Faisal Abdul-Latif Al-Nasir FPC,MICGP,FRCGP,FFPC,PhD Professor of Family Medicine
Ex-Vice Predident
Arabian Gulf University
http://www.faisalalnasir.com
This document provides an overview of palliative care, including:
1) Palliative care aims to relieve suffering and improve quality of life for patients facing serious illnesses, and involves addressing physical, emotional, and spiritual needs.
2) As the population ages and chronic diseases increase, more patients will benefit from palliative care services to improve end-of-life experiences and outcomes.
3) Prognostication, or predicting a patient's life expectancy, is an important but challenging skill for physicians, and palliative care aims to improve care based on patient preferences near the end of life.
This document discusses palliative care and end-of-life care. It addresses how palliative care aims to improve quality of life for patients facing life-threatening illnesses through pain management and treatment of physical, psychosocial and spiritual problems. The document also discusses communicating with patients about end-of-life wishes, providing psychological and bereavement support for families, and ensuring patients have a peaceful death. The goal of palliative care is to never stop caring for patients, even when a cure is not possible.
Hospice care focuses on comfort and quality of life for those in their last phases of terminal illness. It is appropriate when curative treatment is no longer an option and the prognosis is typically six months or less. Hospice services include pain management, nursing care, emotional support, and other services to allow patients to live as fully as possible until death. Many families wish they had accessed hospice sooner to maximize time with loved ones and avoid unwanted medical interventions at the end of life. The presentation provides information about hospice eligibility, services, and when it may be the right time to consider hospice based on physical signs of decline.
The document discusses care of the dying individual. It begins with an introduction to death and dying, including definitions of death and dying. It then outlines the 5 stages of dying according to Kubler-Ross: denial, anger, bargaining, depression, and acceptance. The stages are described in detail. The document also discusses assessing the physiological signs of approaching death and providing physical, psychological, social, and spiritual care for the dying individual. It emphasizes meeting the patient's needs, maintaining communication, and allowing for dignity in death.
The document summarizes the history of hospice care from its origins in the 11th century to modern developments. It traces the establishment of early hospice homes in the 19th century France, Ireland, and US focused on caring for the dying poor. The modern hospice movement began in the UK and US in the 1960s-70s led by pioneers like Cicely Saunders and Florence Wald who established principles of palliative care, education, and research. The Medicare hospice benefit in 1982 expanded access across the US. The philosophy of hospice is to relieve suffering and bring peace and dignity to the end of life.
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
Religion and spirituality in palliative careJenny Story
The document discusses religion and spirituality in palliative care. It covers different perspectives on religion from various religious backgrounds and their views on life, death, and the afterlife. Spirituality is defined as relating to an individual's vital essence, and plays an important role when physical existence is threatened. Providing spiritual and religious care is important in palliative care, and involves assessing patient needs, addressing common concerns like fear of death, and connecting patients to clergy. Music can also be used to address spiritual needs. The roles of the palliative care team in meeting religious needs of patients and families are examined.
This document discusses psychosocial care needs at the end of life. It begins with an introduction to palliative care, defining it as care that aims to relieve suffering for patients and families facing life-threatening illness. It then provides statistics on the aging population in India and discusses cultural factors relevant to end-of-life care in the Indian context. Finally, it examines mental health issues at the end of life and evidence-based psychosocial interventions, as well as the role of social work from an Indian perspective.
This document provides an overview of palliative care, including:
1) Palliative care aims to relieve suffering and improve quality of life for patients facing serious illnesses, and involves addressing physical, emotional, and spiritual needs.
2) As the population ages and chronic diseases increase, more patients will benefit from palliative care services to improve end-of-life experiences and outcomes.
3) Prognostication, or predicting a patient's life expectancy, is an important but challenging skill for physicians, and palliative care aims to improve care based on patient preferences near the end of life.
This document discusses palliative care and end-of-life care. It addresses how palliative care aims to improve quality of life for patients facing life-threatening illnesses through pain management and treatment of physical, psychosocial and spiritual problems. The document also discusses communicating with patients about end-of-life wishes, providing psychological and bereavement support for families, and ensuring patients have a peaceful death. The goal of palliative care is to never stop caring for patients, even when a cure is not possible.
