Nurses play an important role in hospice, palliative, and end-of-life care. They spend significant time with patients and are well-positioned to educate patients and families on care options. Hospice focuses on comfort at the end of life, palliative care aims to improve quality of life for serious illnesses at any stage, and both aim to relieve suffering. Nurses can advocate for these options and help dispel misconceptions by explaining the dignity, control, and support they provide to patients and families.
Our goal is to cover the wide areas of overlap and similarities between the two disciplines, and to also make the differences between the two clearer for you.
I didn't know this option of Palliative care existed prior to my mother's passing earlier this year of colorectal cancer. However, I do now know about it and want to share it with all of you
Community-based Palliative Care: Trends, Challenges, Examples and Collaborati...wwuextendeded
Community-based Palliative Care: Trends, Challenges, Examples and Collaboration with Payers - Eric Wall, MD, MPH
Presented at the 2015 Palliative Care Summer Institute conference at Bellingham Technical College
Palliative Care Across the Continuum as presented to the The Palliative Care Summit for PeopleFirst Homecare and Hospice that was held in Snowbird Utah on September 15, 2012, following the Rocky Mountain Geriatric Conference.
Our goal is to cover the wide areas of overlap and similarities between the two disciplines, and to also make the differences between the two clearer for you.
I didn't know this option of Palliative care existed prior to my mother's passing earlier this year of colorectal cancer. However, I do now know about it and want to share it with all of you
Community-based Palliative Care: Trends, Challenges, Examples and Collaborati...wwuextendeded
Community-based Palliative Care: Trends, Challenges, Examples and Collaboration with Payers - Eric Wall, MD, MPH
Presented at the 2015 Palliative Care Summer Institute conference at Bellingham Technical College
Palliative Care Across the Continuum as presented to the The Palliative Care Summit for PeopleFirst Homecare and Hospice that was held in Snowbird Utah on September 15, 2012, following the Rocky Mountain Geriatric Conference.
Through palliative care, we change the role of a patient into a whole human being.
Through palliative care, we transform the stages leading to death into times filled with life
right conversations, right people, right time
27 January 2011 - National End of Life Care Programme
This is the final report from the communication skills pilot project, which funded pilot sites to explore training need, provision, strategy and sustainability. Service users and other partners also contributed to the project.
It celebrates the NEoLCP's work in equipping our workforce with the confidence and competence to respectfully and compassionately care for individuals and their families towards the end of life.
The pilots carried out a training needs analysis, reviewed existing provision and benchmarked it against national competences. They then used a needs-based approach to develop new training plans. This report highlights the project's findings and identifies key messages.
Publication by the National End of Life Programme which became part of NHS Improving Quality in May 2013
Palliative care beyond cancer. Julia Addington-Hall. I Technical Conference about the Strategy in Palliative Care in The Nacional Health System of Spain. (Madrid, Ministry of Health and Consumer Affairs, 2008)
A Palliative Approach in Residential Care Settings (March 2014)Joan Trinh Pham
A basic presentation presentation on the topic of applying a palliative approach to residential care settings for elders + their families. It covers a review of palliative care + terminology then distinguishing between specialized palliative care + an a palliative approach. Emphasis is placed upon goals of care conversations as the primary means to integrate a palliative approach to care for elders.
palliative care presented by sambu cheruiyot clinical nutritionist in kapkate...cheruiyot sambu
currently we need to understand the role of palliative care in our patients. kapkatet hospital have strongly participated in provision of palliative services. come and witness the strong team willing to help the community.
A lecture given at a Primary Care Conference in Massachusetts - on the important role primary care physicians could play in ensuring good palliative care for patients, communication, hospice, myths & realities
Through palliative care, we change the role of a patient into a whole human being.
Through palliative care, we transform the stages leading to death into times filled with life
right conversations, right people, right time
27 January 2011 - National End of Life Care Programme
This is the final report from the communication skills pilot project, which funded pilot sites to explore training need, provision, strategy and sustainability. Service users and other partners also contributed to the project.
