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PALLIATIVE CARE

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Table of Contents
INTRODUCTION.......................................................................................................................3

PART ONE: ANALYSIS...........................................................................................................3

a) Mrs Smith's healthiness was impacted by the requirements of her physical, psychological,
spiritual, cultural, and social needs..........................................................................................3

b) A family's impact on a life-threatening disorder or illness.................................................5

PART TWO: CRITICALLY DISCUSSION..............................................................................6

a) The team of Palliative treatment and the pain control of Mrs Smiths and also other
symptoms.................................................................................................................................6

b) Symptom control is important and the responsibility of medical practitioners is important


in this regard............................................................................................................................7

c) Companionship and healing of both the mind and the body...............................................8

PART THREE: ASSESS THE IMPACT OF A HEALTH PROFESSIONAL..........................8

a) IN RESPONSE TO MĀORI INDIVIDUALS THREAT-TO-LIFE HEALTHCARE


PROVIDERS' PARTICIPATION IN CRITICAL ISSUES....................................................8

b) IMPORTANCE ASSOCIATED WITH HEALTH LITERACY AND


COMMUNICATION IN CASE OF HEALTH CARE PROFESSIONALS WHEN
DELIVERING PALLIATIVE CARE/TREATMENT FOR MAORI INDIVIDUALS,
WHANAU/FAMILY..............................................................................................................9

c) TRADITIONS AND BELIEFS MĀORI THAT CAN SIGNIFICANTLY INFLUENCE


HEALTH CARE PROFESSIONALS’ DECISIONS WHILE PROVIDING HEALTH
CARE SERVICES...................................................................................................................9

CONCLUSION.........................................................................................................................10

REFERENCES..........................................................................................................................11
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INTRODUCTION

Both analytical and practical analysis were used in this research to discover the many holistic
complexities that Mrs Smith, who also was afflicted with such a life-threatening illness, had
to deal with. The comprehensive requirements of Mrs Smith as well as the society will be
recognised and analysed, and understanding palliative treatment for their patient's misery and
suffering will indeed be beneficial throughout her hospital admission. There will be a
discussion of the duties and obligations of healthcare workers throughout the Maori
community.

PART ONE: ANALYSIS

a) Mrs Smith's healthiness was impacted by the requirements of her physical,


psychological, spiritual, cultural, and social needs

Phenomenal

Mrs Smith had been experiencing a variety of medical difficulties, including breath
shortness, sleeplessness, and numerous migraines. It suggests that her health was not
adequate and progressed, and most of these indications are linked with pneumonia as well
as COPD (Altilio et al., 2019). Mrs Smith's situation had deteriorated significantly by the
time she was transferred to the "intensive care unit (ICU)" as a result of the insufficient
treatment provided to her by the health professionals, and she was unlikely to recover.
Despite the patient's deteriorating health, no adjustments are required to her medication or
care plan by the medical personnel, and no talks regarding her health circumstances were
held with her family (Atayee, Sam, & Edmonds, 2018). As a result of her hospitalization,
she has been experiencing a number of physical issues that have had a severe effect on her
overall health.

Psychological

When it comes to patient demands throughout the healthcare business, psychological


requirements are regarded to be among the most successful, and this is anticipated that
every patient should feel entirely involved and linked to the methods of treatment that are
being supplied to patients (Boesch, 2019). The patient's better reaction rate and recovery
from their illnesses are attributed to the fact that they feel attached to their care team. There
is evidence that healthcare personnel did not include Mrs Smith in the creation of her
treatment plan because it was too stressful for her, which ultimately had serious
consequences for the health of the elderly woman. As a result of the treatment, she received
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from medical experts and healthcare staff, she developed a high amount of anxiety, which
in turn contributed to her deteriorating health condition (Brant, 2017). Mrs Smith's
discomfort and agony were ignored by the healthcare workers, who made the necessary
and suitable alterations to her medical plan to comprehend that she was experiencing much
more psychological difficulties throughout her treatment.

Social

In order for a person to maintain good bodily and mental wellbeing, certain requirements
must be met. Each person has a unique set of social identities that are intricately linked to
their ailments, as well as the origins and progression of those diseases. This is critical to
recognise this relationship. Since her sickness, Mrs Smith might have spent much of her
moment alone, but she was previously quite gregarious, so it's easy to see why she finds
solitude so difficult (Brennan, Lohman, & Gwyther, 2019). This isolated social condition
was brought on by the fact since Mrs Smith's main family interactions were with their
child's daughter-in-law as well as the son's wife. This was very difficult for her
psychological health and contributed to her feelings of loneliness, stress, and sadness. Such
needs, however, should have been noticed and taken into consideration through the health
professionals providing her therapy, though they could not do so. She felt neglected by
their workers since they did not involve her in the decision-making procedure. She also felt
neglected by the specialists who were providing her with care (Carvalho et al., 2018).
Having to deal with social alienation and healthcare personnel' incompetence added a
significant load to her psychological health, which ultimately contributed to her wellbeing
deteriorating.

