Principles Of Palliative Care

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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
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they are as follows:
Level 1: Palliative care approach
Level 2: General palliative care
Level 3: Specialist palliative care
Level 1 and 2 the responsibility for the patient remains at all times with the G.P., the district nurse, health care assistants and social workers that works both in the community and hospital. They promote the physical and psychosocial wellbeing whatever the illness or its stage. Level 3 is more specialist care where patients have more demanding care needs they require a greater degree of training. This care is available in general hospitals and specialist units such as
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Aspects of nursing care to be addressed:
• Pain
• Skin integrity
• Indigestion
• Nausea/vomiting
• Diarrhoea/constipation
• Breathing
• Difficulty swallowing
After they die inform the palliative nurse, note the time they died, straighten their limbs, close their eyes, mouth, sheet cover their body but not face, leave arms out over as family can touch, and along with family members take some time to say their last goodbyes, talk or pray before proceeding with final arrangements.
The following is a list of services available from the hospice foundation:
• Linking you to sources of support for carers
• Providing information on bereavement and support
• Helping you to find local hospice or palliative care services
• Providing funding for night nurse services

My reflection on coping mechanisms for dealing with personal losses from the past was close family and friends calling in person or by phone by being able to talk about my personal loss, by talking to my GP and by having no feeling of

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