Key Messages
The key messages from this week’s readings build a cognitive development of diagnosis of terminal illness, grief and bereavement and reveal the best practice of palliative care acknowledging the importance of person-centred care to manage terminally ill patients’ pain and other distressing symptoms in order to ensure the quality of life in challenging times. As core members of health care professionals, social workers are trained to provide psychological, social and spiritual support for patient and their family. (Buglass, 2010) Thus, social workers need to have requisite knowledge, expertise and experiences dealing with grief, mourning and bereavement to provide specialised care and support to cope with bereaved individual’s emotional
Thus social workers are ideal specialists to work with terminally ill patients and families assisting them clarify details and facilitate decision-making in treatment preferences, finding support resources and make a positive impact in palliative care. The limitation is that it is hard to evaluate the effectiveness and methodological quality of palliative care provided by social worker, physicians and other health care professionals from different backgrounds through defining clear outcomes and adopting valid
Social worker should also provide psychosocial counselling to patients and families as well as improve the quality of communication for clinical engagement between patients, families and physicians to facilitate decision-making for opting beneficial medical intervention, avoid misunderstanding and conflicts of implementation and solving problems.
References
Mark W. Speece. & Sandor B. Brent. (1984). Children's Understanding of Death: A Review of Three Components of a Death Concept. Source: Child Development, 55(5), 1671-1686.
Rose, S.L. & Shelton, W. (2006). The role of social work in the ICU: Reducing family distress and facilitating end-of-life decision making. Journal of Social Work in End-Of-Life and Palliative Care, 2(2), 3-24.
Buglass, E. (2010). Grief and bereavement theories. Nursing Standard, 24(41), 44-47.
Zittle, K. M., Lawrence, S., & Wodarski, J. S. (2002). Biopsychosocial model of health and healing: Implications for health social work practice. Journal of Human Behaviour in the Social Environment. 5(1),
God tells his children, “He will wipe every tear from their eyes. There will be no more death or mourning or crying or pain, for the old order of things has passed away” (Revelation). Death is one of the most frightening and confusing times a person can go through. Watching a loved one pass away is also one of the hardest trials a person can experience. Many people assume that death is a time of pain and the only thing that they can do is mourn and watch their loved one fade away from the earth. This is wrong. There are ways that people can turn a bad situation to good. Dying doesn’t have to be painful and full of suffering. The County Hospice staff makes sure of this. The Hospice staff not only takes care of passing patients physically, but they also take care of the patients emotionally and spiritually. Hospice staff also plays a key role in helping families during the grieving process.
Final Gifts, written by hospice care workers, Maggie Callanan and Patricia Kelly, includes various stories detailing each of their life changing experiences that they encountered with their patients. Hospice care allows the patient to feel comfortable in their final days or months before they move on to their next life. This book contains the information considered necessary to understand and deal with the awareness, needs, and interactions of those who are dying. Not only are there stories told throughout the book, there are also tips for one to help cope with knowing someone is dying and how to make their death a peaceful experience for everyone involved. It is important that everyone involved is at as much peace as the person dying in the
Palliative care is medical or comfort care that reduces the severity of a disease or slows its progress, but does not provide a cure (Dreeben, 2007). Different people have different needs when life is ending. Working with the incurable may sound depressing but death is a certainty and what we do each day for these patients as physical therapist assistants, matters. Providing care effectively and appropriately has a huge impact on the patient, therefore acquiring the ability to comfort and care for a patient at such a critical stage in life, is an amazin...
Dealing with someone dying is not something that is going to be fun or enjoyable. Death comes to everyone, none of us can duck and dodge it. Death of natural causes is not something that can be controlled by anyone, but it is important for people to be with those that are dying. When someone you know is dying, whether they are friends or family it’s very important for them to feel loved and not alone. It is also important that the opinions and thoughts of the patient be taken into consideration because they are going through something that no one can say they relate to. In dealing with death, there are many emotions that are felt by the sick patient and their friends and family. In A Very Easy Death
Nurses are both blessed and cursed to be with patients from the very first moments of life until their final breath. With those last breaths, each patient leaves someone behind. How do nurses handle the loss and grief that comes along with patients dying? How do they help the families and loved ones of deceased patients? Each person, no matter their background, must grieve the death of a loved one, but there is no right way to grieve and no two people will have the same reaction to death. It is the duty of nurses to respect the wishes and grieving process of each and every culture; of each and every individual (Verosky, 2006). This paper will address J. William Worden’s four tasks of mourning as well as the nursing implications involved – both when taking care of patients’ families and when coping with the loss of patients themselves.
