End of Life Care: How Hospice Makes a Difference Facing the end of life is frightening for many people, especially if it is unexpected or sudden. For the majority of people, however, death is not instantaneous and can be slow and painful. For patients in this situation, an alternative to receiving palliative care and extraordinary measures to prolong life is the use of hospice care. Hospice care has been constructed to provide supportive care in the final phases of terminal illnesses and centers on the comfort and quality of the life of the patient, rather than curative measures. An important feature of this type of care is that the patients are most often cared for in their own homes, offering a familiar and comfortable environment. The care
Hospice: Understanding and Caring for End-of-Life Death is inevitable. It is one of the only certainties in life. Regardless, people are often uncomfortable discussing death. Nyatanga (2016) posits that the idea of no longer existing increases anxiety and emotional distress in relation to one’s mortality. Because of the difficulty in level of care for end-of-life patients, the patient and the family often need professional assistance for physical and emotional care. Many family caregivers are not professionally trained in medicine, and this is where hospice comes into play. Hospice aims to meet the holistic needs of both the patient and the patient’s family through treatment plans, education, and advocacy. There is a duality of care to the treatment provided by hospice staff in that they do not attempt to separate the patient’s care from the family’s care. Leming and Dickinson (2011) support that hospice, unlike other clinical fields, focuses on the patient and the family together instead of seeing the patient independent of the family. Many times in hospitals, the medical team focuses solely on the goal of returning the patient back to health in order for them to return to their normal lives. They do not take into account the psychological and spiritual components of the patient’s journey and the journey that the family must take as well. For treatment of the patient, Leming and Dickinson agree that hospice does not attempt to cure patients, and instead concentrates solely
HIV has affected people all across the world. HIV comes with physical and mental symptoms. The body symptoms include skin flaking off, being dry, skin peeling off (Saliba 23) , fingernails falling off (32), and weight loss (14). Mentally it is hard to sleep, people become weak, and are tired all the time (23). People all across the world are infected with this disease, and the problem with this is the fact that most do not even know they have it. The most people who are infected each year are African Americans, gays, or bisexuals. 10,315 African Americans were infected in 2015. The U.S.A. has estimated about 1.1 million are infected with the disease. Equally to about 12,333 deaths happened in 2014 from AIDS related diseases, and 6,721 deaths from AIDS directly. Although there are a large amount of people getting infected, on the other hand eighteen percent of the population with HIV is declining since 2008-2014 (“U.S. Statistics”). In the world about 33.2 million people worldwide have HIV, with 22.5 million people in sub Saharan Africa are living with this condition, one out of nine people who live in South America have HIV or AIDS (Saliba 8).
By consolidating what these men learned in this group, we will be able to understand where each member stands. In this group, members should have learned how to deal with their stress levels and find meaning in their diagnosis. Ethically, I need to recap during the last sessions with the clients to remind them what they have learned so the group experience was not for naught. Accordingly, I want to summarize with the group what they learned about the challenges of being HIV positive while encouraging them to use the skills they learned in the group outside of the group, while keeping the confidentiality of the group members.
End of Life Care: Family Health McKendree University NSG 420 Fall 2014 Introduction 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
Assessment Analysis Paper Gentina Thompson NUR440: Health Assessment and Promotion for Vulnerable Population September 22, 2014 Assessment tools are a necessary part of everyday nursing care. They provide the nurse with measurable means of keeping inventory of a patient’s physical progression from shift to shift. Assessment tools like the Braden scale which assess
The overall problem of incentive misalignment cited above has negative impacts for almost all stakeholders in the healthcare industry. Consumers have become notoriously bad shoppers of healthcare, as they do not bear the real costs of their care or treatments and therefore have no incentive to optimize their healthcare costs.
Hospice’s main focus is on the patients and their needs. As shown on www.nhpco.org, the website for the National Hospice and Palliative Care Organization, their vision for patients and families is one where individuals and families facing serious illness, death, and grief will experience the best that humankind can offer (National Hospice and Palliative Care Organization, 1). With this in mind, those who are involved with Hospice work to provide patients with relief from their symptoms and try to lift the weight off of their shoulders, also known as the Palliative Care part of Hospice. Hospice care involves a team-oriented approach, where members of the organization will work together to ensure the the patient, and their family as well, receive compassionate care (National Hospice and Palliative Care Organization, 1). This includes physical care, such as pain management, emotional care, such as relieving stress, and spiritual care. Emotional and spiritual
Discussion of end-of-life care rarely occurs in the Haitian household until the patient reaches the hospital and it is too late. This leads to family members unaware of patient preferences and unnecessary treatments. The participants’ knowledge
relationships of weight change, body image, length of time with HIV/AIDS diagnosis, and quality of life in individuals with HIV disease (Corless et al., 2004, p. 292). The sample consisted of 40 subjects: 23 men and 17 women. The HIV-positive adults in a primary care clinic were asked to participate, so this study has a sample of
Claudia is a twenty year old junior currently attending the University of Nebraska-Lincoln. About a week ago Claudia went to the health clinic on campus to be checked out. She has been feeling ill with flu like symptoms including headache, fever, achy all over and being tired.
Social workers play a pivotal role in the delivery of palliative care (Cadell, Johnston, Bosma & Wainwright 2010). While many other members of the healthcare team focus solely on the medical-side of a person’s wellbeing, social workers are trained to take a much wider view. By addressing physical, psychological, social, spiritual and practical problems, they aim to alleviate a person’s suffering and improve their quality of life (Bosma, Johnston, Cadell, Wainwright, Abernethy, Feron, Kelly & Nelson 2010). This ‘holistic’ model of care requires social workers to undertake a multitude of tasks including educating clients about their condition; assessing their biopsychosocial needs; and providing a range of practical and emotional resources to address these issues (Small 2001). However, the recent cuts to staff numbers and services in the south-east is threatening the ability of social workers to perform these roles.
Do you have one? (Paul) Yes (Me) Even though HIV is a scary disease there are medicines that can stabilized your immune system. I would recommend first for you to complete some research on living with HIV. There are a lot of people who have become infected and live normal lives.
Hospice is a component of palliative care. A person does not necessarily have to be dying in order to see a palliative care specialist. This is where the service is often underutilized in the hospital. In the 18 months I have been a nurse, I have cared for many patients with chronic illnesses who have dealt with symptoms that have severely impacted their quality of life. Most of the time, it seems as though the patient’s care providers are interested in treating the patient’s acute problems. My experience has been that the symptoms are often overlooked or are being treated in a manner that is to the dissatisfaction and discomfort of the patient.
The case study based on the palliative patient Mrs. Mavis looks at issues both the family and the patient are dealing with in regards to the end of life treatment Mrs. Mavis is receiving. Mrs. Mavis is a palliative patient, currently unconscious, who is dying and only wants comfort measures within her nursing care. This was made clear through her advanced care directive, which was made weeks before beginning to receive her end of life care. Mrs. Mavis’ comfort measures include pain relief, hygiene and keeping her comfortable. Mrs. Mavis’ family want her to have fluids and medications to help improve her health. They also want oxygen and pain relief to help with her breathing. Issues such as educating and supporting the family, pain management, the effectiveness of having an advanced care directive and pain assessment will be evaluated to determine the best effective interventions for Mrs. Mavis and her families care. Interventions that will be discussed through-out this essay include the use of analgesia medication, the use of subcutaneous injections and syringe drivers, emotional support for the family, effective communication, educating the family on Mrs. Mavis’ wishes and the importance of having an advanced care directive. These interventions will be evaluated to ensure they are the best practice for Mrs. Mavis’ care.