Professional Documents
Culture Documents
PERAWATAN
PALIATIF
Ns. Rika Fatmadona, M.Kep, Sp.Kep.MB
The History of Palliative Care
Started as a hospice movement in the
19th century, religious orders created
hospices that provided care for the
sick and dying in London and Ireland.
Patient
Therapists and Spiritual
Counsel
Family ors
Home
Social
Health
Pharmacis Workers
Aides
ts
Cancer and Palliative Care
It is generally estimated that roughly 7.2 to 7.5
million people worldwide die from cancer each year.
1. Pain management is
vital for comfort and to
reduce patients’
distress. Health care
professionals and
families can collaborate
to identify the sources
of pain and relieve them
with drugs and other
forms of therapy.
Palliative Care Patient Support
Services
2. Symptom management involves treating symptoms
other than pain such as nausea, weakness, bowel and
bladder problems, mental confusion, fatigue, and
difficulty breathing
Palliative Care Patient Support
Services
3. Emotional and spiritual support is important for
both the patient and family in dealing with the
emotional demands of critical illness.
What does Palliative Care Provide to the
Patient?
• Helps patients gain the strength and peace of mind
to carry on with daily life
• Aid the ability to tolerate medical treatments
• Helps patients to better understand their choices for
care
What Does Palliative Care Provide for
the Patient’s Family?
Helps families understand the choices available for
care
Improves everyday life of patient; reducing the
concern of loved ones
Allows for valuable
support system
Approaches to Palliative Care
A palliative care team delivers many forms of help
to a patient suffering from a severe illness,
including :
AKIBATNYA?
DiPERLUKAN
PERAWATAN PALIATIF
• To have information presented that is easy to understand
• To have input into the type of their medical care
• To make medical decision with their family if they choose to
• To use health information to make longer term decisions about end
of life care
• For pain relief and relief of suffering
• To access palliative care
• To know they are in terminal illness
• To have a dignified death
NCCN Guidelines: Screening for PC
SIGN of SUFFERING
• Uncotrolled symptoms
• Moderate to severe distress related to cancer diagnosis
and cancer therapy
• Serious comorbid physical and psychosocial
conditions
• No sign improvement in functional status
• Life expectancy < 12 months*
• Patient/family concern about course of disease and
decision making
• Patient/family requests palliative care
Principle of Palliative Care
• Affirm life and regards dying as normal process (IS NOT EUTHANASIA)
• Aims to neither hasten nor postpone death
• Gives the patient a central role in decision making
• Provide relief from distressing symptoms
• Integrates the psychological, emotional, spiritual and social aspects of
care for the patients, the family and carers in a culturally sensitive
manner
• Avoids futile interventions
• Offers a support system to help patients live as actively as possible
until death
• Offers a support system to help the family and carers coping during
the patient’s illness and after the patient’s death.
• Uses a team approach to address the needs of patients and their care
givers
Peranan Perawatan paliatif
• Keluhan saya
• Saya merasa
• Apa yang penting bagi saya
• Harapan saya
• Prioritas saya
Ethical Principles in medicine
• Autonomy (freedom of self - determination)
• Beneficence (doing good)
• Non - Maleficence (doing no harm)
• Justice (fairness)
Goal of tratment
Previous treatment
Other symptoms
Co-morbidity
Patient’s wishes
Attitudes toward dying and death
Hospice
Hospice Palliative
• Dokter Palliative
Unit
• Perawat Palliative
• Spesialis lain
(Konsulen)
KESIMPULAN