It celebrates the NEoLCP's work in equipping our workforce with the confidence and competence to respectfully and compassionately care for individuals and their families towards the end of life.
The pilots carried out a training needs analysis, reviewed existing provision and benchmarked it against national competences. They then used a needs-based approach to develop new training plans. This report highlights the project's findings and identifies key messages.
Publication by the National End of Life Programme which became part of NHS Improving Quality in May 2013
Palliative care beyond cancer. Julia Addington-Hall. I Technical Conference about the Strategy in Palliative Care in The Nacional Health System of Spain. (Madrid, Ministry of Health and Consumer Affairs, 2008)
A Palliative Approach in Residential Care Settings (March 2014)Joan Trinh Pham
A basic presentation presentation on the topic of applying a palliative approach to residential care settings for elders + their families. It covers a review of palliative care + terminology then distinguishing between specialized palliative care + an a palliative approach. Emphasis is placed upon goals of care conversations as the primary means to integrate a palliative approach to care for elders.
palliative care presented by sambu cheruiyot clinical nutritionist in kapkate...cheruiyot sambu
currently we need to understand the role of palliative care in our patients. kapkatet hospital have strongly participated in provision of palliative services. come and witness the strong team willing to help the community.
A lecture given at a Primary Care Conference in Massachusetts - on the important role primary care physicians could play in ensuring good palliative care for patients, communication, hospice, myths & realities
Let's Talk About It: Uterine Cancer (Advance Care Planning)bkling
Although it can be a difficult topic, advance care planning is very important for anyone facing a cancer diagnosis. The goal of advance care planning is to set up a plan to make sure you get the care you want in the future. It is critical to prepare for future decisions about your medical care with your family and support system. We discuss how to start and continue those important conversations. Learn about the differences between palliative care and hospice, when to bring up your wishes with your medical team, and how to prepare your family for navigating these decisions.
Hospice care focuses on the palliation of a terminal patient's pain and symptoms and attending to their emotional and spiritual needs at the end of life. Hospice care prioritizes comfort and quality of life by reducing pain and suffering.
Oncology- cancer institutional therapy: Hospice care.pptxRinkupatel55
it has contain regarding cancer threatment for life threatning patient persue his/her life style after know the expected life expand, also know about team & treatment provide care during the institutional stay.
The course of death and dying has changed tremendously in the past.docxarnoldmeredith47041
The course of death and dying has changed tremendously in the past few decades because of social and technological advances. Increases in average life expectancy due to advances in medical science and technology (National Center for Health Statistics, 2010) have influenced our beliefs and attitudes about life and death. The course of illness and dying has changed; at one time, the onset of illness and subsequent death from certain illnesses was sudden and rapid, but now the typical death may be more prolonged. The place where death occurs has moved from the home or community to the hospital, nursing home, or institutional setting. These changes have posed enormous challenges in end-of-life and palliative care.
PALLIATIVE CARE
Palliative care is an interdisciplinary care model that focuses on the comprehensive management of physical, psychological, and existential distress. It is defined as “the active total care of patients whose disease is not responsive to curative treatment.” Control of pain and other symptoms and psychological, social, and spiritual problems is paramount. “The goal of palliative care is the achievement of the best possible quality of life for patients and their families” (World Health Organization [WHO], 1990, p. 7). Palliative care aims to improve the patient's quality of life by identifying physical, psychosocial, and spiritual issues while managing pain and other distressing symptoms. Palliative care “affirms life and regards dying as a normal process; is applicable early in the course of illness, in conjunction with other therapies that are intended to prolong life, such as chemotherapy or radiation therapy, and uses a team approach to address the needs of patients and their families, including bereavement counselling, if indicated” (WHO, 2004, p. 3).
