Multifactorial Issues In End Of Life Care

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Pain management is mostly synonymous with the provision of ample and appropriate palliative services. In healthcare, palliative means the alleviation and relief of a patient from his or her underlying disease that causes sufficient distress and immense discomfort, which not only physically disables the patient, but also mentally and emotionally inflicts suffering to both the patient and the family (Prem, Karvannan, Kumar, Karthikbabu, Syed, Sisodia, & Jaykumar, 2012). Attempts in improving practice through adaptive models have since then been an endeavor set forth by different expert entities. Their concerns were geared towards addressing both the biophysical and biopsychosocial aspects affecting effective advocacies in bridging the gap between education and actual practice. Communication is the thread in which all healthcare providers, including doctors and nurses, connect and provide an avenue to exchange pertinent ideas relevant to the overall structure of the organization. Communication emphasizes clear and open interplay between individuals dedicated to providing the utmost care and setting aside any differences. Nurses in most settings not only provide direct patient care, but also act as a liaison or advocate for patients whose capabilities are inhibited by pathologic processes, as well as families who long for adequate explanation (Slatore, Hansen, Ganzini, Press, Osborne, Chestnutt, Mularski, 2012). This in turn bridges the gap between the communication processes among all healthcare providers, such that the patient and family are included in the plan of care. Synopsis of Quantitative Research Pain management in end-of life care can be a vey challenging and tricky aspect in healthcare. …show more content…
Multifactorial considerations should be addressed in order for a clinician, such as nurses and doctors, to fully comprehend the complexities revolving around the nature of pain and its implication in palliative care. Nursing curricula in earlier generations has solely focused on the biophysical or biomedical domain of acknowledging pain and the inherent attention it requires to mitigate the affliction on the human body (Prem et al., 2012). However, as living organisms that thrive together as a living community, from time immemorial humans have lived in packs, such that one supports the other and comforts their misfortunes. With that being said, it has been a mission for some researchers to discover the significance of pain in relation to behavioral and psychosocial alterations in patients commonly seen dependent on palliative services. This recent article argues that pain not only manifests as physical objective signs or subjective expressions, but also exhibits through changes in an individual’s conduct, affect, and psychiatric expressions (Prem et al., 2012). Relevant to its clinical application, behavioral or psychosocial mutations should be generously observed and interpreted not as a complication of a pathologic process, but rather a contributing factor to be recognized as a tool directing attention for clinicians to address pain (Prem et al., 2012). The article illustrates its noble intention to direct the study towards quantifying nurses’ comprehension of palliative care and that logical outcome would lead to further improvements in nursing curricula (Prem et al., 2012). Recognizing the behavioral aspects of pain as it affects translation of knowledge into practice would open a multitude of opportunities, thus amplifying the nursing core foundation and modifying its fundamental concepts significant to palliative and over all patient care. Palliative care is a multidisciplinary and complex approach that individual practitioners cannot accomplish successfully without the aid of another team member. The study attempted to quantify several areas where nurses could potentially benefit; once full exploration of its implications has been established, conversion into best practice can then be formulated to improve clinical outcome (Prem et al., 2012). Pain as we all perceive is a subjective and vague term qualifying a degree to which an individual is suffering from either physical or emotional stimulus (Prem et al., 2012). Additionally, in intensive care units, where most patients can be unconscious, pain is often qualified and measured by nurses through sudden or gradual changes in non-verbal indicators, such as vital signs. As a consequence, pain can elicit different physiological and psychological alterations. Through a strict quantitative process, researchers have found areas where nurses had lack of comprehension in recognizing pain (Prem et al., 2012). Areas such as dyspnea, philosophy, psychiatric, and gastrointestinal problems were utilized as part of a test questionnaire quantifying both educational background and clinical experiences for those

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