Palliative Care Simulation Reflection Palliative care is known to be a methodology structured to handle medical cases where patients have life-limiting illnesses (National Cancer Institute, 2018). This approach is often specialized and requires a multidisciplinary team to deliver relief to the patient through the management of physical and mental challenges that come with terminal diagnoses. The objective of this approach is to improve the quality of life for both the patient and their family (Ferrell, et al., 2007). Evidence based practice has come to support this methodology due to the measureable improvements in these patient’s lives (Kavalieratos, et al., 2016). Often, managing patients with life-limiting disease can present as a challenge,
These factors include trust, support, mutual respect and collaboration when a colleague is sick (Norris, 2012). This incident had prompted me to think about several important aspects of nursing for me. Nurses should apply human factors knowledge to clinical settings to enhance teamwork and workplace culture. Human factors application is important for patient safety. The underlying reasons for clinical errors are often associated with poor communication, teamwork, leadership, and assertiveness in the clinical settings.
Despite palliative care’s ability to reduce terminal suffering, it may not always provide total relief from signs of sickness and physician-assisted death are more common with these patients (MacLeod, 2012). However, the principles of medicine based on rules and beliefs of doing the right thing help to guide patient care and decision making during the dying process. The ideas of therapeutic supervision and voluntary consent of the patient are two of the most important things to think about that make physician-assisted suicide as ethical; leading to end of life decisions and care that begins with honest conversation concerning disease development and outlook. The Federal Patient Self-Determination Act helps communication between the healthcare providers and
As mentioned above, palliative cancer care is provided by various specialists who are working towards meeting the needs of terminally ill patients. These medical practitioners are continuously exposed to terminally ill patients and their families who have issues related to the physical, psychological, social and spiritual method of providing palliative care. Medical practitioners who provide palliative cancer care require more knowledge and skill to manage the more complicated situations and interactions with other medical practitioners and patients. A study done by Hearn, points out that when a comparison is made against the conventional care of treating cancer with the palliative care provided by specialist, there are a lot of proofs which state that specialist teams providing palliative care help in the reduction of pain and also identify and deal more with the needs of both the patient and his/her family. Also, multi-professional approach to palliative care reduces the overall cost of care by reducing the amount of time patients spend in a hospital
An option for healthcare in today’s era of medical knowledge and highly increase use of technology has provided some possibilities concerning the medication of patients. Providing care especially palliative care is very challenging in a demanding complex environment of medical and thus requires specialised training and knowledge (Malloy et al 2007). In a study conducted by Duldt-Battey (2003), humanising the communication theory for nursing, the study provides a strategic foundation to assure the fact that communication occurs between nurses and other physicians connected with the healthcare. These typical goals are also outlined in a conductive study of Solomon (2002) that relates to palliative care. The objective of end-of-life (EOL) communication
Nurses often face ethical dilemmas and moral distress throughout various levels of direct and indirect patient care. According to Moon and Kim (2015), patients often die in the intensive care unit, and ethical conflicts frequently occur due to a variety of factors, such as verbal abuse, poor communication between health care providers, and increased incidences of end-of-life issues. I think this is a very important subject to think about, especially when these conflicts can significantly impact job satisfaction, burnout, and ultimately threaten the quality of care for patients. Furthermore, a qualitative study conducted by Henrich et al. (2017) shows that healthcare providers often experience negative emotional repercussions from moral distress in the ICU, and patient care is frequently perceived as being negatively affected.
Family theories have been used throughout the history of nursing to help guide patient care and provide the best patient outcomes. Certain theories may be more applicable to the specific patient encounter; however, each theory has benefits and drawbacks to their use. The purpose of this paper is to examine two selected theories, comparing their strengths and weaknesses. I will also discuss a theoretical family in relation to one theory, and how that theory can be best integrated into the care provided by an Advanced Practice Nurse (APN). Description of Theories The Calgary Family Assessment Model (CFAM) focuses on the theory that one patient’s illness affects the entire family.
Learner Record – Reflective Journal Discuss the philosophy and principals of palliative care According to the World Health Organisation palliative care is an approach that improves the quality of life of patients and their families facing problems with life-limiting illness through early identification and treatment of pain and other symptoms that may be physical, psychological and spiritual. Bereavement support is also a part of palliative care. End of life care refers to the last few days of life when a person is dying, also care in the months before death when a patient is living with an advanced and irreversible illness. Cancer is not just one disease it is a large group of almost a hundred diseases. Cancer occurs when there is abnormal
Healthcare professionals need an awareness of complicated grief and the possible signs that an individual is experiencing complicated grief (Shear et al., 2011). Strada (2013) explains that there are a number of risk factors associated with complicated grief and recommend that health care professionals should focus on identifying those at risk for developing complicated grief. Risk factors include: history of depression or psychiatric illness, childhood abuse or neglect, a sudden traumatic death, prolonged deaths and lack of support after the loss (Strada, 2013). Shear et al. (2011) explains there are a number of signs of complicated grief six months following the death of a loved one including; frequent intense feelings of loneliness, feeling empty, preoccupying thoughts of the loved one who died, inability to accept the death and persistent feelings of shock, or feeling emotionally numb.
Circumstances surrounding the unexpected death of a loved one often add to the traumatic impact upon the bereaved and those left in deaths wake. Grief is a universal human experience. Most people will be confronted with the death of a loved one at some point in their lives. The grief response is unique from person to person (Cutcliffe, 1998). Despite the abundance of research studies that exist pertaining to grief, there is still little understanding of how grief is exhibited in the human experience and how healthcare professionals can best care for those who grieve (Reed, 2003).