Lung Cancer : The Leading Cause Of Death Caused By Cancer

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

According to Allen et al. (2012), “millions of people with chronic illnesses endure unrelieved pain, uncontrolled physical symptoms and unresolved psychosocial or spiritual problems.” This issue occurs because palliative care is often considered a form of end-of-life care. Palliative care is a treatment that can be used for patients who suffer from chronic illnesses and diseases while receiving curative treatment. (Horowitz, Grambling & Quill, 2014) purposely states the misconceptions of palliative care and advocated for seriously ill patients that education must bring under control the misconceptions. Some patients do not receive appropriate symptom management because the palliative care treatment needed is often confused with end-of-life care. However, end-of-life care attempts to relieve pain and suffering when a disease is no longer responsive to curative treatment. Pain and suffering could ultimately be controlled or even eliminated through the proper utilization of palliative care. Patients who are not referred to palliative care in a timely manner is more likely to have poor quality of life, uncontrolled symptom management and increased amounts of visits to the emergency room during the disease process. Patients with life limiting illnesses bear the burden of increased discomfort and increased suffering. Nurses experience clinical practice issues and difficulties in the clinical setting during the delivery of comfort and symptom management. These issues

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.

The human body is designed so that each part is dependent on the other for one or the other reason. There is a delicate balance to the distribution of functions and the way in which each system defenses itself against any unmentionable disease or ailment.

Palliative care is a relatively new concept, stemming from the hospice movement of the 1960s. This type of care focuses on the quality of life of its patients at any time in their treatment process. Palliative care is a concept that is often used synonymously with hospice care. Although it can be congregated with hospice care, they are not the same thing. Thus, it can easily be misunderstood. Sherner (2015) explains that both clinicians and people alternate palliative care and hospice. Unfortunately, she says, these people believe that palliative care implies the patient is refusing curative care. The purpose of this analysis is to explore the concept, clarify the meaning, and differentiate the concept of 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

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.

Palliative care is a relatively new concept. Palliative care programs have become more numerous and better utilized since 2000 and continue to grow. It is now accepted that the palliative care model is appropriate for patients with life-limiting illnesses. Chan et al. (2013) stated that the ultimate goal of palliative care is to relieve suffering and to maximize the quality of life for dying patients and their families, regardless of the stage of illness or the need for other medical treatments (p. 133). As life-expectancy increases, there is a growing need for these services. People are living longer with chronic diseases and palliative care services can provide an extra layer of support to patients and their families. Evidence has shown that 13% - 36% of hospital inpatients qualify for palliative care services (Robinson, Gott, & Ingleton, 2014).

For some people, preparing for an unforeseen or eventual serious illness makes just as much sense as preparing for an eventual death event in their life or in the life of a loved one. As such, our article covers one growing trend in health care: palliative care.

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

Palliative care, on the other hand, is a specific medical care facility for people suffering from critical illness. Gabriela Kaplan, RN oncology clinical nurse specialist at Trinitas Regional Medical Center in Elizabeth, New Jersey, who specializes in end-of-life care defines palliative care as "care that accompanies the patient throughout their journey, from diagnosis and hope for a cure to hospice and hope for care" (MacReady, 2010). Palliative tries to improve the quality of life for both the patient and his/her family.

34 Participants in the study were nurses and from the collective 58 health professionals participates only 10 of them were from an acute hospital setting. Therefore the finding of this paper can’t conclude that it only focused on acute hospitals, this questions the validity of the paper, as the paper's title suggests that it only focused on acute hospital settings only, so the results from this study can’t be generalized to other acute hospital settings. As Gardiner (2011) highlighted it’s important for nurses to be able to reflect on the patient’s needs and have a less task oriented focus. The cultural setting of an acute hospital is fixated on finding a cure for the patient, as reported by Gott et al (2013) nurses feel they are failing their patients if there is no cure for their illness. There is a need introduce the hospice philosophy into acute-care settings in hospitals. McCourt et al (2013); Gott et al (2013). Gardiner et al, (2011) found that nurses focused on curative treatments within hospitals due to the nature of the setting. However, Gardiner et al (2011) also highlighted that nursing staff's attitude towards the end of life/palliative could be seen as a barrier in the care provided. Johansson and Lindahl (2012) established that nurses find it difficult to talk about death and they feel they do not know what to do. Vanderpool (2015) states that a key part of the nurse’s role is having the correct knowledge and understanding, and providing the right information to support the patient/family in their decision- making. NHS England (2014) highlighted that the most reported complaint was poor communication with patient and family from nurses. Insufficient knowledge of palliative care among nurses is well documented and is considered one of the main obstacles to providing high-quality palliative care services. Gott et al

Palliative care helps patients suffering from progressive cancer by improving that person’s quality of life.

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.

Key importance of the palliative care approach in nursing is for it to be responsive, rather than