Introduction
What is Cancer?
Cancer is a malignant growth or tumour cause by an uncontrolled division of cells.
How can cancer be treated?
With the advancement of medical science, Cancer (which is in the initial stage) can be cured via “palliative care treatment”. This is a system of care that seeks to relieve suffering in patients with progressive cancer.
Palliative care helps patients suffering from progressive cancer by improving that person’s quality of life.
However, there are many ethical issues associated with this treatment strategy such as:
• Particular methods of pain relief
• Reliable assessment of suffering
• Autonomy and multi-specialist care.
While there is a significant increase in the training of palliative care professionals as well as the development of the infrastructure for providing such care, there is an issue with the availability of resources in the current Indian environment which is building a barrier in the improvement of such professional care to people who require it the most.
In the last decade, supportive and palliative care have been
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Palliative care in India is believed to have been originated in Kerala in 1986 with the establishment of a pain clinic in the Regional Cancer Center of Trivandrum, the capital of Kerala. Since then, one recent 2008 review by McDermott et al identified 138 hospice and palliative care services in 16 states and territories. For resource-poor settings, the efficacy of palliative care implementation has been driven by the synergistic effort of motivation and the use of local resources. The Kerala network, called “Neighborhood Network in Palliative Care,” for example, has more than 60 units covering a population of >12 million and is one of the largest networks in the world. In April 2008, Kerala became the first state in India to announce a palliative care
The World Health Organisation (2010) defines palliative care as: An approach that improves the quality of life of patients and their families facing problems associated with life threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual. It is also our duty to support John and his wife`s in their decision for John to die at home, Department of health (2008) patients should have a choice over the care they receive and where.
In almost every case of a terminal disease, pain is intolerable and seeing someone in such agony is heartbreaking. For example, Brittany Maynard, a 29 year old brain cancer patient who had to move to Oregon so she can avail of the Death with Dignity act. “Maynard knew that her form of brain cancer would be excruciating. She would endure swelling of the brain that would very likely cause seizures, painful headaches and the gradual loss of bodily function. Doctors know that for about 5 percent of the population, no amount of morphine can block the agonizing pain the terminally ill endure” (EDITORIAL: Dying with dignity). Palliative care can often be provided for the dying patients and alleviating pain to provide comfort for the dying has always been the priority. “Palliative care focuses on relieving the symptoms, particularly the pain, of incurable illness.” (Palliative Care) But, in relieving pain through the prescribed medications there are also side effects that are caused by the prescribed pain suppressors and two examples will be lethargy and it compromises breathing. In most cases the effectivity of the pain medication may no longer alleviate the pain. If a patient will be in such agony for the remaining days or weeks the quality of life is no longer present. The agony of pain prevents a patient from performing even just the bodily functions.
The language of Edgar Allan Poe’s story “The Fall of the House of Usher” sets the creepy setting of the story from the very first paragraph. Poe uses a multitude of descriptive words to let the reader see what the setting looks like. His description is so thorough, that the reader gets the sense that they are there with the narrator. In fact the descriptions are so detailed, that when the reader think of the story in question, the reader can see the setting in their mind’s eye. Poe uses words like “dark,” “dreary,” and “bleak” and fully establish the creepy Gothic mood. The setting itself is creepy enough. The narrator travels to this house in a particularly lonesome part of the country. The house itself is in decay. The thought of this kind
Over the year’s man and woman conflict have been a normal part of life. Where there are relationships there will be conflict. Researcher Anna Snyder says “A critical component of successful male-female relationships is the ability of the couples to handle conflict” (Snyder 10). Resolving conflict, or not can be vital for the fifty-fifty survival rate of marriages. In the two plays, Trifles by Susan Glaspell, and Death of a Salesman by Arthur Miller. Both actors have a great background of literature, Glaspell an American Pulitzer Prize-winner, playwright, novelist, and Arthur Miller who also was awarded the Pulitzer Prize for Drama. Withal plays can relate in ways to different gender conflicts, and the problems that takes place in everyday relationships. Men and women may face different demands of resolving these conflicts. Men tend to handle things in a more aggressive way, as to woman being the calm ones. Throughout these two plays they may differ.