Caring for an individual who is facing a life threatening illness is often completed by a multidimensional team, including doctors, nurses, therapists, and caregivers, as well as family members. Social workers are an integral part of this team, since they are usually the healthcare workers that are involved in the evaluation and assessment of patients and their family members’ needs and concerns at the end ...
Hospice focuses on end of life care. When patients are facing terminal illness and have an expected life sentence of days to six months or less of life. Care can take place in different milieu including at home, hospice care center, hospital, and skilled nursing facility. Hospice provides patients and family the tool and resources of how to come to the acceptance of death. The goal of care is to help people who are dying have peace, comfort, and dignity. A team of health care providers and volunteers are responsible for providing care. A primary care doctor and a hospice doctor or medical director will patients care. The patient is allowed to decide who their primary doctor will be while receiving hospice care. It may be a primary care physician or a hospice physician. Nurses provide care at home by vising patient at home or in a hospital setting facility. Nurses are responsible for coordination of the hospice care team. Home health aides provide support for daily and routine care ( dressing, bathing, eating and etc). Spiritual counselors, Chaplains, priests, lay ministers or other spiritual counselors can provide spiritual care and guidance for the entire family. Social workers provide counseling and support. They can also provide referrals to other support systems. Pharmacists provide medication oversight and suggestions regarding the most effective
Weiss, G. L., & Lonnquist, L. E. (2011). The sociology of health, healing, and illness (7 ed.). Boston: Prentice Hall.
When you think of home care for a loved one, you want comfort and convenience with quality of life. A misconception of palliative care is that it is equivalent to hospice care, which concentrates on end of life. However, palliative care is now being offered to patients whether it begins early at diagnosis or throughout ongoing treatment. It is no longer limited to medical settings as more health care agencies are now offering it in home care. Think of palliative care as “comfort” care during any stage of illness.
Furthermore, Viney (1996) and other studies found that prior to the ‘End of Life Care Policy’, nurses sometimes resorted to ‘game playing’ as well advocated and spoke on behalf of patients and their family with physicians and the Department of Health (1999), described community nurses as “patient assessors, care coordinators and team leaders”. Research by Burt et al (2008) moreover confirmed that community nurses are central to the provision of palliative care and EOL care in the community, although nurses felt that this was not always acknowledged by other professionals.
Lynn, J. (2008). Improving care for the end of life: A sourcebook for health care managers and clinicians. Oxford: Oxford University Press.
The adult mental health social work may be considered complex and challenging due to the issues it faces. The practice entails the involvement of a certain number of professionals which have the authority to make an immense impact on the service users’ lives. The association with the social services may initiate within the service users a certain amount of discomfort and vulnerability. This may be because it could carry with it a certain degree of unwarranted labelling and prejudice. Apart from the impact that the involvement of the social services have on the service users, it is worth noting that there are further challenges which may be encountered, and they do not only arise from the complexity of the service users’ situation alone, they may also stem from the social worker’s capacity and experience to practice, laws, policies, funding and other factors that cannot always be controlled. The social workers have many tools to help and support the service users, however, been entrusted with authority as well as an element of power to make decisions through their assessments, they are also expected to practice responsibly because of the immense impact their evaluations have on people’s lives. These together with the legal accountability and the professionally required, ethical and moral congruence may be a fertile ground for conflict of interests. For example, a discrepancy between the views of the social worker and the service user regarding needs of services.
Palliative care involves the holistic care to maintain and improve the quality of life of the patient and family during hospitalisation until the terminal stage. Palliation of care refers to the multidisciplinary approach of providing comfort and support for the terminally ill patient and family, thus has an important role in maintaining and improving the quality of life of the whole family. Chronic illness such as cancer gives a physiologic and emotional burden for the patient and family. Education and counselling of the possible options as well as treatments for pain and other symptoms that could help alleviate anxiety, suffering and discomfort. Palliative care provides assistance for the family as a channel for communication between the
The subject of death and dying is a common occurrence in the health care field. There are many factors involved in the care of a dying patient and various phases the patient, loved ones and even the healthcare professional may go through. There are many controversies in health care related to death, however much of it roots from peoples’ attitudes towards it. Everyone handles death differently; each person has a right to their own opinions and coping mechanisms. Health care professionals are very important during death related situations; as they are a great source of support for a patient and their loved ones. It is essential that health care professionals give ethical, legal and honest care to their patients, regardless of the situation.
The type of research study, sample size, variables, intervention, measurement method, findings, and conclusion are all mentioned in the abstract. Statement of the Problem The problem explored in the article was stated as a problem statement. In this article, the authors explain the stressful situations of families having loved ones die in the intensive care unit. They also state that this problem is very important because there is poor communication between staff, physicians, and surrogates in the plan of care for end-of-life measures (Lautrette et al., 2007).