Hospice care focuses on comfort and quality of life for those in their last phases of terminal illness. It is appropriate when curative treatment is no longer an option and the prognosis is typically six months or less. Hospice services include pain management, nursing care, emotional support, and other services to allow patients to live as fully as possible until death. Many families wish they had accessed hospice sooner to maximize time with loved ones and avoid unwanted medical interventions at the end of life. The presentation provides information about hospice eligibility, services, and when it may be the right time to consider hospice based on physical signs of decline.
The document discusses care of the dying individual. It begins with an introduction to death and dying, including definitions of death and dying. It then outlines the 5 stages of dying according to Kubler-Ross: denial, anger, bargaining, depression, and acceptance. The stages are described in detail. The document also discusses assessing the physiological signs of approaching death and providing physical, psychological, social, and spiritual care for the dying individual. It emphasizes meeting the patient's needs, maintaining communication, and allowing for dignity in death.
The document summarizes the history of hospice care from its origins in the 11th century to modern developments. It traces the establishment of early hospice homes in the 19th century France, Ireland, and US focused on caring for the dying poor. The modern hospice movement began in the UK and US in the 1960s-70s led by pioneers like Cicely Saunders and Florence Wald who established principles of palliative care, education, and research. The Medicare hospice benefit in 1982 expanded access across the US. The philosophy of hospice is to relieve suffering and bring peace and dignity to the end of life.
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
Religion and spirituality in palliative careJenny Story
The document discusses religion and spirituality in palliative care. It covers different perspectives on religion from various religious backgrounds and their views on life, death, and the afterlife. Spirituality is defined as relating to an individual's vital essence, and plays an important role when physical existence is threatened. Providing spiritual and religious care is important in palliative care, and involves assessing patient needs, addressing common concerns like fear of death, and connecting patients to clergy. Music can also be used to address spiritual needs. The roles of the palliative care team in meeting religious needs of patients and families are examined.
This document discusses psychosocial care needs at the end of life. It begins with an introduction to palliative care, defining it as care that aims to relieve suffering for patients and families facing life-threatening illness. It then provides statistics on the aging population in India and discusses cultural factors relevant to end-of-life care in the Indian context. Finally, it examines mental health issues at the end of life and evidence-based psychosocial interventions, as well as the role of social work from an Indian perspective.
This document discusses various aspects of end-of-life care including communicating bad news, managing symptoms, types of pain, loss and grief, components of a peaceful death, and postmortem care. It emphasizes the nurse's role in ensuring patients have a good death free from avoidable suffering by properly assessing and treating physical and psychological symptoms, respecting patient wishes, and supporting families through the dying process. The document provides guidance on steps to take when pronouncing death and caring for the deceased's body in a gentle, respectful manner.
The document provides an overview of hospice care, including:
1) A brief history of hospice originating in Europe as places of refuge that provided care for the sick and travelers.
2) Hospice philosophy migrated to the US in the 1970s, with the first program opening in Connecticut in 1971.
3) Hospice care focuses on palliative care rather than curative treatment, emphasizing quality of life through pain management and symptom control for terminally ill patients.
4) An interdisciplinary team provides holistic care, support, and education for the patient and family caregivers.
Dr. Elizabeth Paulk gives an excellent review of palliative care topics including end of life discussions, hospice, pain management, and family counseling.
Palliative care aims to improve quality of life for patients facing life-limiting illnesses through comprehensive pain and symptom management as well as psychosocial and spiritual support. It can be provided alongside curative treatment or as the main focus of care. The goals are to prevent and relieve suffering through early identification of issues, addressing physical, psychological, social and spiritual needs using a multidisciplinary team approach. Palliative care strives to help patients and their families cope with illness and bereavement.
