Objectives Upon completion of this power point presentation, the participants should be able to: Define the meaning of end of life care Determine the global challenges and innovation of end of life care Discuss the importance of advance directives and planning Distinguish palliative care from hospice care Identify the global role of physical therapy in addressing end of life care End of Life Care This sensitive subject, although heart wrenching, is vital to all decision makers to know (patient, legal next of kin, physicians) considering that it may affect the treatment decisions of all participants involved. End of Life Care In the words of Periyakoil (2012), end of life is often a backward-looking diagnosis. In other words, while…
of registered nurses who have provided end-of-life care within an intensive care unit”, by Holms in 2014, the author discussed the qualitative research that was done to determine what registered nurse’s knew about life of end care and and how they felt about end of life care in the intensive care unit. In this study the phenomenological qualitative research design was used and took place in an ICU in Scotland. “Phenomenological studies describe the meaning of the lived experiences of several…
End of Life Care As a nurse and a professional in the health field, we know that end-of-life care is not only for the patients that are in the final days of their lives, but also for the care of all those with a terminal illness or terminal condition that has become advanced, progressive and incurable. Some of the important aspects of end of life care that have to be considered and talked about are autonomy of the patient, decision making capacity, informed consent and advance directives.…
We were first introduced to palliative care P1 year with Dr. Phillips. From her brief lecture, I felt like it was an interesting topic and could potentially be a difficult field to work in. I found myself wanting to learn more about palliative care to see if I could potentially work in a hospice setting. Personally, I had a great-grandfather that was utilizing at home hospice care for a little over a year before he passed. I didn’t get to see much of the healthcare aspect but I instead saw…
Even though hospice providers feel they are providing compassionate care for patients in the end stages of life by focusing on pain management, and emotional and spiritual support, they should not be allowed to deceive the government, hospice employees, or the terminally ill and their families. The goal for most hospice providers is to keep the patient census high so Medicare and Medicaid can be billed for millions, and the owners of these companies can maintain their affluent lifestyles. At…
Managing healthcare for the end of life can be somehow very difficult. Applying the holistic care in both the patient and the family more specifically is essential. During the end of life of a person, it is necessary to apply the philosophy of the holistic models of patient care. “Holistic models direct clinical care beyond physical disease, recognizing that treating the malfunctioning of a physical body is insufficient to alleviate patient suffering” (Selman, et al., 2014. P81). The holistic…
that focus on the international challenges when it comes to end-of-life care for older adults. In the first study, Menec and colleagues separate older Manitobans into three different age groups, younger-old, old and older-older. I learned that half of older adults 85+ year olds pass away in a long term care facilities. This means that palliative care in facilities should be improving with time but that doesn’t seem to be the case. Although most patients prefer to die in the comfort of their…
health care continuum. This advocacy and support is beneficial during the end-of-life care to help patients and their families understand what it is their family member wants, and also, to help them navigate through the process of loss. For end-of-life care to be successful the conversation needs to start before the person is terminally ill and, in some cases, unable to communicate their last wishes to family or staff. The nurse can play an integral part in furthering conversations about end-of…
to the improper medical care of some health professionals, such as nurses and doctors. This incident caused me to become interested in the subject of End of Life Care. End of Life Care is “the health care, not only that of a hospitalized patient in their last few days or minutes, but more broadly care of those with a terminal illness or terminal condition that has become advanced, progressive, and incurable”. (“en.wikipedia.org/wiki/End-of-life_care”). In End of Life Care you have to…
Clinical Inquiry: Advanced Directive/Care Planning Background questions: • As a result of the passage of health reform, there has been a political controversies surrounding the language, messaging regarding advance care planning, and end-of-life care decisions. • The Institute of Medicine (IOM) published a report in September 2014, that reassessed the status of end-of-life care in America • The IOM report recommended for policies and strategies to support care delivery that • is…