Cultural

Individuals' backgrounds and cultures would vary, implying that healthcare providers
would be required to recognise and verify the socio-cultural demands of each and every
patient they encounter (Chan, 2018). People feel more comfortable when they have a
conversation with their healthcare providers regarding their cultural beliefs, which helps
them feel more engaged in the prevention and management strategy. These are only a lot of
small factors that have a significant influence on the rehabilitation and effectiveness of
treatment strategies for patients. This was not possible for some of the healthcare
professionals to consult Mrs Smith to learn about her cultural requirements and preferences
since they should not be included in Mrs Smith's treatment plan, and this had a detrimental
impact on Mrs Smith's medical problems (Chapman et al., 2022).

Spiritual

It is critical for those working in the healthcare profession to recognise the relevance of
patients' spiritual requirements and the necessity of meeting these requirements in order for
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them to recover more quickly and effectively. Medical professionals must take into account
Mrs Smith's spiritual demands while creating her rehabilitation plan and implementing the
numerous therapies she receives since this was discovered that she's still a devout Christian
(Chi, & Demiris, 2017). In the course of drafting Mrs Smith's treatment plan, this was
discovered that she was not solicited for her viewpoint in the scope of spiritual demands,
which resulted in religious ideologies not being met, which has had a detrimental influence
on her mental distress (Coyne, Mulvenon, & Paice, 2018). A patient's spiritual
requirements and viewpoints must be recognised and met if they are to continue to heal
steadily as they age. This case study depicts Mrs Smith being unable to attend Sunday
service since she was used to doing so on Sundays.

b) A family's impact on a life-threatening disorder or illness

The following issues have had the greatest influence upon Mrs Smith's community as a result
of her illness.

Emotional challenges

Every member of a family who is worried about the safety and well-being of one of their
loved ones, whether they survive or die, is bothered about the patient's well-being (Geum et
al., 2019). Emotions such as guilty indignation and disappointment, as well as disapproval and
concern, were all felt by family members when a loved one was unwell. With each feeling,
based on their patient's health status, the family person is adversely influenced in a different
way (Dehghani et al., 2020). Inside this given scenario, Mrs Smith's daughter, son and
daughter-in-law are experiencing emotional difficulties because of Mrs Smith's deteriorating
health.

Burnout

Family persons of sufferers with long-term health issues might suffer from burnout as a result.
Caregivers are those who provide non-professional assistance to those in need. As a result of
shock psychology's long-standing omission of a large segment of the traumatized and
handicapped population, the concept of family exhaustion is a recent addition to our
vocabulary (Givler, Bhatt, & Maani-Fogelman, 2020). It is necessary to apply family
psychotherapy techniques by qualified professionals in order to intervene in families. People's
connections to one another rather than their isolation from one another is a common
monitoring unit in several popular effective interventions (Hain, Suragarn, & Bejar, 2019).
For example, Mrs Smith's son, as well as daughter-in-law, were experiencing burnout as their
mother's condition worsened.
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Social isolation

Social isolation has been linked to a variety of health issues, including cognitive impairment,
anxiety, and heart disease. To live and prosper, we rely on our social media platforms of
family members and friends to help us navigate our way through life. The vulnerability to the
social exclusion of an individual might result in mental deterioration as well as other health
complications (Harden et al., 2017). Social exclusion is a problem for Mrs Smith's son as well
as her daughter-in-law, according to this research. The reason for this is that they had to check
up with her every lunchtime since she was in a severe state at the time. Thus, they were prone
to avoid mingling with their neighbours.

Financial crisis

Mrs Smith had been inside this hospital for a few hours, but her health was not improving,
and also, her family was experiencing financial difficulties as a result. Since his mother had
not made any progress in the last several days, her son had been experiencing economic
problems because he had been concerned about his mother's rising hospital costs and other
obligations, as well as his mother's declining health (Häuser et al., 2017).

Mental stress

Considering the importance of understanding that health problems add anxiety among family
persons, this has been determined as Mrs Smith had a number of health concerns from which
she had little hope of recovery. This has been producing them just for the purpose of allowing
him to spend time with the children and daughter-in-law since they were unable to help her
feel good. Patients experience a great amount of anxiety and mental strain when they see a
female relative in discomfort and an unpleasant scenario regardless of all the available
therapeutic options (Hawley, 2017).