Palliative care, somewhat similar to Hospice care, focuses on relieving or preventing suffering from a life altering illness. The goal for both Palliative and Hospice care is to provide the best possible quality of life to
Palliative care (pronounced pal-lee-uh-tiv) is specialized medical care for people with serious illness. It focuses on providing relief from the symptoms and stress of a serious illness. The goal is to improve quality of life for both the patient and the family.Palliative care is provided by a specially-trained team of doctors, nurses, social workers and other specialists who work together with a patient’s doctors to provide an extra layer of support. It is appropriate at any age and at any stage in a serious illness and can be provided along with curative treatment.
Throughout life, many individuals experience difficulties due to growing up in everyday life. While going in depth of the human life, it is discovered that there are many diseases and disorders that affect humans’ everyday functions. A very popular disease that has traumatically affected the human body is cancer. Cancer is a disease that spreads throughout your body in many ways. The purpose of cancer is to attach to a blood cell in your body and cause a plague within itself, causing the body to initially shut down and die. This disease contains many forms and have many causes to it. However its main goal is to destroy the human body.
Palliative care is a service provided by trained medical professionals to provide comfort to the patient that is suffering from a serious illness. Many people do not have a clear understanding of what palliative care is and how it provides relief for the patient, as well as the patient’s family. There is a definite need for education on this topic as well as many other topics concerning patient education and safety. The Joint Commission (2016) launched a Speak Up™ campaign in 2002 and one of the main topics the campaign focuses on is palliative care. The brochure offered is titled What You Need to Know About Your Serious Illness and Palliative Care (The Joint Commission, 2016) and is available for the public to download or print at no cost. The brochure provides useful information on what services are provided and where you can receive those services. It includes other information that is not only beneficial to a patient, but a patient’s family member, or anybody who knows someone that may benefit from palliative care.
In nursing, the goal of care is usually to restore the patient back to the highest level of health possible. In some cases, however, the goals of care change when a curative approach is no longer appropriate. The new goals of care could simply be palliation and pain control rather than a restoration back to full health. This type of care is called palliative care. Palliative care is not the same as end-of-life care, but the two go hand-in-hand at times. The goal of end-of-life care is a “good” death, good being defined by the patient. Palliation is part of that “good” death. Both palliative care and end-of-life
During the 1830s the Democratic Party was formed around President Andrew Jackson and his primary issues that took up most of his term banking and tariffs. The Democrats favored American expansion to new farmlands and new territories. The Democrats also ended elites, industrialists, and the Bank of the United states, which would they felt would build up an industry that was at the price of yeoman farmer. The Whig Party were an organized group in opposition to Andrew Jackson, who they felt would destroy America and the industry. The Whig Party was led by Henry Clay and John Quincy Adams who were in search for a compromise and balance in government, territorial expansion, and domestic manufacturing. These two parties had very different views
Before I started this class I thought palliative care was only used as end of life care, or for when a curative treatment was unavailable or had failed. As we learned about the different models of care, and how they have changed over the years, it became evident that the use of palliative care has changed drastically over the past several decades. In the 1800s to 1900s, palliative care was only used once the patient had reached the dying stage, and only included the patient in this care, not their families1. Before taking this course, this is what I thought of palliative care as well. Since the late 1900s though, palliative care has been used in a more proactive approach. From the moment an individual receives a life threatening illness, palliative care begins. This includes caring for the family of the patient as well. This care increases as the patient’s illness progresses, and even continues for the family after the death of the patient. Learning this has really made an impact on how I would like to work as a
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.
3. Palliative Care Council of South Australia. (1996). Good palliative care project: final report. Retrieved September 4, 2002, from Palliative Care Council of So
There is a need for evidence on palliative care because improving strategies could potentially improve the patients end of life care and could ensure that they die in a dignified
With the many debates on what is and is not ethical with the end of life care, humans are faced with more ethical issues. All humans have an idea of what they believe to be moral or ethical. Looking at ethical concepts helps us as a society determined what treatment may be ethical or moral for a person during a chronic or terminal stage in their life. One ethical concept that plays a large role in death and dying is autonomy. The freedom for a patient to have control over their own health care decisions. If a patient has the ability to make informed