The document discusses end-of-life care and palliative care. It defines acute care as short-term medical treatment, usually in a hospital, while palliative care aims to relieve suffering for those without curative treatments. The document also outlines a dying person's bill of rights, including their right to die with dignity and participate in decisions. It discusses principles of palliative care, including addressing physical, psychological and spiritual needs, and providing comfort to the terminally ill through symptom control and a peaceful environment.
Hospice aims to treat the whole person rather than the disease and focus on quality of life over length of life. It provides comfort and dignity for patients dealing with terminal illness through physical, spiritual, and emotional support for patients and their families. There are several ethical issues around patient autonomy, access to care, and overcoming barriers for underserved groups. A lack of communication and cultural understanding can negatively impact minority groups' access and experience with hospice care. Additionally, over-reliance on technology risks losing personal interactions that are important for end-of-life care.
Pediatric palliative medicine: an overviewHilary Flint
Palliative care focuses on relieving suffering and improving quality of life for patients with serious illnesses, regardless of prognosis. The American Academy of Pediatrics (AAP) recommends palliative care be offered to all children with life-threatening conditions through an integrated model where it is provided alongside curative care from diagnosis onwards. While palliative care is often associated with end-of-life, the AAP policy is for it to support patients and families with curative, life-prolonging, and palliative care. A typical pediatric palliative care team includes physicians, nurses, social workers, psychologists and other specialists working to ensure effective communication and support for patients, families, and caregivers.
The document describes a story about a tree and a boy who grew up playing by the tree. As the boy grew older, he asked the tree for help building a house, making a boat, and finally for a place to rest. Each time, the tree gave parts of itself to help the boy. In the end, when the old man returned tired, the tree offered its roots for the man to rest on, finding purpose in helping the man even at the end of its life. The document also includes sections about palliative care, focusing on improving quality of life for those with serious illness and their families through managing symptoms.
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)
Nutrition and hydration are important aspects of palliative care aimed at improving patient comfort and quality of life. Terminal illnesses can negatively impact nutritional status through issues like malabsorption and increased nutrient needs. While nutrition cannot prolong life, optimal nutrition can empower patients by enabling them to fulfill final goals and maintain dignity. A multidisciplinary approach is needed to address individual patient needs, symptoms, and preferences through oral feeding, enteral nutrition, or parenteral nutrition when appropriate. Hydration also seeks to relieve patient discomfort through careful use of oral hydration or alternatives like subcutaneous hydration.
This document discusses the importance of conducting spiritual assessments for patients. Spirituality and religion can impact health outcomes, coping, and end-of-life issues. Nurses have opportunities to address patients' spiritual concerns. The document outlines techniques for spiritual assessments, including nonformal tools like FICA and formal tools like Daily Spiritual Experiences Scale. It provides examples of questions for spiritual history and addressing beliefs that could impact care. The goal is to identify spiritual resources, needs, and concerns in order to develop a holistic care plan.
This document discusses caring for dying patients. It outlines assessing patient needs, communicating with the patient and family, and addressing physiological, psychological and spiritual needs. It describes the stages of dying according to Kübler-Ross and stages of grief. Signs of approaching death for different body systems are provided. End-of-life care includes managing symptoms, cleanliness and allowing family time with the patient. After death, the body is prepared respectfully and identification information is attached before transferring to the mortuary.
The document discusses various aspects of end-of-life care including communicating bad news, managing symptoms, providing comfort, and ensuring a peaceful death. It notes that less than 10% of people die suddenly while 90% experience a prolonged illness. It provides steps for communicating bad news to patients and families, describes approaches to managing common physical and psychological symptoms experienced by dying patients, and emphasizes the nurse's role in coordinating care and advocating for a dignified death without unnecessary suffering.
The document discusses Rick Randolph's coaching and consulting services to support caregivers and those with chronic illnesses through a holistic "whole health" approach. The services include comprehensive health plans, lifetime prevention plans for at-risk family members, and a caregiver support program to assist with tasks to relieve caregiver burdens. The goal is to empower clients and caregivers through alternative and complementary treatments in addition to traditional medicine.
