INTRODUCTION In England, there is an approximately half a million people who are dying every year. Of this amount, about two-thirds are seventy-five years and above. These deaths are caused by mainly old age related ailments and other chronic diseases like heart attack, stroke, dementia and respiratory diseases. This data is as gathered by the National Health Service (NHS), which constitutes four of the health care systems that is publicly funded in the United Kingdom. Of the deaths mentioned previously, the highest number of 58% occurs mostly in the NHS hospitals. The rest occur at home, caregiving institutions, hospices and other areas (Gray, 2011). Today, issues in regard to death are not discussed or are barely discussed. However, each and every individual has their own view of how death should occur, and that would be, death that is not painful and in the presence of a dear one or loved ones so to say. As it may be the case, some individuals die as they would have wanted, and on the other hand others do not. Those that do not may have gone through uncalled for tremor. In a survey carried out by the NHS, about 43% of those people that had lost loved ones indicated that the care rendered to their loved ones at the end of their lives was marvelous while 24% indicated that the care to their loved ones at their end of life was not exceptional or good for that matter (Health, 2013). The care rendered to those going through their end of life phase is an indication of how well
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
1.1 Caring for patients at the end of life is a challenging task that requires not only the consideration of the patient as a whole but also an understanding of the family, social, legal, economic, and institutional circumstances that surround patient care.
Caring for patients at the end of life is a challenging task that requires not only the consideration of the individual as a whole but also an understanding of the
Caring for patients at the end of life is a challenging task that requires not only the consideration of the patient as a whole but also an understanding of the family, social, legal, economic, and institutional circumstances that surround patient care.
Facing Death is a compelling documentary on, oftentimes, the final journey patients and their families will venture through together in life. The documentary seeks to capture how the patients and their families respond to the inevitability of death. The film includes families who respond to the issue by allowing their family member, the patient, to pass through the door of death without aggressive care, while there are yet other families who insist on everything being done to delay the moment of death. This topic of fighting death is attributed with producing much debate. On one hand are those who do not see the point of fighting death, however, on the other hand, there are those who believe that delaying death and staying alive is what ought to be done. Personally, from what I understand of either party, I think that I am a part of the later party. In addition, this issue naturally delves into what one believes occurs after death, as it is an issue dealing directly with death. This also compels me to view this topic from the viewpoint of the later party.
The beginning of life is celebrated. Books and resources are shared among friends and family in preparation for becoming a new parent. So, what happens as one approaches the end of life? Unfortunately, the same care and sharing rarely occurs in those circumstances and many face the prospect of dying unprepared. Though most people state they would prefer to die at home, this is often not where death occurs. Many Americans spend their last days attached to medical apparatus that keeps the body alive, but it does not allow for communication with family and often requires heavy sedation. Additionally, this level of treatment comes at a high price. As a society, we must become as comfortable in addressing the end of life process as we
Craig Bowron broaches the subject matter sensitively as much as possible striking a balance between the interests of individuals opposing his notions while at the same time emboldening the resolve of the many that support his idea. He, however, uses raw statements that are likely to irk the audience in some instances. Statements such as “once you have shoved some guy’s guts back into his stomach” can be rather upsetting to conservative audience that would rather be spared such graphic details. The next statement “everyone wants to grow old and die... but the truth is that most of us will die in pieces” also may rub readers in the wrong way. The author fails to capture the sensitivity of death as perceived by a number of people or cultures. The author acknowledges opposing argument by citing that the desire to have loved ones around would go to great lengths to use medication and technology. This goes to show that the writer understands that his opinion need not be paramount on the audience’s decisions and understanding of the article subject matter.
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
The purpose of this assignment is to demonstrate understanding of long term conditions and palliative care. Nursing care in general entails holistic care and collaborative care of individuals of all ages, families, groups and communities, whether sick or well (Royal College of Nursing, (RCN) 2007). Better management of lifelong conditions has been the priority of the National Health Service since the 1990s. When long term conditions are managed well in the community, patients’ can live a quality life without visiting hospital frequently (RCN, 2011). In Britain, six in ten people are reported to be suffering from long term conditions that currently cannot be cured; and these people are often suffering from more than one condition that makes their care challenging. It is estimated that by 2030 the UK will have double the number of people aged 85 years or over, who are living with one or more long term condition (Department of Health, 2014).
“The main findings can be summarized as follows. The UK has a poor record of preventing death from diseases of the circulatory system. After allowing for the different age structure of each country in the European Union, the UK death rate from circulatory diseases for persons aged less than 65 was ranked thirteenth out of the 15 countries studied.”
Let us first take into consideration and calculate the patient’s pleasure versus pain. With a prognosis of six months, the patient must be in a current state of pain and insecurity emotionally and/or physically. On one hand, there could be a possibility that the patient could experience pain in saying goodbye to loved ones. On the other hand, the pleasure the patient will feel from the security of knowing all pain ceases after death can be noted as a higher pleasure. In addition, the patient will experience happiness knowing their autonomy is the sole administrator of death, thus being able to experience the security of patient autonomy. Consequently, the patient would experience an overall pleasure from the role patient assisted
This paper will explore what would entail “A good Death”. I will discuss Pain Control, No Excessive Treatment, Retention Of Decision Making By The Patient, Support For The Dying Patient And His/Her Family And Friends, Communication Among All Parties And Acts Done Out Of Love That Make Dying More Difficult.
At some point in a terminally ill person 's life, there comes a time when all treatment options have been exhausted, and patient comfort is the number one priority. During this process, hospice care comes into play to ensure quality of life of a patient. Pain management and supportive services are provided to anyone who is willing by Medicare, and other government assistance programs, for individuals and families that cannot afford private home care. These services are provided by a trained group of professionals, including; Doctors, Nurses, Counselors, Social workers, Physical therapists, Volunteers and Chaplains. There are different types of hospice
There are occasions when medicine is not your friend and the effects of the treatment will only prolong the suffering of the patient. Healthcare professionals must be objective and ask will the end result be changed. We must know when it is appropriate to discuss end of life options and when it is not. According to Adams (2015), most desire to die at home, but less than half are allowed to do so (p. 13). Our responsibility is to allow the client to make an educated decision about all the available service and treatments.
Our society finds it difficult to talk about dying and euphemisms are the norm. It is typical for both doctors and patients to be hesitant to initiate a discussion on dying. Focus instead is often more often placed on interventions and actions for managing symptoms. This avoidance can leave patients and their families unprepared for the inevitable death. (Schapira, 2010) It also often results in requests for therapies which may be excessive, costly and even painful in the hopes for a cure. One study demonstrates that when patients are aware that they are terminally ill, the majority are able to reach a state of peacefulness and also exhibit lower levels of distress. (Ray, Block, Friedlander, Zhang, Maciejewski & Prigerson, 2006) It is also important that family members are willing to discuss end-of-life options with their loved ones. According to elderly patients, they are most often the ones who initiate these conversations with their