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Palliative Care

Palliative Care

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Published by: Ryszzer Murillo Mamon on Apr 22, 2012
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Principles of Palliative care

Mamon, Joryl M. Maddas, Emir Rafi

but to eliminate the effects.Palliative derives from the Latin “Pallium” which means “to cloak.” not “Palliation” means “to cloak over”. . to address the underlying causes.

” . psychological and spiritual. through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems. physical. 2002) “Palliative care is an approach that improves the quality of life of patients and their families facing the problem associated with lifethreatening illness.Palliative care (WHO.

Palliative Care for Children (WHO. and continues regardless of whether or not a child receives treatment direct at the disease. .” It begins when the illness is diagnosed. 2002) “The active total care of the child’s body. and spirit  and also involves giving support to the family. mind.

Desires Present reality Modified expectations Improved circumstances .Quality of Life Hopes. Ambitions.

Spiritual Symptom Bereavement Control Emotional Physical Psychosocial .

Social Work. OT. Physio. PC approach.  Specialist Patients with complexed needs. Responsibility of all Health & Social care professionals . General Palliative Care Patients with less complexed needs Nursing Homes. Spiritual. Umbrella term for general & specialist services. Multi-professional team with specialist PC training. Pharmacy  Supportive Provided from pre-diagnosis onwards. Medical. Nursing.

Informed by a knowledge of and practice of palliative care principals and supported by specialist palliative care  Quality of life  A whole person approach  Care for both the dying person and those that matter to the person  Patient autonomy and choice .The Palliative Care Approach NCPC (1997) Vital and integral part of all clinical practice.

as an integral part of good clinical practice whatever the illness or stage. and to call in specialist palliative care colleagues if the need arises. .Principles underlying palliative care provision 1997)  (NCPC It is the right of every person with a life threatening illness to receive appropriate palliative care wherever they are.  It is the responsibility of every health care professional to practice the palliative care approach.

Palliative care nursing VALUING connecting empowering Doing for Preserving integrity Finding meaning .

Palliative care nursing Connecting  Making a connection – establishing a rapport – building up trust  Maintaining a connection – being available.  Breaking the connection – usually as a result of the patient’s death . maintaining trust. spending time. sharing self. sharing secrets.

Empowering.  facilitating – recognises patient autonomy   encouraging defusing – dealing with negative feelings  mending – facilitating healing  giving information .....

..  Finding meaning  Taking charge – symptom control – making arrangements Focusing on living ..Palliative care nursing Doing for...helping the patient to live as fully as possible Acknowledging death – giving or reiterating bad news – talking about death and the time left   Team playing – acting as the patient’s advocate .

Preserving Integrity  Confronting mortality  Burnout  Supporting Colleagues own .

. it is only one component of the continuum of care that should be provided. and while this is an important aspect of palliative care. Often palliative care is seen as focusing on end-of-life care only.Principles of Palliative Care Palliative care is a philosophy of care that is applicable from diagnosis until death and then into bereavement care for the family.

.It is focused on the needs of the patient. expertise. It is the provision of comprehensive holistic care with the patient at the center of that care. settings. It is a philosophy that can be applied anywhere  across a range of skills. and understanding. and is dependent on attitudes. their families and caregivers. and diseases.

Offers support system to help patients live as actively as possible until death. Offers a support system to help the family cope during the patient’s illness and in their own bereavement .The WHO has outlined several principles that underpin the provision of palliative care.including statements that palliative care:      Affirms life & regards dying as a normal process. Intends neither to hasten nor postpone death. Integrate the psychological & spiritual aspects of patient care.

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