Palliative Care : The Hospice Movement Of The 1960s Essay

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.

A survey was conducted in 2000 on more than 9,000 patients discharged from more than 2,000 hospices on the services they received (Carlson, 2007). It revealed that 22% of them received five major palliative care services, which varied among the hospices. These palliative care services were nursing care, physician care, medication management, psychological care, and caregiver support. Approximately 14% of the hospices provided all five services and 33% provided only one or two services. Only 59% of these patients received medication management services. These included administering medication, dispensing correct dosages, and setting and following dosage schedule.

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

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

Paulus, (2008) discusses in her thesis that patients with chronic diseases need symptom control and pain management but are often referred to palliative care services too late and do not receive the care and support they need. Late decision making reduces patient autonomy; patients may become too unwell to participate in formulating their plan of care (Al-Qurainy, Collis, & Feuer, 2009). In a study carried out by evaluating the notes of patients that had died it was concluded that physicians did not feel confident giving an end of life diagnosis; this can cause a delay in care (Gibbins, McCoubrie, Alexander, Kinzel, & Forbes, 2009). Palliative care in hospitals would improve the quality of end of life care. Paulus (2008) believes it is an

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.

Another disparity recognized is the standards of care from one palliative care or hospice care center to another. The varying degrees of care are due to lack of education and standards of care. The Center to Advance Palliative Care has recommendations for hospice and palliative care centers to measure and monitor care standards. These guidelines will help quantify data and allow for process improvement to occur among hospice and palliative care facilities. These improvements essentially allow for better education standards and improved standards of care within the hospice and palliative care centers. The most essential part of the paradigm that is palliative and hospice care is the patient. In the article, Is This Palliative care’s Moment,

Palliative care may provide support for the individual’s social support network. While palliative care is often offered as end-of-life care, it may also be offered during any serious illness to ease the burden of that illness, whether or not that illness is considered terminal. (“Palliative Care” 1)

The team that provides this service are all highly trained medical professionals that include physicians, nurses, patient care technicians, counselors, and chaplains to offer support. Studies have shown that palliative care is effective in relieving pain and symptom distress with expert precision. It also helps with difficult decision making, reduces confusion, anxiety and stress for the patient and family. Palliative also supports the family in their care giving role, offering advice, instruction, and referral services. (Baycare,

Assumptions And Principles Underlying Standards For Care of The Terminally Ill Introduction There is agreement that patients with life-threatening illnesses, including progressive malignancies, need appropriate therapy and treatment throughout the course of illness. At one stage, therapy is directed toward assessment and intervention in order to control and/or to cure such illness and alleviate associated symptoms. For some persons, however, the time comes when cure and remission are beyond current medical expertise. It is then that the intervention must shift to what is now often termed "palliative treatment," which is designed to control pain in the broadest sense and provide personal support for patients and family during

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.

Palliative/Hospice Care: Necessity or Extension of Healthcare: a topic chosen to obtain clarity of services, while questioning who is benefiting, patients or the healthcare system

According to the article by DiMartino at el. (2014), Cancer is considered the second leading cause of death in the United States and majority of patients that are diagnosed with cancer will die from these disease without receiving proper care, such as hospice. Some people in the United States and other places all over the world believe in a myth that says hospice speeds up a person’s death. But, without hospice patients may feel like they are a burden to their families and they would want to die sooner. However, through this research and six articles a reader can see that, “hospice provides extra time for the families and the patient to say their goodbyes, to seek out resolutions, and find the closure that the both parties need” (Connor et

I have always believed that health cannot be optimized through the treatment of disease only. Rather, health should be addressed on a biological, physical, psychological, social, and spiritual continuum. Palliative care addresses an often-overlooked aspect of the patient experience, which is symptom management of their chronic illnesses. Health care professionals tend to treat acute episodes of