The Experience Of A Hospice Volunteer Essay

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

My community service work at County Hospital is to care for the rudimentary needs of each patient. My goals are to provide inspiration during the healing process, teach kindness and compassion, and discover my own abilities for empathy. "Courage doesn't always roar. Sometimes it is the quiet voice at the end of the day saying, "I'll try again to tomorrow (Mary Anne Radmacher)." My hope as a volunteer is to help each patient find that voice, find that courage to go forward.

The aim of a hospice is to improve the quality of life of the dying

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

It all started in the 4th grade. That’s when I knew that being in the medical field is what I’ve always wanted to do. This day, my 4th grade teacher gave us an assignment while learning science. We were specifically learning about the heart and it’s 4 chambers. This subject, I remember, was so captivating and fascinating for me. I soaked in all the information I got from this class extremely easily. It was unlike any of the other classes that I have taken thus far. Math, literature and history were not subjects that I thought were very interesting for me but science was something that I especially excelled in. As the years went by I learned that I was especially had an interest in forensics. The ability to see the open body one-on-one in the fashion that forensics get to have contact with a body was more than interesting for me. So at the age of 12, I decided that forensics was what I was gonna put my mind to.

Long-term care is a result of people having terminal conditions, disabilities, illnesses, injuries, or being elderly. The purpose of long-term care is to provide services to people and to aid people at a time in their lives when they cannot depend on themselves to maintain daily activities. There are many variations of long-term care available – such as home care, adult day care, and independent and assisted living, personal care facilities, nursing homes, and hospice.

My academic career is based on the sciences, especially chemistry and biology. Throughout my childhood, I have been greatly exposed to the sciences. My mother was a nurse practitioner in a rural clinic, which was connected to our house. Consequently, the clinic became my playground and the stethoscopes became my toys. Therefore, I was always interested in how the body worked and what affected our health.

In recent years, Hospice care have risen to popularity and is being widely used among many terminally – ill patients and their families. This is evident in a report from the National Hospice and Palliative Care Organization, “In 2014, an estimated 1.6million – 1.7 million patients received services from Hospice” (NHPCO, 2015). It is seen that many people uses Hospice care which means that many deaths are also under the care of a Hospice program, therefore, patients and families satisfaction is a crucial factor in assessing the quality of Hospice care and how to make improvement for future services. Thus, I decided to conduct a research on patient and/or caregivers satisfaction that received care from hospice programs.

Hospice care is a model of care that focuses on relieving symptoms and supporting patients with a life expectancy of six months or less (Altshuler, 2013). For most nurses, caring for a dying elder (individual aged 65 years and above) is a discrete, time-limited experience that begins with first contact, often in a hospital, emergency room, or long term care facility, and ends with the death itself (Phillips & Reed, 2008).

This report is focusing on elderly patients who are on a palliative care unit, and how they are respected and their dignity is persevered throughout their end of life care in a hospital setting. Throughout the Inter-Professional Learning (IPL) seminar sessions, there was many student midwives, student adult, child and learning disability students. There were many topics suggested and discussed between the group, which helped aid us choosing our focused topic. Grumbach and Bodenheimer (2004) reinforces the argument about IPL groups are important, as they found that when health practitioners work together has a positive impact on the patient outcomes. Therefore, they believe that IPL groups should be fundamental part of health professionals

I ambitiously decided that I would brighten the lives of the elderly by volunteering at a rest home, but discovered that the elderly were being neglected, shoved aside and forgotten. As I stepped into the home a pungent odor penetrated my nostrils, causing an instantaneous gagging reflex. The place was abounded with neglected and subdued inhabitants, yearning for attention. Anybody that passed them caused a sudden outburst of ranting. The negligence and disregard the home displayed appalled me, but helped me to realize that I wanted to make a difference and change the condition people live in.

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.

I have always been interested in science and the way things work. My interest in the medical field started by the time I was in kindergarten. However, I was interested in being a veterinarian at that point in my life. I loved and still do love animals, but changed to wanting to be a human nurse when I was in middle school. I would always go to appointments with my grandparents and parents when I was younger. Watching blood work being taken and the way a doctor would contort an MRI always sparked an interest in me.

The case study based on the palliative patient Mrs. Mavis looks at issues both the family and the patient are dealing with in regards to the end of life treatment Mrs. Mavis is receiving. Mrs. Mavis is a palliative patient, currently unconscious, who is dying and only wants comfort measures within her nursing care. This was made clear through her advanced care directive, which was made weeks before beginning to receive her end of life care. Mrs. Mavis’ comfort measures include pain relief, hygiene and keeping her comfortable. Mrs. Mavis’ family want her to have fluids and medications to help improve her health. They also want oxygen and pain relief to help with her breathing. Issues such as educating and supporting the family, pain management, the effectiveness of having an advanced care directive and pain assessment will be evaluated to determine the best effective interventions for Mrs. Mavis and her families care. Interventions that will be discussed through-out this essay include the use of analgesia medication, the use of subcutaneous injections and syringe drivers, emotional support for the family, effective communication, educating the family on Mrs. Mavis’ wishes and the importance of having an advanced care directive. These interventions will be evaluated to ensure they are the best practice for Mrs. Mavis’ care.

Care team members need to be aware of this tendency to overestimate survival, to reduce residents’ and families’ potential distress.