PART TWO: CRITICALLY DISCUSSION

a) The team of Palliative treatment and the pain control of Mrs Smiths and also
other symptoms
Handling a patient's feelings of pain is regarded as another of the key tasks of this paralytic
treatment team (House, & Street, 2020). For the sake of this patient's well-being and their
connection to this decision-making procedure throughout treatment, it has been determined
that this team should be included in developing the medical plan (Johnson et al., 2020). It's
vital that people be better informed about their health conditions and treatment options today,
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and that they feel more empowered to make decisions about their care. A more effective pain
management strategy necessitates more patient supervision and monitoring since their
behaviour may be studied and used to better regulate the pain. Inside this case of Mrs Smith,
the licensed nurse, there is really no indication that she has been disturbed while sleeping, yet
she is experiencing headaches and shortness of breath. But this healthcare expert chose to
disregard the patient's concerns, which appeared to be related to a failed effort to deal for
clients of causing troubles for the customer, and her condition worsened to the stage where
she was put on ventilator support in the intensive care unit (Kav, Brant, & Mushani, 2018).
Mrs Smith was suffering from Asthma, diabetes, and a variety of other ailments, all of which
led to her sleeplessness and difficulties inhaling at a preliminary phase (Khader, 2017). One
patient must obtain exceptional treatment from such a distinctive healthcare professional in
order to adequately control their pain. This healthcare professional ought to be encouraging of
the user's pain assessment efforts. This would be advantageous if healthcare practitioners
were able to notice the signals earlier and provide aid for resting in a much more comfortable
posture, along with this ventilation is also helpful for breathing (Kirby et al., 2018).

b) Symptom control is important and the responsibility of medical practitioners is


important in this regard
Health care providers see managing signs as another of their most successful tactics for all
patients when therapy has reached a stage where it has been increasing the wellness of every
patient individually (Knaul et al., 2018). For this reason, patients should be administered early
medication in order to lessen the detrimental influence of various medications, including large
doses of such medications, on them. This is made possible via the efforts of this palliative
treatment team, which is responsible for symptom management and enhancing the efficacy of
therapies for patients suffering from a variety of life-threatening conditions (Krcevski‐Skvarc,
Wells, & Häuser, 2018). Most illnesses present a wide range of varied signs in two separate
persons, necessitating the need for healthcare practitioners to be informed of every patient's
medical history while addressing these problems. This is another linked issue in symptom
control. Mrs Smith had COPD and other medical issues, and her symptoms were poorly
managed since she was entirely disregarded by the medical community (Kreps, 2018).
Doctors and nurses were not paying attention to her symptoms and this implies that they were
not paying attention to the patient's inadequate health care management of her symptoms. As
each passing day passed, Mrs Smith's health deteriorated further and became increasingly
critical (Paice et al., 2018). Being able to accurately describe her symptoms, as well as the
seriousness of her health problems, will make it easier for the palliative care team, as well as
nurses and other healthcare professionals, to assist her in recovering with fewer side effects
from her particularly difficult health complications (Hawley, 2017). Patients with COPD
often experience shortness of breath, which was also a problem for Mrs Smith, and healthcare
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providers could have offered the patient various treatments, but they failed to focus on
addressing any of Mrs Smith's symptoms, indicating that she had a lack of ability to manage
and control symptoms during her hospital stay (Palat, & Chary, 2018).

c) Companionship and healing of both the mind and the body


Emotional and spiritual support for patients at palliative care institutions is essential since it is
the thing that keeps people alive in the midst of devastating diseases (Pantilat et al., 2017).
When a patient's sentiments and ideas are linked with their faith, health care providers must
be given adequate support to address their spiritual demands in the healthcare business
(Parravicini, 2017). Medical professionals are actively working to provide a religious habit
into every patient's treatment who are reaching the final stages, even though spiritual
requirements are intrinsically tied to the human process in ways (Peng, Baxter, & Lally,
2019).
When it comes to providing spiritual counselling to patients, palliative care practitioners
should delve deeper into their cultural and ethical beliefs. Moreover, addressing the patient
via spiritual discussion would increase the patient's trust, which is important for patients to
demonstrate major health changes in the future (Schroeder, & Lorenz, 2018). This is
becoming more common for individuals with terminal illnesses to benefit from spiritual
treatments and cultural beliefs. This appears as though Mrs Smith has a strong religious view
and trusts inside the religious practices that she and her family have engaged in during the
course of the matter (Seow, & Bainbridge, 2018).