The document discusses communication and decision making near the end of life. It provides statistics on hospital deaths and quality of end of life care in Canada. It emphasizes the importance of communication between physicians and patients, and outlines principles for discussions around end of life issues, including assessing understanding and goals, developing care plans, and providing closure.
This document provides information about hospice care, including statistics on where people die, myths about hospice, eligibility criteria, levels of care under the Medicare hospice benefit, and considerations for choosing a quality hospice provider. It notes that while most people hope to die at home, approximately 50% die in hospitals, but hospice allows three out of four patients to die at home. It aims to educate healthcare professionals about the benefits of hospice to provide timely, quality end-of-life care for terminally ill patients and their families.
This was my Home Health/Home based Palliative Care Rotation Feedback; It is major part is concerned about how to take spiritual history and how to address spiritual concerns/Cues of our patients
The document discusses optimizing palliative care and end of life care. It defines palliative care as an approach that improves quality of life for patients facing life-threatening illness through pain and symptom management and addressing psychosocial and spiritual needs. Palliative care aims to prevent and relieve suffering for the patient and support system. The document outlines the philosophy and principles of palliative care, who provides palliative care as an interdisciplinary team, common palliative interventions and services provided, and barriers to palliative care access.
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.
The goal of this webinar was to educate healthcare professionals about the differences between palliative and curative care while exploring the history and philosophy of the hospice movement.
This document discusses various aspects of end-of-life care including communicating bad news, managing symptoms, types of pain, loss and grief, components of a peaceful death, and postmortem care. It emphasizes the nurse's role in ensuring patients have a good death free from avoidable suffering by properly assessing and treating physical and psychological symptoms, respecting patient wishes, and supporting families through the dying process. The document provides guidance on steps to take when pronouncing death and caring for the deceased's body in a gentle, respectful manner.
The document provides an overview of hospice care, including:
1) A brief history of hospice originating in Europe as places of refuge that provided care for the sick and travelers.
2) Hospice philosophy migrated to the US in the 1970s, with the first program opening in Connecticut in 1971.
3) Hospice care focuses on palliative care rather than curative treatment, emphasizing quality of life through pain management and symptom control for terminally ill patients.
4) An interdisciplinary team provides holistic care, support, and education for the patient and family caregivers.
Dr. Elizabeth Paulk gives an excellent review of palliative care topics including end of life discussions, hospice, pain management, and family counseling.
Palliative care aims to improve quality of life for patients facing life-limiting illnesses through comprehensive pain and symptom management as well as psychosocial and spiritual support. It can be provided alongside curative treatment or as the main focus of care. The goals are to prevent and relieve suffering through early identification of issues, addressing physical, psychological, social and spiritual needs using a multidisciplinary team approach. Palliative care strives to help patients and their families cope with illness and bereavement.
The document discusses end-of-life care and palliative care. It defines acute care as short-term medical treatment, usually in a hospital, while palliative care aims to relieve suffering for those without curative treatments. The document also outlines a dying person's bill of rights, including their right to die with dignity and participate in decisions. It discusses principles of palliative care, including addressing physical, psychological and spiritual needs, and providing comfort to the terminally ill through symptom control and a peaceful environment.
Hospice aims to treat the whole person rather than the disease and focus on quality of life over length of life. It provides comfort and dignity for patients dealing with terminal illness through physical, spiritual, and emotional support for patients and their families. There are several ethical issues around patient autonomy, access to care, and overcoming barriers for underserved groups. A lack of communication and cultural understanding can negatively impact minority groups' access and experience with hospice care. Additionally, over-reliance on technology risks losing personal interactions that are important for end-of-life care.
Pediatric palliative medicine: an overviewHilary Flint
Palliative care focuses on relieving suffering and improving quality of life for patients with serious illnesses, regardless of prognosis. The American Academy of Pediatrics (AAP) recommends palliative care be offered to all children with life-threatening conditions through an integrated model where it is provided alongside curative care from diagnosis onwards. While palliative care is often associated with end-of-life, the AAP policy is for it to support patients and families with curative, life-prolonging, and palliative care. A typical pediatric palliative care team includes physicians, nurses, social workers, psychologists and other specialists working to ensure effective communication and support for patients, families, and caregivers.
