Nursing cares for Nancy during difficult phase
Nursing care for Nancy needs to focus on decreasing progression of disease, relieve the symptoms and maximizing her quality of life . Anxiety is the frequent acute dyspnea’s presenting symptom. (Bailey et al, 2013). Therefore, Patients in the acute stages of their illnesses display various characteristics that cannot be satisfactorily handled by one or two experts. ( Doyle, Howard, Pattuwage&Ward, 2008).
Inter professional Team Aspects
The nurse is considered as the primary care giver and hence will assume a role of coordination within the team (James et al., 2008). This responsibility is also important in making sure that the solutions and interventions implemented are assessed on a continuous basis and to acknowledge that as the needs of the patient change so does the care plan (Collins-Bride & Saxe, 2013). Palliative care nurse in Nancy’s case provides professional advice on management of symptoms, and education to staff and patient, and coordinates with other health team members. The palliative care nurse offers advice on the process of dying and assists in ensuring that the right medications are ready in case the patient’s situation deteriorates speedily. This may entail adequate opiods, sedatives, and suitable management plan of the bowel. PRN medication’s availability is also important so as to guide successful nursing interventions and palliative physician can be contacted once the symptoms turn out to be
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Nurses in specialty care continue to change the health care system to meet the needs of patients regardless of the setting. Hospice and palliative care is an area of nursing specialty care that has grown since the 1970s when it began (Cowen and Moorhead, 2011). Leaders in nursing identify change that is needed and discover ways to make the changes possible. The leadership in nursing brought forth attention for patients with terminal illness. Nurses defined hospice and palliative care, developed core principles, practices, provided education and then pushed for the care to be available in multiple settings (Cowen and Moorhead, 2011). The continued growth in this specialty area of nursing is related to the positive outcomes of patients that have
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
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Despite significant advances in the multidisciplinary approach of palliative care and the growing body of evidence-based practice, a multitude of variables continue to interfere with excellence in end-of-life care for everyone (Anonymous, 2007). Because of this the primary nurse must be diligent in administering the proper medications to allow the patient to have minimal pain or suffering and provide emotional support and reassurance to family members, and possibly fellow staff members
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Our nursing team provides individualized care during the scheduled visits and also provide support and valuable information to family members on how to care for their loved one. Members of our nursing team add that personal touch to professional services that make our care compassionate. RN Case Manager will be responsible for your overall care and managing your needs along with DON. Nurses visit the patient as often as necessary and coordinate delivery of medication and equipment to helping hands to patient and family.
Patients with chronic or life-threatening illnesses may turn to palliative care for its symptom relieving benefits as well as its ability to improve their quality of life. A key factor in quality palliative care is effective communication between medical professionals and the patient as well as the patient’s caretakers. Pain management, continuity of care among caretakers and medical providers, and concentration on the patient’s personal preference are all major aspects of palliative care. Good palliative care should begin with a discussion on advanced care directives, preferably initiated by a physician. (Fine, et al. 595,
The role of the expert palliative care nurse is complex and unique. The nurse functions as an integral part of a Multidisciplinary team, providing expert skilled assessment and nursing care, supporting the patient and the family to make informed choices thereby encouraging the patient to continue to make autonomous decisions about their care towards the end of their life.
The Hospice and Palliative Nurse Association 2015-2018 Research Agenda discusses the structure and processes of care and the component of palliative are. The document mentions that these components are: interdisciplinary composition, engagement and collaboration, volunteer involvement, education and training of team members, the quality improvement process, staff support, and appropriateness of the care setting (HPNA, 2014). The components of structure and processes of care affect the delivery of palliative care and the priorities offered to patients and families. One of the priorities is: Research is needed on the types of new and innovative delivery systems in hospice and palliative care. Research is needed
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.