A person’s life can end at any age. They can depart quickly or slowly. End of life care, also known as palliative care, is the care of patients that are not only in their final hours or days but the patients with a terminal illness that has become incurable. End of life care takes into mind what the patient desires so it is recommended that they consider an advanced care plan also known as an advance directive and living will. These documents allow the patient to formulate decisions on the future of their care if, at any point, they cannot vocally express themselves.
Our society finds it difficult to talk about dying and euphemisms are the norm. It is typical for both doctors and patients to be hesitant to initiate a discussion on dying. Focus instead is often more often placed on interventions and actions for managing symptoms. This avoidance can leave patients and their families unprepared for the inevitable death. (Schapira, 2010) It also often results in requests for therapies which may be excessive, costly and even painful in the hopes for a cure. One study demonstrates that when patients are aware that they are terminally ill, the majority are able to reach a state of peacefulness and also exhibit lower levels of distress. (Ray, Block, Friedlander, Zhang, Maciejewski & Prigerson, 2006) It is also important that family members are willing to discuss end-of-life options with their loved ones. According to elderly patients, they are most often the ones who initiate these conversations with their
This report is focusing on elderly patients who are on a palliative care unit, and how they are respected and their dignity is persevered throughout their end of life care in a hospital setting. Throughout the Inter-Professional Learning (IPL) seminar sessions, there was many student midwives, student adult, child and learning disability students. There were many topics suggested and discussed between the group, which helped aid us choosing our focused topic. Grumbach and Bodenheimer (2004) reinforces the argument about IPL groups are important, as they found that when health practitioners work together has a positive impact on the patient outcomes. Therefore, they believe that IPL groups should be fundamental part of health professionals
Last year 23 September 2012. I had a resident called “Mrs X” she was a 72year-old widowed living at ---, a Nursing Care Home. She’s not a religious type of person as she was Atheist. She has lived in the home for the past two years, and during that time I was assigned as her key worker. Mrs X had One Son and 3 grand daughters they are all regular visitors to the home. She has recently been diagnosed with renal failure, and her life expectancy is only a couple of months without dialysis. In the past Mrs X has made it clear that when her “time comes” she wants to be able to stay at Belmont House, and “go quietly”. She has stated that she does not want any treatment that will prolong her life. This means
Berger (2008) state that late adulthood, which begins at age 65, is the final stage of the life span development process that culminates through the death of an individual. During the course of the twentieth century the notion of late adulthood changed significantly (Kowalski & Westen, 2009). The average person’s life expectancy increased probably by 30 years. This changed the proportion of North Americans over 65 years from 1900s one in 30 to a projection by the year 2040 that it will be one in five. This drastically changed the perceptions of late adulthood (Kowalski & Westen, 2009). For example,
Great strides have been made to improve end-of-life care through palliative care and hospice programs, but sometimes that’s just not enough. In America, the care that is offered to the elderly and the chronically ill is less than ideal. Statistics show that an
Back in twentieth century, a tiny fragment of mere 5% population was comprised of people aged 65 and above. A little spike in this segment was observed during the period of 1950s-1960s; however, that spike was not significant and restricted to 8% of entire population (Chart 1.1). Many factors were responsible for the small proportion of senior population, the most prominent one though, low life expectancy, high fertility/birth rates and limitation of health services.
Quality of Life and Functioning for End of Life Care. HAT2 Community Health Nursing. Western Governors University.
Next, we will discuss the biblical, theological, and cultural perspectives on the end of life issues. “There is a time for everything, and a season for every activity under the heavens: a time to be born and a time to die, a time to plant and a time to uproot, a time to weep and a time to laugh, a time to mourn and a time to dance.” When God created everything, he advised us about our time on earth before we inherit the promises in our heavenly home. “Our days may come to seventy years, or eighty, if our strength endures; yet the best of them are trouble and sorrow, for they quickly pass, and we fly away.” In today society, many people are dying at a young age for various reasons. One barrier is the change in our dietary. The older generations grew most of their own food. With my generation and afterwards, farm life decrease and more fast food chains increase. Farmers are now using more chemical to make the food grow faster to meet the need of the fast food chains. Also, there has been more man-made food and concepts. These options have impact life leading to more clog arteries, digestive issues, cancer, heart-attack, and others. Another barrier has been increase number in gang related death, suicide attempts and death, and being murder. “While most pastors, theologians and ethicists agreed that it was permissible to
With major advancement in medical treatments, it is now possible to keep a patient alive, which would not have been possible in former times. This has made end of life issue one of the most controversial issues in healthcare. Medical improvements have set the stage for ethical and legal controversies about not only the patient’s rights but also the family’s rights and the medical profession’s proper role. It is critical that any decision made in such situation is ethical and legal to preserve the rights of the patient and also protect the healthcare institution involved. It is very important when making decisions to discontinue treatments to make sure all other alternatives have been explored.
I have been a registered nurse at UCLA for 18 months. One particular issue that has captured my attention is the utilization of palliative care in health care. Because nurses are generally at the bedside all the time, they have an important role to play in voicing the importance of its utilization and implementation in the patient’s care.
The American population is getting older which presents us with many challenges but also present us with potential opportunities. With the length of life and quantity and fraction of older persons rise in most industrialized and many evolving nations, a crucial question is whether this population will be accompanied by continued or better-quality health, an improving quality of life, and adequate social and cost-effective resources. This answer lies in the ability of peoples and societies, as well as modern social, governmental, financial, and health service delivery systems, to provide optimum assistance to older persons.