PART THREE: ASSESS THE IMPACT OF A HEALTH PROFESSIONAL

a) IN RESPONSE TO MĀORI INDIVIDUALS THREAT-TO-LIFE


HEALTHCARE PROVIDERS' PARTICIPATION IN CRITICAL ISSUES
Healthcare practitioners play an important part in the improvement of healthcare facilities for
families and people. Maori populations today encompass a diverse group of people that have
healthcare needs, as well as communities that require expert treatment in order to minimize
their fatality rates, according to the World Health Organization. Fortunately, this has already
been decided. The findings have been confirmed, and this highlights the need for medical
practitioners to discuss team issues with patients and their caregivers in the community, as
well as with their colleagues (Shatri et al., 2019) Health care practitioners in New Zealand
have close contact with the community, and despite technological advancements, the majority
of the public still chooses to work with traditional family doctors for reasons of trust and
familiarity (Sholjakova et al., 2018). Health professionals are regarded as essential in
improving the overall quality of life for persons because of their responsibilities for delivering
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improved medical care while also making them informed about a variety of continuous
attempts to prevent a variety of diseases and health complications. Healthcare providers must
be able to communicate with patients readily in order to effectively educate them about the
consequences of unhealthy behaviours (Swami, & Case, 2018). In addition, healthcare
providers should be well-versed in the patient's most recent medical history in order to make
the best treatment decisions for them. Patients with a variety of problematic diseases have
been shown to benefit from the involvement of health care workers in a variety of ways,
according to research. Healthcare experts can assist with mental, physical, social, as well as
spiritual well-being (Swetz, & Kamal, 2018). Delivering superior support to patients and
family members after a traumatic occurrence can help to alleviate the stress that follows it. In
the case of Mrs Smith, medical experts failed to provide assistance to both the patient as well
as her family, thereby triggering stress levels in both households and making the patient's
health worse recently.

b) IMPORTANCE ASSOCIATED WITH HEALTH LITERACY AND


COMMUNICATION IN CASE OF HEALTH CARE PROFESSIONALS WHEN
DELIVERING PALLIATIVE CARE/TREATMENT FOR MAORI
INDIVIDUALS, WHANAU/FAMILY
Communication and literacy skills are critical in the treatment of Maori children as well as
their communities. Most of the decisions about a patient's medical history and background are
made by health officials, which is critical for health care professionals to provide medications
and treatment regimens for their patients. In addition, healthcare professionals can help people
make better health care decisions (Taveros, & Chuang, 2017). In the case of palliative care
teams that are geared to provide patient-centred methods, communication is vital. Healthcare
providers along with patients may find it convenient to communicate about diverse health
issues, procedures, and the expected consequences if they use multidimensional
communication (Taylor et al., 2017). It is essential for healthcare professionals to be aware of
cultural differences in order to communicate successfully with Maori people and provide
better treatment to them (Cultural Respect, 2021). Patients can receive regular updates on
their health and essential information on a weekly or monthly basis if medical practitioners
employ creative and cutting-edge technologies to do so when it is necessary (Turrillas,
Teixeira, & Maddocks, 2019). Furthermore, technological technology makes it easier for
patients to schedule appointments or determine the availability of doctors and their related
team members so that visiting a physician does not appear to be difficult work for them
(Health Navigator New Zealand, 2021).
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c) TRADITIONS AND BELIEFS MĀORI THAT CAN SIGNIFICANTLY


INFLUENCE HEALTH CARE PROFESSIONALS’ DECISIONS WHILE
PROVIDING HEALTH CARE SERVICES
It is essential that Maori people, as well as their families, are serviced by healthcare
professionals who are sensitive to cultural and traditional differences. When it comes to
making medical decisions, these beliefs and traditions have a significant impact on an
individual's psychology as well as his or her general ability for decision-making (Wood,
Simel, & Klimas, 2019). When delivering treatment to Maori populations, healthcare
personnel should be informed of the "Treaty of Waitangi," which outlines the rights of Maori
people. In doing so, they would be better able to build close ties with Mori demographic
groups since they would have a better understanding of their cultural views and customs, as
well. Health care workers and Maori patients alike benefit from the improved level of service
provided by this program (Yates, 2017).

CONCLUSION

In this particular study, a thorough assessment of Mrs Smith's life-threatening illness has been
done that captures the difficulties of such conditions in the case of the whanau/family
belonging within the Maori community. According to the findings of that study, the
responsibilities of a palliative care team have been achieved by a variety of practices. It has
been concluded that in order to give better therapy, it is necessary to research the situations of
patients by regularly monitoring patients and to improve communication between family
members and patients.
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