the distressing symptoms in rear to positively impact the execute of the illness. The nursing palliative care police squad should help the patients and their families enjoy their lives t o the utmost while facing the complex medical conditions (10, p. 74). Communication plays an integral part in the nursing palliative care and as such the nurses are required to continually speak with the patients and their families about their wishes, desires and what quality of life operator to them (6, p. 63). The conversation on quality of life should start early in the course of the illness when the older members of the family are able to contribute originally they get stressed and start making immediate decisions. The emphasis on quality of life improves management of symptoms and communication between the nurses and the family.Patient and family are the focus of careThis is a core principle that cuts across all settings because the patients and their families are the unit of care, not the disease (2, p. 77). Palliative care addresses the consequence of suffering, life, death and disease within the context of each family unit. It recognises the fact that all family members volition be part of the disease process and as such their views and individual care plans must be taken into account in the palliative care.Symptom ManagementThe nurses are required to assess and transact symptoms using the least invasive shipway that will not cause much distress than the original symptom (7, p. 80). Interdisciplinary collaboration, frequent assessment, communication and appropriate management are important concepts of symptom management in palliative care. Symptom management should always be the start of diagnosing in patients with life threatening diseases or those that are potentially life threatening. This should be continued throughout the inter define process in pasture of battle to improve the patients quality of life (3, p. 87).Communication and finale MakingCommunication with the patients and family should be done clearly, collaboratively and compassionately in order to improve the patients quality of life (8, p. 81). Communication with the patient s and family is important as it ensures that the family and patients are consistently updated on the course of the disease and treatment. The patients and their families depend on frequent, consistent communication on sensitive and difficult instruction and may at durations need repetition of facts. The communication should be both ways as the nurses should listen to the views of the patients and their families in order to be able to provide care that suits their needs in all ways including culturally and spiritually (11, p. 101). It also allows the family members to reveal more about the patient as this information may be useful in the treatment process depending on the disease.Recommendations for Palliative Nursing attentionAs already indicated earlier in the discussion, it is not easy to fully implement the principles of palliative nursing care. However, nurses should try hard to ensure that these principles are fully implemented in nursing care. Palliative care crowd out be come along incorporated through unspoilt hospital practice with nurses spending more time with the patients and their families to discuss and plan care within a multidisciplinary team framework (4, p. 15). The nurses should pursue a partnership approach and make good use of open and honest communication with the patients, relatives and the health team. Such political orientation is important in nursing philosophy of individualised care that embraces a holistic approach and active patient participation in care (9, p. 71). The nurses should reintegrate palliative care into the culture of the hospitals. This reintegration into the hospital culture will be helpful to the patients particularly those with terminal illnesses. This is very critical because nurses are often at the forefront of general delivery of palliative care within the hospital. They are very well placed and should use their position to help uncover better ways of improving the quality of care to the patients and thei r families. Lastly, the nurses should receive palliative care education to ensure that they are supply with the knowledge and management skills necessary for dealing with patients and their relatives as they have versatile personalities, cultures and beliefs.ConclusionPalliative care is very important to the patients and their families particularly those with terminal illnesses. This essay has explored the philosophy and principles of palliative care in nursing and has conclude by making recommendations on how hospitals can incorporate it within their cultures. For efficient implementation of palliative care in nursing, the nurses need to be well educated on palliative care and how to conduct it in order to minimise misunderstands between them and the patients and their relatives. Proper implementation and execution of palliative care is important in improving the quality of lives of the patients and their families, especially those with terminal or potentially terminal illnesse s. Therefore nurses should engage the patients and their relatives in all key decisions to ensure that they get as much information from them in time before the levels of stress get high. Such information is important and can be used in providing individualised care to the patients.ReferencesAitken, Sandra. Community Palliative Care The Role of the Clinical Nurse Specialist. Chichester John Wiley & Sons, 2009.Bern-Klug, Mercedes. Transforming Palliative Care in Nursing Homes The Social Work Role. New York Columbia University Press, 2010.Byrne, Judi. Palliative Care in Neurological Disease A Team Approach. Oxford Radcliffe Pub, 2009.Foyle, Lorna, and Janis Hostad. lighten the Diversity of Cancer and Palliative Care Education Sharing bully Practice. Oxford Radcliffe Pub, 2010.Lugton, Jean, and Rosemary McIntyre. Palliative Care The Nursing Role. Edinburgh Elsevier/Churchill Livingstone, 2005.Matzo, Marianne, and Deborah Witt Sherman. 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