1. Compare hospice to palliative care and describe the similarities and differences of the two in terms of community health nursing. (12 pts) Palliative care is used when someone is diagnosed with a serious or chronic illness and they are having side effects from the illness and are nearly at the end of their life, they will need to be referred to palliative care to help them in relieving and preventing the suffering. Palliative care is not limited it can be conservative or aggressive. Hospice care is when a person has a terminal illness that is advanced and there is no more cure or treatment, and are going to die in six months or less they then refer to Hospice care to attend their emotional and spiritual needs and helps to relieve their suffering and improve their quality of life. (12 pts). Explain what resources are available in each area? Palliative care the resources are doctors, nurse and social work, pharmacist and dieticians. Hospice resources are doctor’s nurses, pharmacist, dietician, social workers, spiritual care, and bereavement care to provide support for the individ...
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.
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...
One Work Cited This essay will present the views of that worldwide organization named Hospice which has seen the quiet, natural death of millions of terminally ill patients - without the use of physician-assisted suicide. It is important that the voice of the largest caregiver for the terminally ill be heard, and listened to attentively. For they have the most experience. The Hemlock Society is nothing (in scope, importance, goals)in comparison to this great Hospice Organization (HO).
The hospice aide’s job duties varies depending on the patient. If the hospice patient is in good condition, the job duties are very similar to that of the nursing home CNA. The hospice aide’s main goal is to maintain the patient’s dignity while providing the most comforting care possible. Many hospice patients are referring to as being on “comfort cares” – meaning if they don’t want to eat, they aren’t forced to. The hospice aide’s job is a hard one, as any CNA’s is, but perhaps more so, as they lose their patients at a higher
NASW Standards for Social Work Practice in Palliative and End of Life Care. (2014). Retrieved from https://www.socialworkers.org/practice/bereavement/standards/standards0504New.pdf.
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
"Hospice Services and Expenses (About Hospice)." Home (Hospice Foundation of America). Web. 23 Jan. 2011. .
Dealing with death on a regular basis can take a toll on a person. Being a hospice nurse will never be easy and is certainly not for the faint of heart. A hospice nurse watches patient’s health decline, often times very rapidly, and many times sit by the patient’s side as they pass away. It can be exhausting both emotionally and physically. You need to have a big heart and a strong will to help those in need for the occupation. Sara Schmidt certainly never saw herself in the profession, but discovered that she has a true love for helping people.
This is further corroborated by Ingleton et al (2011), who believed that the need for community-based palliative and end of life care will increase rapidly over the course of the next 20 years because of increasing emphasis on shifting the delivery of care out of the hospital and into primary care which invariably leads to changes in the role of Community Nurses and in the demands on their time. Consequently, the above mentioned changes will place tremendous pressure on community nursing services and family carers (Department of Health, 2006a and Department of Health, 2006b)..
The change which is outlined in this paper relates to how early referral of terminally ill patients into a hospice program results in better patient outcomes, in particular, with regard to pain management. PICO format question will be used , along with a supportive body of evidence regarding the fact that early onset into a hospice program is helpful with providing end of life pain control. Hospice programs available, and options associated with them will be discussed as well as common concerns associated with early admission to hospice. The methods used for payment of hospice, and how one qualifies for entrance into a hospice program will be explored. A literature search will be performed and its results detailed within the body of this paper. Recent publications on the subject matter and associated issues such as moral and ethical questions as well as the change question will be discussed. Planning, implementing and evaluation of the change proposed will be explored within this paper.
The care of patients at the end of their live should be as humane and respectful to help them cope with the accompanying prognosis of the end of their lives. The reality of this situation is that all too often, the care a patient receives at the end of their life is quite different and generally not performed well. The healthcare system of the United States does not perform well within the scope of providing the patient with by all means a distress and pain free palliative or hospice care plan. To often patients do not have a specific plan implemented on how they wish to have their end of life care carried out for them. End of life decisions are frequently left to the decision of family member's or physicians who may not know what the patient needs are beforehand or is not acting in the patient's best wishes. This places the unenviable task of choosing care for the patient instead of the patient having a carefully written out plan on how to carry out their final days. A strategy that can improve the rate of care that patients receive and improve the healthcare system in general would be to have the patient create a end of life care plan with their primary care physician one to two years prior to when the physician feels that the patient is near the end of their life. This would put the decision making power on the patient and it would improve the quality of care the patient receives when they are at the end of their life. By developing a specific care plan, the patient would be in control of their wishes on how they would like their care to be handled when the time of death nears. We can identify strengths and weakness with this strategy and implement changes to the strategy to improve the overall system of care with...
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
Green, P. (1984). The pivotal role of the nurse in hospice care. CA: A Cancer Journal for Clinicians, 34(4), 204-205.
Palliative care “focuses more broadly on improving life and providing comfort to people of all ages with serious, chronic, and life-threatening illnesses” (http://www.WebMD.com). Palliative care is not the same as hospice, since it is not only for the dying. According ...
The subject of death and dying can cause many controversies for health care providers. Not only can it cause legal issues for them, but it also brings about many ethical issues as well. Nearly every health care professional has experienced a situation dealing with death or dying. This tends to be a tough topic for many people, so health care professionals should take caution when handling these matters. Healthcare professionals not only deal with patient issues but also those of the family. Some of the controversies of death and dying many include; stages of death and dying, quality of life issues, use of medications and advanced directives.