The palliative care model applies throughout the entire course of illness and attempts to address the physical, psychosocial, and spiritual concerns that affect both the quality of life and the quality of dying for patients with life-limiting illnesses at any phase of the disease. It includes interventions that are intended to maintain the quality of life of the patient and family. Although the focus intensifies at the end of life, the priority to provide comfort and attend to the patient's and family's psychosocial concerns remains important throughout the course of the illness. In the model's ideal implementation, patient and family values and decisions are respected, practical needs are addressed, psychosocial and spiritual distress are managed, and comfort care is provided as the individual nears the end of life.
Palliative medicine is the medical specialty dedicated to excellence in palliative care. Palliative care specialists, including social workers, typically work on teams and are involved when patients’ disease is advanced, their life expectancy is limited, and medical and psychosocial concerns become complex and more urgent. In practice, these problems ofte.
The course of death and dying has changed tremendously in the past.docxrtodd643
The course of death and dying has changed tremendously in the past few decades because of social and technological advances. Increases in average life expectancy due to advances in medical science and technology (National Center for Health Statistics, 2010) have influenced our beliefs and attitudes about life and death. The course of illness and dying has changed; at one time, the onset of illness and subsequent death from certain illnesses was sudden and rapid, but now the typical death may be more prolonged. The place where death occurs has moved from the home or community to the hospital, nursing home, or institutional setting. These changes have posed enormous challenges in end-of-life and palliative care.
PALLIATIVE CARE
Palliative care is an interdisciplinary care model that focuses on the comprehensive management of physical, psychological, and existential distress. It is defined as “the active total care of patients whose disease is not responsive to curative treatment.” Control of pain and other symptoms and psychological, social, and spiritual problems is paramount. “The goal of palliative care is the achievement of the best possible quality of life for patients and their families” (World Health Organization [WHO], 1990, p. 7). Palliative care aims to improve the patient's quality of life by identifying physical, psychosocial, and spiritual issues while managing pain and other distressing symptoms. Palliative care “affirms life and regards dying as a normal process; is applicable early in the course of illness, in conjunction with other therapies that are intended to prolong life, such as chemotherapy or radiation therapy, and uses a team approach to address the needs of patients and their families, including bereavement counselling, if indicated” (WHO, 2004, p. 3).
The palliative care model applies throughout the entire course of illness and attempts to address the physical, psychosocial, and spiritual concerns that affect both the quality of life and the quality of dying for patients with life-limiting illnesses at any phase of the disease. It includes interventions that are intended to maintain the quality of life of the patient and family. Although the focus intensifies at the end of life, the priority to provide comfort and attend to the patient's and family's psychosocial concerns remains important throughout the course of the illness. In the model's ideal implementation, patient and family values and decisions are respected, practical needs are addressed, psychosocial and spiritual distress are managed, and comfort care is provided as the individual nears the end of life.
Palliative medicine is the medical specialty dedicated to excellence in palliative care. Palliative care specialists, including social workers, typically work on teams and are involved when patients’ disease is advanced, their life expectancy is limited, and medical and psychosocial concerns become complex and more urgent. In practice, these problems ofte.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
2. Lets Define Hospice
• “Hospice is a special concept of care designed to provide
comfort and support to patients and their families when a
life-limiting illness no longer responds to cure-oriented
treatments” (Hospice Foundation of America [HFA],
2014. Para. 1).
3. Lets Discuss Hospice
• Hospice care is based on knowledge, communication and the cooperation of
interdisciplinary teams needed for the patients rely on.
• The hospice team collectively focuses on the care of the patient with a unique focus on
his or her individual wishes.
• Hospice care includes physical, psychosocial, spiritual, and emotional care for both the
patient and their family.
• Hospice care provides support, choices, and dignity during very difficult time for patients
and family. Hospice care allows individuals and families to take control of what in many
cases is an inevitable situation.