The document describes a story about a tree and a boy who grew up playing by the tree. As the boy grew older, he asked the tree for help building a house, making a boat, and finally for a place to rest. Each time, the tree gave parts of itself to help the boy. In the end, when the old man returned tired, the tree offered its roots for the man to rest on, finding purpose in helping the man even at the end of its life. The document also includes sections about palliative care, focusing on improving quality of life for those with serious illness and their families through managing symptoms.
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)
Nutrition and hydration are important aspects of palliative care aimed at improving patient comfort and quality of life. Terminal illnesses can negatively impact nutritional status through issues like malabsorption and increased nutrient needs. While nutrition cannot prolong life, optimal nutrition can empower patients by enabling them to fulfill final goals and maintain dignity. A multidisciplinary approach is needed to address individual patient needs, symptoms, and preferences through oral feeding, enteral nutrition, or parenteral nutrition when appropriate. Hydration also seeks to relieve patient discomfort through careful use of oral hydration or alternatives like subcutaneous hydration.
This document discusses the importance of conducting spiritual assessments for patients. Spirituality and religion can impact health outcomes, coping, and end-of-life issues. Nurses have opportunities to address patients' spiritual concerns. The document outlines techniques for spiritual assessments, including nonformal tools like FICA and formal tools like Daily Spiritual Experiences Scale. It provides examples of questions for spiritual history and addressing beliefs that could impact care. The goal is to identify spiritual resources, needs, and concerns in order to develop a holistic care plan.
This document discusses caring for dying patients. It outlines assessing patient needs, communicating with the patient and family, and addressing physiological, psychological and spiritual needs. It describes the stages of dying according to Kübler-Ross and stages of grief. Signs of approaching death for different body systems are provided. End-of-life care includes managing symptoms, cleanliness and allowing family time with the patient. After death, the body is prepared respectfully and identification information is attached before transferring to the mortuary.
The document discusses various aspects of end-of-life care including communicating bad news, managing symptoms, providing comfort, and ensuring a peaceful death. It notes that less than 10% of people die suddenly while 90% experience a prolonged illness. It provides steps for communicating bad news to patients and families, describes approaches to managing common physical and psychological symptoms experienced by dying patients, and emphasizes the nurse's role in coordinating care and advocating for a dignified death without unnecessary suffering.
The document discusses Rick Randolph's coaching and consulting services to support caregivers and those with chronic illnesses through a holistic "whole health" approach. The services include comprehensive health plans, lifetime prevention plans for at-risk family members, and a caregiver support program to assist with tasks to relieve caregiver burdens. The goal is to empower clients and caregivers through alternative and complementary treatments in addition to traditional medicine.
The document discusses communication and decision making near the end of life. It provides statistics on hospital deaths and quality of end of life care in Canada. It emphasizes the importance of communication between physicians and patients, and outlines principles for discussions around end of life issues, including assessing understanding and goals, developing care plans, and providing closure.
This document provides information about hospice care, including statistics on where people die, myths about hospice, eligibility criteria, levels of care under the Medicare hospice benefit, and considerations for choosing a quality hospice provider. It notes that while most people hope to die at home, approximately 50% die in hospitals, but hospice allows three out of four patients to die at home. It aims to educate healthcare professionals about the benefits of hospice to provide timely, quality end-of-life care for terminally ill patients and their families.
This was my Home Health/Home based Palliative Care Rotation Feedback; It is major part is concerned about how to take spiritual history and how to address spiritual concerns/Cues of our patients
The document discusses optimizing palliative care and end of life care. It defines palliative care as an approach that improves quality of life for patients facing life-threatening illness through pain and symptom management and addressing psychosocial and spiritual needs. Palliative care aims to prevent and relieve suffering for the patient and support system. The document outlines the philosophy and principles of palliative care, who provides palliative care as an interdisciplinary team, common palliative interventions and services provided, and barriers to palliative care access.
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.
