Overview Of Palliative Care Services

Explained: When people understand that death will occur, then they will spend there life doing things with meaning and not walking around half-asleep. Then, they will learn they only have a specific time to live so they should live life to the fullest and do things that are enjoyable.

That’s the thing about death: it sneaks up and robs a person of their life, taking away all of their happiness. People indulge themselves in the idea of fearing death rather than facing it. Death is an unknown territory where no survivors have ever came back to share their experience. The US Army Private, Roy Scranton’s article “Learning How to Die in the Anthropocene” shines hope where he explains how fear can be conquered if the idea of dying is accepted. It is fear that paralyzes people from moving toward the idea of death. If people started to embrace the present, they will understand the inevitability of death and start discrediting fear.

The purpose of this paper is to examine communication strategies related to palliative and end-of-life care with a focus on Aboriginal clients. Firstly, I will explain the role of cultural competence in the nursing care of an Aboriginal client. Secondly, I will argue the cultural challenges a nurse may face when caring and communicating with Aboriginal clients receiving palliative end-of-life care. Thirdly, I will present solutions to the aforementioned communicative challenges. Lastly, I will discuss the impact I believe this experience may have on my future practice.

Canada 's healthcare system is praised globally for its universal and free healthcare. It started to take shape after World War II in 1945. Health insurance was introduced and was attempted, but was not successful even though there was an increase in the spending of health related services and goods. Fast forward a few years to 1961 where Tommy Douglas, the premier of Saskatchewan, developed the idea for an all-inclusive insurance plan. He later inspired the Medical Care Act in Canada in 1967, when he pointed out health care is a right for all Canadians. From this one thought, Canada has become of the many countries with a universal health care system. Ever since Tommy Douglas sparked the idea for health care coverage, Canada is praised for the way it carries out its system because of several key features. This system is publically funded, is universal and is accessible to everyone across the nation. Because this is a public system, funding comes from the tax payers and some federal funding, so there is no extra cost for the patients. Also, being a universal system it has offered care to all Canadians, immigrants and visitors. Unlike the U.S who does not provide healthcare to its entire population because it is a private system; access depends on how much someone could afford, and how

Over the past five weeks, I have learned what palliative care really is all about. I found that there were areas that really changed my perspective as well, about what palliative care is. Some of these include, but are not limited to, when palliative care is used, how difficult is can be to get patients the pain management they need, as well as how many different complimentary therapies are available to patients.

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

Hospice is compassionate care provided to patients facing terminal illness or illness for which there is no cure. These patients are diagnosed with an illness from which they will never recover and usually have a life prognosis of six months or less (Hospice Foundation of America, 2014). The goal of hospice care is improving quality of life and managing the symptoms of disease and the dying process. The care hospice offers is focused on pain management and emotional and spiritual support for both the patient and family (National Hospice and Palliative Care Organization, 2012). Hospice care can be provided in many different settings, often the patient’s own home. Hospice care can also be provided in hospitals, nursing homes, long-term care facilities and free-standing hospice centers and is available to patients of all ages (NHPCO, 2012). A patient receiving care in a hospice program has a team of healthcare individuals that can consist of the patients own physician, nurses, home health aides, clergy, social workers, and speech and physical therapists (NHPCO, 2012). Usually, a care plan is developed by the hospice team and care of the patient is provided by family members with the support of the hospice staff (NHPCO, 2012). Nurses make regular visits to the patient and family and are on call 24/7. Once enrolled in a hospice program hospice covers everything that will be needed to care for you, from medications to manage pain to

Another part of living is also knowing that death follows. No one can escape it as much

When I was fourteen, I went to South Korea and visited my grandmother who was diagnosed with Alzheimer’s. She was staying with one of my aunts in an apartment complex that restricted many of her daily activities and years later, her dementia progressed and passed away. Within the short time I spent with her, it was difficult for me to help her with her daily activities while maintaining her dignity. Therefore, when reflecting her death, I wondered about the type of care my grandmother had received. My potential learner gains from reviewing the literatures on this topic are how to successfully give a patient with dementia complete palliative care.

The Canadians have universal coverage under a national health insurance system with an above average ranking for the health status for their

Fear of the unknown, and fear of what is to come in our lives, has generations of people wondering what will our lives be like tomorrow or the next day. Death is always there and we cannot escape it. Death is a scary thing. Our own mortality or the mortality of our loved ones scares us to the point that we sometime cannot control how we are dealing with such a thing as the thought of death. Why do we fear such a thing as death? We don’t know what happens after we don’t how it feels. The fear of death is different for most but it is most certain to come and we cannot hide from it. For death is just around the corner and maybe it’s will come tomorrow or the next day! We fear not death but the unknown that comes from death, that is the scariest thing about death.

According to the Agency for Healthcare Research and Quality (AHRQ) despite the evidence that consistently indicates that palliative care and provision of access to hospice is essential to end-of-life comfort and quality of life in the final stages of terminal illness, it is still not used effectively or sufficiently (2012). In fact, Ctarlson et al., (2010) determined that in spite of the fact that there has been a 41% increase in the total number of hospice service providers in the United States since 2000, that at least 60% of terminally ill Americans still die without the benefit of hospice services. This is because a variety of factors can create an availability gap, or make it increasingly difficult for individuals to access hospice care. These factors generally include: geography, race, age, and socioeconomic capital (Silveira 2011). Each of these factors can be individually examined, as they relate to care accessibility.

The United States needs to provide more hospice care awareness. Hospice care provides services for individuals who have six months or less to live. They are able to enjoy the end of their lives rather than using physician assisted suicide.

It’s assumed that people have knowledge of what is appropriate planning for life after death, but nobody is ever prepared; and that is why preplanning is necessary. Death and dying is a part of life nobody likes to discuss, plain and simple, it makes us uncomfortable. This is a major contributor to why no one plans ahead. Nobody likes to think about death, it isn’t a pleasant thought to most of us. However, unfortunately, in our lifetime, avoiding a funeral is inevitable.

Some people don't realize how simple, yet complicated life is, that the point of it is not to ‘lose or win or become successful', but to die knowing that you have lived your life to the maximum and get the satisfaction from that. That you have created and destroyed, that you lived and the sun shone on you, and most importantly, that you left a footprint behind you.