4. Lets Define Palliative Care
• “Palliative care is specialized medical care focused on identifying and
relieving the pain and other symptoms of a serious illness. Its goal is to
improve quality of life for such patients at any stage of illness regardless
of current treatment plans, and it is tailored to the needs of the patient
and the family (Strand, Kamdar & Carey, 2013, p. 859).”
• Palliative Care is focused on quality of life rather then curing disease.
5. Why Nurses?
• Nurses are on the front line of healthcare, we work at the bedside
• "Nurses spend more time with dying patients and their families than any other health
professional, and every nurse will provide palliative care to patients, no matter what
setting they work, making end-of-life care an essential component of nursing education”
-(Pullis 2013, p. 463).
• Simply put, patients and families trust nurses and in many cases are more willing to listen
to us.
6. Why Nurses?
• Nurses are on the front line of healthcare, we work at the bedside
• "Nurses spend more time with dying patients and their families than any
other health professional, and every nurse will provide palliative care to
patients, no matter what setting they work, making end-of-life care an
essential component of nursing education” -(Pullis 2013, p. 463).
• Simply put, patients and families trust nurses and in many cases are more
willing to listen to us.
7. The Stigma of End of Life Care.
A major barrier to end of life care is the stigma attached to the care simply because of common
misconceptions including:
• Accepting Hospice care means one has giving up and is hopeless or even speeding up the
process of dying.
• Loss of control.
• The belief that utilizing end of life care takes away all control and that the patient and family are at the
mercy of healthcare providers.
• Must spend ones last days in a facility.
• End of life care is too expensive.
• Palliative care and Hospice care are the same service.
8. Hopelessness
• The utilization of end of life care is often seen as having given up on hope or speeding
up the process of death.
• This can be misleading in that death will occur with or without end of life care; the
important choice is not whether one will die but rather, how one will die. End of
life care focuses on the life one has left rather then what is to come.
• According to Meierhenry (2003), hospice does not equate defeat and hopelessness:
“Hospice does offer hope; the hope that quality of life, and of death, can be improved.”
( p. 29).
9. Loss of Control
• Often end of life care is discussed after experiencing a traumatic event or receiving overwhelming news.
• This leads to poor educational moments and unfortunate associations between end of life care
services and the inability to control the situation.
• This misconception however, is far from the truth.
• Often one is able to gain personal and day to day control through end of life care.
• Patients who begin hospice or palliative care have the ability to establish a plan of care that meets
their desired needs and future wishes.
• Hospice care gives the patient and families the ability to take some control of a seemingly uncontrollable
process.
10. You Must Spend Your Last Days in a
Facility
• Hospice care “is available for patients wherever they call home and can be
offered in nursing homes, assisted living facilities, and/or in designated in-
patient units” (Meierhenry, 2003).
• Hospice care teams often have the distinct ability to come to the patient.
• This gives many patients the ability to die in their own bed with their own
family, friends, and or pets surrounding them.
11. Affordability
• Affordability is a major contributor to the hesitation associated with end of life care.
• It is important to know that financial options are available and no one should suffer simply
because they feel they cannot afford this service.
• "In 1983, Congress introduced a Medicare hospice benefit. For a person to be eligible, a
physician must certify that the patient has a six month life expectancy or less, if the disease
progresses as anticipated. (Meierhenry, 2003)."
• Eligibility for the service reflects the diagnosis and need for the program not what can be paid
out of pocket by the individual.
• It is important to encourage patients and families to investigate and speak with healthcare
providers and social workers to aid with this assistance.
12. Palliative care and Hospice are not the
Same Service.
• Often a palliative type of care is applied by hospice services which, many times causes
confusion about what palliative care is and how it is used outside of Hospice care.
• Facts:
• A person does not need to be actively dying to render Palliative care services.
• Palliative care gives focus on comfort and managing symptoms such as pain, and difficulty breathing but is not
simply limited to hospice care.
• "The aim of palliative care is to reduce physical, psychological and spiritual suffering” (Stringer, 2013, p 28).
• Studies have shown that palliative care is very effective in treating patient suffering much earlier than end of life.
