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MUNI UNIVERSITY.pptx
1. BY MUNI UNIVERSITY
A patient is diagnosed with a terminal illness and has
expressed a desire for end-of-life care at home. What
considerations should be made for providing palliative care
in a home setting?
3. COMMON CONDITIONS FOR EOL CARE
Alzheimer’s and other dementias
Cancer
Cardiovascular diseases
(excluding sudden deaths)
Cirrhosis of the liver
Chronic obstructive pulmonary
diseases
Diabetes, kidney failure
Multiple sclerosis
Parkinson’s disease,
rheumatoid arthritis, drug-
resistant tuberculosis (TB)
NB: End-of-life care helps
those with advanced,
progressive, incurable and
serious illness
4. END-OF-LIFE CARE
The three most common places people at the end-
of-life are;
• at home,
• in a hospital, or
• in a care facility.
5. END-OF-LIFE PLANNING.
It is important to have a plan in place for this:
This may include discussing the patient's wishes for medical
care, funeral arrangements, and other matters.
The palliative care team can help the patient and caregiver to
develop and implement an end-of-life plan.
8. THE PATIENT'S NEEDS AND PREFERENCES.
It is important to understand the patient's individual needs
and preferences, including their goals for care, their
symptoms, and their spiritual and emotional needs.
This information will help to develop a personalized care plan.
9. THE CAREGIVER'S NEEDS AND PREFERENCES.
The caregiver(s) will play a vital role in providing palliative
care at home, so it is important to consider their needs and
preferences as well.
This may include providing training and support, as well as
respite care so that the caregiver can take breaks.
10. THE HOME ENVIRONMENT.
The home environment should be safe and comfortable for
the patient.
This may involve making some modifications, such as
widening doorways or installing a hospital bed.
11. MEDICAL EQUIPMENT AND SUPPLIES
The patient may need access to a variety of medical equipment
and supplies, such as a wheelchair, walker, oxygen tank, or pain
medication.
It is important to ensure that these items are available and that
the caregiver knows how to use them.
12. TEAMWORK AND COMMUNICATION.
Palliative care is best provided by a team of
professionals, including the patient's doctor, nurse,
social worker, and chaplain.
It is important for the team to communicate regularly
with each other and with the patient and caregiver.
13. PAIN MANAGEMENT
Pain is one of the most common symptoms experienced by
people with terminal illness.
It is important to have a plan in place for managing pain
effectively.
This may include medications, complementary therapies,
and other supportive measures.
14. SYMPTOM MANAGEMENT.
Other common symptoms that may need to be
managed include nausea, vomiting, shortness of
breath, fatigue, and constipation.
The palliative care team can help to develop a
plan for managing these symptoms in a way that
is comfortable for the patient.
15. EMOTIONAL AND SPIRITUAL SUPPORT.
People with terminal illness and their caregivers may
experience a range of difficult emotions, such as grief,
anxiety, and fear.
It is important to provide emotional and spiritual support
to the patient and caregiver.
This may include individual counseling, group support
groups, or spiritual care.
16. REFERENCES
Oxford Textbook Of Palliative Nursing (Oxford Textbooks In Palliative
Medicine)- AIBH Exclusive by Betty R. Ferrell, Nessa Coyle, Judith Paice 4th
edition.
Textbook of palliative care by Roderick Duncan, Macleod Lieve, Van Den
Bloock.
Textbook of palliative medicine and supportive care 2nd edition by Eduardo
Bruera, Irene Higginson, Charles F Van Gunten, Tatsuya Morita.
