palliative care

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1. What is Palliative Care? (150 words)

Palliative Care is a care provided when someone is living with, and dying from a fatal chronic condition where the primary goal is maintaining quality of life. It provides special supportive care for anyone who is suffering a life-threatening condition approaching the end of life. Palliative care is for any age, those with cancer or any other terminal diagnosis, people of any ethnic or cultural background, whether they may live in the countryside or the city. Palliative care maintains quality of life, provides comfort although it does not cure, It relieves pain and distress for patients who are on a terminal condition. Palliative care also offers support for the patient’s family members supporting them in bereavement

2. What is meant by a life limiting illness (50 words)
A life limiting illness is the term used to describe the illnesses where death is expected to be the foreseeable future of that specified illness. This can be both malignant and non-malignant illness. Such illness may include cancer, renal disease, dementia, heart disease chronic liver disease and chronic obstructive pulmonary disease.

3. Identify five members of a Palliative care multi -disciplinary health care team and briefly state what knowledge and skills each discipline contributes to the team .

1) Nurses - Nurses are the front liners in patient care and directly deals with the patient. Registered Nurses plan, direct, and coordinate care. License practical nurses works with RNs and other health professionals to provide direct care. 2) Pharmacists – The pharmacist can educate the patient and the family on how to take and manage side effects of the medications; give the doctor advice on how to administer the medication, prepare the medication, help set a schedule of taking medication, and provide ongoing monitoring of all medications. 3) Chaplains - Chaplains addresses the spiritual needs of patients like praying and answering theological questions. The help with the search for meaning in the person's life and in the reflection of matters of faith such as prayer and rituals 4) Physician/Family Doctor - The physician is the one in charge of a person's medical care and works closely with the patient, patient's family, and the palliative home care. The family doctor can refer the patient for palliative care consult. 5) Social Workers - Social workers help the patient and family in dealing with personal and social problems of illness. They assist in making referrals to community services, planning discharge to home or to a hospice, and completing advance directives in case a person loses the ability to speak for himself.

4. Describe how nurses could facilitate a “ good death” by following the palliative care approach (75 words) Nurses are the one that provide direct care to the patients. They are the one who assess the patient and the first one to see any improvements or any abnormalities on patient’s condition. Nurses are the one who manage the pain and any discomfort of the patient. They are the one whom the patient talks to about their feeling and nurses must use their therapeutic and non-therapeutic communications when handling palliative patients. Nurses must also provide a safe and comfortable environment to the patients and removing any stimuli.

5. Describe how respiratory and cardiovascular factors in terminal illnesses affect the clients ADLS ADL’s are greatly affected by respiratory and cardiovascular factors because they are unable to do things they used to do. In a simple walk they can be easily exhausted, fatigued and feeling weak. Sometimes they need assistance to do their daily routine because they cannot handle it by themselves. This is all because of the respiratory and cardiovascular factors that affected them, there will be decrease in circulation and oxygenation making them feel weak on doing simple tasks. In serious cases, patient might have other...
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