This document provides an introduction to palliative nursing care. It defines palliative care as an approach that improves quality of life for patients with life-threatening illnesses through pain management and treatment of physical, psychosocial, and spiritual problems. Palliative care aims to prevent and relieve suffering. It has developed since the 1960s in the UK and US and is now integrated into health care systems worldwide. Palliative care can benefit those with advanced diseases, uncertain medical goals, or end-of-life care needs. Effective palliative care is patient-centered, family-supported, communicates effectively, and works with an interdisciplinary team. Barriers to palliative care include cultural views of death and lack of understanding, knowledge, communication skills
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
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
Dr. Elizabeth Paulk gives an excellent review of palliative care topics including end of life discussions, hospice, pain management, and family counseling.
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.
Ethics at the End of Life and Introduction to Hospice and Palliative Care for Medical Students. Exploration of feeding tubes, code status, when to stop chemo. Discusses cases and the ethical principles and values that are the basis for disagreement in care and what to do when there is a conflict in ethical principles themselves. Also provides an introduction to decisions of last resort including physician aid in dying, palliative sedation and voluntary refusal of nutrition and hydration.
Dr. Elizabeth Paulk gives an excellent review of palliative care topics including end of life discussions, hospice, pain management, and family counseling.
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.
Ethics at the End of Life and Introduction to Hospice and Palliative Care for Medical Students. Exploration of feeding tubes, code status, when to stop chemo. Discusses cases and the ethical principles and values that are the basis for disagreement in care and what to do when there is a conflict in ethical principles themselves. Also provides an introduction to decisions of last resort including physician aid in dying, palliative sedation and voluntary refusal of nutrition and hydration.
Building on the lecture I gave (and uploaded) "Palliative Care: what every primary care doctor should know" I built this talk. It is geared for 1st year medical students who are learning anatomy, physiology, and perhaps some pharmacology and pathophysiology.
In this talk, I do not explicitly address hospice care - as that was provided in an online chapter for students at UMass. I will later upload another slide set on that topic.
I hope you enjoy it.
FYI- the link to the youtube video: http://www.youtube.com/watch?v=XHtHXGhTIC4
Link to PDF of the slide show: https://files.me.com/s.mak/8fzat6
Can be used for critical reflection for learner who is analyzing what he/she knows and has learned about pain management for patients who have a diagnosis of stomach cancer.
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.
Patient Directed Care; Why it’s important and what does it really mean?Spectrum Health System
Understanding the importance of effective patient centered communication for patient engagement and improved health outcomes. Will discuss the importance of patient directed care and its relationship to the quadruple aim. Will discuss the barriers and a framework for conversations that are critical to patient directed care and cultural competency.
Palliative care is delivered to patients and their families when t.docxsmile790243
Palliative care is delivered to patients and their families when they are at their most helpless and vulnerable situations. Undoubtedly, palliative care is a perfect fit APRNs since they love the challenge of working with difficult and complex situations in addition to enjoy building close relationships with their patients and families. This type of care focuses on providing relief from physical symptoms and stress of serious or terminal illnesses (e.g., cancer), in addition to address the whole person. Likewise, palliative practice offers the opportunity to work thoroughly with an interdisciplinary team, including psychologists, nurses, physicians, social work, dietitians, pharmacists and volunteers, all functioning to treat challenging symptoms such as pain, depression, fatigue, constipation and a number of other symptoms associated with chronic medical conditions and mental health (Schroeder & Lorenz, 2017).
APRNs play a unique role in palliative care. As APRN typically implement a holistic approach to address the physical, emotional, spiritual and social aspects of the patient’s and family’s needs. At present, the Institute of Medicine (IOM) recommends that care decisions be evidence-based to effectively and efficiently care for patients and provide effective care in the end of life. This type of approach has been shown to improve patient outcomes and reduce health care costs throughout the lifespan, particularly at the end of life. Accordingly, a palliative care is regarded an evidence-based intervention and result in a higher quality of life and increased dignity, emotional and spiritual support, and patient and family well-being. Evidence suggests that patients receiving palliative and hospice care live longer when compared with similar patients who do not receive those services. At present, hospice services extend palliative care principles to the end of life (Dobbins, 2016).
In summary, multiple studies have emphasized the importance of meaningful conversations on an individual level in which key aspects related to patients’ values, goals, and preferences of care are discussed. Typically, most patients are not aware of the choices they have at the end of their lives. Therefore, APRNs should use the information and materials available to inform and advise their patients of possible options. Definitively, APRNs are recognized as skilled clinicians who interpret patient responses to diseases and treatments, advocate for holistic and effective care, facilitate relationships with other care providers, and provide bio-psychosocial care. Nowadays, APRNs serve as primary care hospitalists, administrators and health care providers. In addition, they function as researchers, educators, and advocates, and researchers. APRNs are perfectly positioned to improve the quality and availability of medical and social services for patients and their families, enhancing quality of life through the end of life (Dobbins, 2016).
