Health Task 2 When caring for the terminally ill patient, one must examine their feeling in order to provide care. It is important for the nurse not to judge the patient or family for decisions made, only to support and advocate for the patient and family during this time. As a critical care nurse the author has participated in the care of numerous terminally ill and palliative care patients. Unfortunately every person that lives will eventually die and it is the responsibility of the nurse to
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guidelines to prevent its misuse. For example, in Oregon, you must have been diagnosed with a terminal disease that will result in death in less than 6 months. The prescribing physician must also inform the patient of alternatives such as hospice and palliative care. 5. Action Step: Please go to www.compassionandchoices.org, and tell congress to support death with dignity, and help other
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End-of-life care becomes an issue at some point for elderly clients. Even with the emergence of palliative care programs and hospice programs, the majority of elderly people do not die in their own home as is their preference. What are the reasons for this trend? Discuss what you can do as a nurse to support your clients in end-of-life care and in supporting their desires. Support your response with evidence-based literature. Many palliative care patients would prefer to receive care, and to die
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Hospice Care HCS 212 December 12, 2012 Hospice Care Hospice is a very special type of healthcare that offers comfort and support for patients and families that are facing a terminal illness. The focus is put on making a patient comfortable with a quality of life instead of a cure. The main goal is for a patient to have comfort and free of pain, with the hope that they will live each day as fully
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Prison Hospice Care Program The “baby-boomer” generation is increasingly getting older as they reach their 50’s, 60’s and 70’s, at a time when most will start experiencing more health problems that will require some kind of doctor’s care, hospitalization or possibly some kind of end-of-life care. Although this is a normal process that all people will eventually go through, it can be difficult and challenging for those who are in prison. Not all prisons are set up to care for inmates to receive
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life and end of life issues. Being exposed to long-term nursing home care with my grandmother, and in interactions with my parents, I formed a belief that when a person is no longer able to function independently and comfortably, there is very little value to living for living’s sake only. These early experiences have led me to a belief in strong support of patients and their families rights to make decisions on withdrawal of care, comfort measures, dignity in dying and even as far as supporting self
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critically evaluate the palliative care needs of patients with Heart Disease/ Cardiovascular Disorders. The palliative care needs should be discussed with the patient as soon as possible once their condition begins to deteriorate so they are aware of expectations and can contribute to the person-centred care and be looked after they way they want. Assessment of the Activities of Daily Living will be carried out to draw up a care plan. Further to this the Liverpool care pathway can be used in the
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months or less to live, it is time to concentrate on the type of care will need. Many times a person and their family will turn to hospice care. The meaning of hospice is to provide care to a person who is terminally ill. Hospice does not speed up or postpone death. Hospice is a type of care that provides services to improve the quality of life for the patient and family. Hospice exists in the hope and belief that, through proper care and the encouragement of a caring and sensitive team, patients
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Hospice care The term was from the medieval times when it referred to a place of shelter and rest for weary or ill travelers on a long journey. The name was first applied to specialized care for dying patients by physician Dame Cicely Saunders, who began her work with the terminally ill in 1948 and eventually went on to create the first modern hospice—St. Christopher’s Hospice—in a residential suburb of London. Sanders idea of specialized care for the dying to the United States during a 1963
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先進的醫療技術，也是沒辦法讓病人復原。所以對醫護人員來說容易產生極大的挫折感，而這些絕症的病人，很容易是被放棄的一群。當醫療對末期病人無效時，並不代表對他們的關懷也無效。安寧照顧重視對病人的關心及照顧，強調以照護（care）為主，並且是舒適的照護。另外，安寧照顧在硬體上有舒適的設備，備有洗澡機、休閒室、陽光室、祈禱室、佛堂、咖啡廳、意樂治療室及兒童遊樂區等設施。裏面的設備盡可能不讓病人有住在醫院的感覺，而讓病人感受像居家的環境。在軟體的設備中，安寧照顧有醫療團隊的關心，這些照護跟普痛的醫院不同。這個醫療團隊在面對病人的照護時，以非病人（nonpatient）的態度去照顧病人，尤其重視護理上翻身、洗澡、等細微照護（安寧照顧在照護上對病人有特殊的照護技巧）。所以，癌末病人在安寧照顧受到非常親切及舒適的照護。安寧照顧除了醫院的安寧病房之外，還有日間照護、居家照護（home care）等。這些照護皆是為了配合病人或是家屬的需要，而設置的。其中，居家照顧是由居家護理師安排醫師和護士，定期到病人的家中照顧。這樣的照護是為了想待在家中的病人，或是家屬照顧方便而設置的。 (二)疼痛及症狀的控制
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