“Its goal is to improve quality of life for such patients at any stage of illness regardless of current treatment
plans, and it is tailored to the needs of the patient and the family (Strand, Kamdar & Carey, 2013, p. 859).”
• “The provision of palliative care is not restricted to those with incurable disease” (Stringer, 2013, p 28).
13. So, What is the Purpose of End of Life Care?
• What do the experts say?
• According to Sander (2014) "The person who is dying ‘Good death’ means different things to different
people but, Beland (2013) suggests that it contains elements of choice and control over what happens, for
example: Being made comfortable, Maintaining dignity, Being surrounded by family and being able to say
goodbye to loved ones Having access to information, expertism and spiritual and emotional support” (p
96).
• “At the center of hospice and palliative care is the belief that each of us has the right to die pain-free and
with dignity, and that our families will receive the necessary support to allow us to do so” (Iversen &
Sessanna, 2012, p. 43).
• End of Life Care provides expert and individualized care for patients and families through an
inevitably unbearable situation. The purpose of this care is to allow patients to die with dignity
and minimal suffering while maintaining control and support for families.
14. So, What is the Nurses Role?
• Advocacy!
• “The practice of advocacy in end-of-life care yields the outcomes of safe care, improved
quality of life for the patient and the family, patient autonomy and self-determination, patient
satisfaction, dignity, comfort and decreased suffering, and nurse satisfaction and empowerment”
(Pullis, 2013, p. 46).
• Nurses see the need for end of life care up close and have the unique ability to educate in a way
not many other do.
• “By advocating for a patient, the nurse is empowering the patient to make informed,
autonomous decisions” (Pullis, 2013, p. 46).
• Timely education and Referrals of end of life care done by the healthcare staff and in this
case nurses, can decrease so much suffering!
15. Remember…..
• End of life care is not hopeless but, rather offers hope of dying comfortably, the way
you would like, with the people you want around you.
• End of life care can offer a valuable sense of control over ones life during a time when
the inevitable will happen with or with out this care.
• End of life care can give patients the ability to take their last breaths in their home
surrounded loved ones and familiarity.
• End of life care has many types of funding and is very often affordable.
• Palliative care does not mean death and although it is often utilized by hospice care is
not the same.
16. Remember…..
• Nurses are on the front line.
• We spend a significant amount of time with each patient and it is the nurse who has the ability to gain
trust and provide influence.
• As nurses we deliver a unique type of care that is essential for treatment including the patients
response and acceptance of treatments.
• The nurse patient-relationship often creates a unique circumstance which, allows for the nurses
suggestions and education to be more widely accepted.
• We are trusted and therefore our educated opinions and assessments can impact patients and families thinking.
• Nurses have the opportunity to change thinking.
• Remember…. to advocate when end of life care is needed.
17. •Thank You for watching!
•Please ask any questions in
the comment section below
and I will be happy to answer.
18. References
• Hospice Foundation of America, (2014). What is hospice? Retrieved from
http://www.hospicefoundation.org/whatishospice
• Iversen, A., & Sessanna, L. (2012). Utilizing Watson’s Theory of Human Caring and Hills and Watson’s
Emancipatory Pedagogy to Educate Hospital-Based Multidisciplinary Healthcare Providers About Hospice.
International Journal for Human Caring is the property of International Association for Human Caring, 16(4), 43-48.
• Meierhenry, P. (2003). Continuing education for nurses: hospice 101. Nebraska Nurse, 36(4), 29-32.
• Pullis, B. C. (2013). Integration of End-of-Life Education into a Community Health Nursing Course. Public
Health Nursing, 30(5), 463-467.
• Sander, R. (2014). Don't be afraid to plan ahead for end-of life care delivery. Nursing & Residential Care, 16(2),
94-96
• Stringer, S. (2013). Moral choices in end of life care for children. Cancer Nursing Practice, 12(7), 27-32.