References
Dobbins, E.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
The Indian economy is classified into different sectors to simplify the analysis and understanding of economic activities. For Class 10, it's essential to grasp the sectors of the Indian economy, understand their characteristics, and recognize their importance. This guide will provide detailed notes on the Sectors of the Indian Economy Class 10, using specific long-tail keywords to enhance comprehension.
For more information, visit-www.vavaclasses.com
Students, digital devices and success - Andreas Schleicher - 27 May 2024..pptxEduSkills OECD
Andreas Schleicher presents at the OECD webinar ‘Digital devices in schools: detrimental distraction or secret to success?’ on 27 May 2024. The presentation was based on findings from PISA 2022 results and the webinar helped launch the PISA in Focus ‘Managing screen time: How to protect and equip students against distraction’ https://www.oecd-ilibrary.org/education/managing-screen-time_7c225af4-en and the OECD Education Policy Perspective ‘Students, digital devices and success’ can be found here - https://oe.cd/il/5yV
We all have good and bad thoughts from time to time and situation to situation. We are bombarded daily with spiraling thoughts(both negative and positive) creating all-consuming feel , making us difficult to manage with associated suffering. Good thoughts are like our Mob Signal (Positive thought) amidst noise(negative thought) in the atmosphere. Negative thoughts like noise outweigh positive thoughts. These thoughts often create unwanted confusion, trouble, stress and frustration in our mind as well as chaos in our physical world. Negative thoughts are also known as “distorted thinking”.
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
How to Split Bills in the Odoo 17 POS ModuleCeline George
Bills have a main role in point of sale procedure. It will help to track sales, handling payments and giving receipts to customers. Bill splitting also has an important role in POS. For example, If some friends come together for dinner and if they want to divide the bill then it is possible by POS bill splitting. This slide will show how to split bills in odoo 17 POS.
This is a presentation by Dada Robert in a Your Skill Boost masterclass organised by the Excellence Foundation for South Sudan (EFSS) on Saturday, the 25th and Sunday, the 26th of May 2024.
He discussed the concept of quality improvement, emphasizing its applicability to various aspects of life, including personal, project, and program improvements. He defined quality as doing the right thing at the right time in the right way to achieve the best possible results and discussed the concept of the "gap" between what we know and what we do, and how this gap represents the areas we need to improve. He explained the scientific approach to quality improvement, which involves systematic performance analysis, testing and learning, and implementing change ideas. He also highlighted the importance of client focus and a team approach to quality improvement.
2. WHAT HAPPENED IN HEALTH CARE SYSTEM?
• 5 to 10 percent of all patients living with
advanced illness, chronic illness, or organ failure.
• 90 million Americans living with serious illness.
(Fletcher and Panke, 2012)
3. DEFINITION OF PALLIATIVE CARE
- Palliative care is an approach to care which improves the quality of life of
patients and their families facing the problem associated with life-
threatening illness, through the prevention and relief of suffering by means
of early identification and impeccable assessment and treatment of pain and
other problems, physical, psychosocial and spiritual problems.
(World Health Organization, 2016)
4. HISTORY & DEVELOPMENT OF PALLIATIVE CARE
The UK,1967
• London
The
USA,1970s
• New York
Worldwide
• Health
care
system
6. WHO CAN RECEIVE PALLIATIVE CARE?
• Advanced cancer
• Advanced diseases with poor prognosis
• Severe cortical dementia or change in mental status
• HIV or AIDS
• Patient, family or caregiver’s stress
• Uncertain goal of care
7. ATTRIBUTES OF PALLIATIVE
CARE
• Personally holistic care
• Provide counseling until bereavement
support to caregiver
• Viewpoints and visions
• Effective communication
Patient-
centered care
Family
support
Effective
communication
Interdisci
plinary
team
work
8. A PALLIATIVE CARE TEAM
Patients &
Families
Nurses
doctors
pharmacists
therapists
Psychologists
Social
workers &
priests
9. THE EFFECTIVENESS OF PALLIATIVE CARE
Health care system
Improving quality of care Reducing cost of care
Family
Healing of relationship Improved bereavement outcomes
Patient
Relief of suffering Improving Quality of life
10. BARRIERS OF PALLIATIVE
CARE SERVICES
1. Cultural attitudes towards death and terminal care
2. Lack of knowledge and misunderstanding about palliative
care
3. Lack of communication skills in palliative care team
4. Unequal palliative care coverage
12. THANK YOU FOR ATTENTION
so that our children can enjoy the same resources
and beauty that we have for generations.
13. REFERENCES
• Ferrell, B. R., Coyle, N., & Paice, J. (Eds.). (2015). Oxford textbook of palliative
nursing. Oxford University Press.
• Fletcher, D. S., & Panke, J. T. (2012). Improving value in healthcare: Opportunities
and challenges for palliative care professionals in the age of health reform. Journal
of Hospice & Palliative Nursing, 14(7), 452-459
• World Health Organization (2016). WHO definition of palliative care. Retrieved
from http://www.who.int/cancer/palliative/definition/en/
