Role of Nursing in Palliative care

1. Dr. Shrenik Ostwal
Consultant
Pain & Palliative Medicine

3. PALLIATIVE CARE
• Affirms life
• Promotes quality of life
• Treats the person
• Supports the family

4. Models of Palliative Care

5. MAIN AREAS OF PRACTICE
 Co-ordinating of the program and
Treatment plan
 Role in the multidisciplinary team
 Clinical expanded role in the symptoms
management
 Education and research

6. THE NURSING ROLE IN PALLIATIVE CARE
 Relief for physical symptoms
 Achieving quality of life
 Maintaining an independent patient
 Relief for mental anguish and social
isolation
 Family support
 Reducing isolation, fear and anxiety
 Good death or dying well

7. ANGUISH

8. STANDARDS OF CARE
 Relief of symptoms
 patient independence and
 open dialogue.
 Support patient, family, therapists and
colleagues.
 Contact with other staff members providers
power to the patient
 improved communication inter- personal

9. COMMUNICATION

10. ESSENTIAL BEHAVIORS OF THE NURSE
IN PALLIATIVE CARE
 To enable convenience
 Respond to anger.
 Respond to colleagues
 Improve quality of life until death
 Respond to family
 Be when the death occur

11. PRINCIPLES OF NEEDS ASSESSMENT
 Trust
 Identification and Classification Needs
 Order of priorities
 Multidisciplinary approach to estimate
 Diagnoses nursing care

12. PSYCHOLOGICAL NEEDSASSESSMENT
 Communications support
 Will Information According to the patient
 Encouraging the patient to discuss
concerns and feelings
 Finding a connection between thoughts
and feelings
 Examining Solutions
 Test anxiety factors

13. SOCIAL NEEDS ASSESSMENT
 Social isolation
 loss of relationship
 change roles
 economic problems

14. SPIRITUAL NEEDSASSESSMENT
 Finding meaning to life
 Suffering and death
 Need hope
 Need to belief in yourself ,Others and
God

15. TEAMWORK DEPENDS ON
 Level of integration between
professionals
 Degree of collective responsibility
 Membership
 Organizational structure and
administrative

16. LEADING THE TEAM
 Understanding the role of each individual
within the team
 Shared decision making
 Effective communication
 Common goals
 Set roles overlap, overload.
 conflicts solving

17. THE NURSE AND THE FAMILY
 Contact between the family nurse
 Providing access to family
 Recognition of the stress of the family
 Reference to factors related to the
environment, state, private person
 Identifying family communication patterns
 Identifying the need of family support
 family support

18. REDUCED FAMILY STRESS BY
 Convenience of the patient
 Nurse regular update on the situation
 Familiarity with the therapists
 Recognition of the uniqueness of the patient
 Caring and friendly attitude from the staff
 Privacy family with patient
 Support of family and friends
 Accessibility of social worker and
psychologist

19. INCREASED FAMILY STRESS
 Due to the patient's suffering
 Uncertainty about future
 Noise Department or environment
 Lack of privacy
 Official team and distant
 Patient not respected

20. COPING WITH LOSS –NURSING ROLE
 Climate of commitment to mental recovery
 Maintaining the human face of pain and
distress
 Be with the family
 Involvement and control of the family
 communication through contact
 Emotional support and providing information
 Help closing circuits

21. DEALING WITH LOSS DEPEND ON
 The relationship between the patient's
family
 Circumstances of death
 Physical health of family
 Personality of the grieving person
 Social factors
 Age of the dying patient
 Family Status

22. SPECIALIST IN PALLIATIVE CARE
NURSING
 Proven professional experience
 Working with Thought
 Independence in practice
 Support academic learning by
clinical work
 Continue learning and research

23. NURSING IN PALLIATIVE CARE
RESEARCH:
 The nurse is member of
the interdisciplinary team
 Collecting information is
essential
 Distributing information to
patients, families and other team
 problematic issue ,ethical
issue in palliative research

24. REMEMBER YOUR KEY TASKS
 Communication
 Co-ordination
 Control of symptoms
 Continuity
 Continued learning
 Carer support
 Care in the dying phase

25. “I learned that people forget what you
say, Ilearned that people will forget
what you do, but Ilearned that
people will never forget how you
made them feel”
(Maya Angelou,1928)

26. I BELIEVE THAT NURSES IN PALLIATIVE
CARE WORKING WITH:
 Humanity
 Heart
 Head
 Humor
 Honesty

27. THANK YOU