The goal of this webinar was to educate healthcare professionals about the differences between palliative and curative care while exploring the history and philosophy of the hospice movement.
Palliative care aims to improve quality of life and mitigate suffering for patients facing life-threatening illnesses and their families. It focuses on early identification and treatment of pain and other distressing symptoms through a holistic, multidisciplinary approach. Cancer and HIV/AIDS are leading causes of death in Kenya and sub-Saharan Africa, and most patients experience moderate to severe pain from their disease or treatment. Palliative care provides an essential service for these patients through comprehensive symptom management, psychosocial support, and care of the whole person's physical, emotional, social, and spiritual needs.
This document provides an overview of palliative care, including its definition, goals, scope, principles, and models. Palliative care aims to relieve suffering and improve quality of life for patients facing serious illnesses. It focuses on addressing physical, psychological, social, and spiritual needs through a holistic, team-based approach. While still limited in availability worldwide, palliative care services are expanding, especially to address needs for chronic disease management in addition to cancer care.
The goal of this webinar was to educate healthcare professionals about the differences between palliative and curative care while exploring the history and philosophy of the hospice movement.
The document provides information on palliative care, including:
- Palliative care aims to improve quality of life and relieve suffering for patients with life-limiting illnesses and their families.
- It focuses on pain management and other symptom relief without hastening or postponing death.
- Palliative care is appropriate at any stage of illness and can be provided alongside curative treatment.
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.
Lecture 21: Psychological issues at the end of life Dr.Reem AlSabahAHS_student
This document discusses psychological issues at the end of life from a holistic perspective. It addresses the physical, emotional, social, psychological, and spiritual needs and concerns of dying individuals. Regarding physical needs, it discusses pain management, body image, and finding meaning in illness. Emotionally, it explores common fears, loss/grief, and positive emotions. Socially, it addresses concerns for loved ones and communication patterns. Psychologically, it focuses on maintaining control and contributing to others. Spiritually, it examines religion/spirituality, meaning of life/death, and hope. The document also introduces palliative care and its role in improving quality of life compared to hospice care. Finally, it provides an overview
The document discusses palliative care, which aims to improve quality of life for patients facing life-threatening illness. It defines palliative care according to the WHO as preventing and relieving suffering through early assessment and treatment of pain and other problems. Palliative care is applicable early on and provides relief from symptoms, affirms life, and offers support for patients and their families coping with illness and bereavement. Common symptoms in advanced cancer patients and effective palliative care approaches are described.
Hospice provides palliative care to patients with terminal illnesses through an interdisciplinary team approach. It focuses on comfort care and quality of life rather than cure. Dame Cicely Saunders founded the modern hospice movement in the 1960s based on her experience at St. Christopher's Hospice in London. Hospice care can be provided in the home, nursing home, hospital, or independent hospice facility. The hospice interdisciplinary team includes doctors, nurses, social workers, chaplains, home health aides, and volunteers who provide holistic physical, emotional and spiritual support to patients and their families.
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 provides compassionate care for those near the end of life, allowing them to spend their final days with dignity and comfort, surrounded by loved ones. It aims to ease suffering and enhance quality of life for both patients and their families. Hospice care can be provided in various settings, including at home, and focuses on palliative care rather than curative treatment for those with a life expectancy of six months or less. The document discusses the history and benefits of hospice care, comparing it to treatment in hospitals, and examines different hospice care providers and their services.
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Hospice care Anju - student Copy - Copy.pptxAnju Kumawat
Hospice care provides comfort and support for terminally ill patients and their families. The goals are to relieve suffering, maintain dignity, and manage symptoms. Care is provided by an interdisciplinary team and can take place at home, nursing homes, hospitals or hospice facilities. The team focuses on palliative care, counseling, and support for both physical and emotional needs of the patient as well as their caregivers during the end of life process.
This document discusses end-of-life care and the dying process. It covers attitudes toward death, factors influencing end-of-life decisions, the importance of communication, and cultural/spiritual considerations. The document also describes nursing assessments and interventions for end-of-life care, including managing pain/symptoms, addressing emotional/spiritual needs, and supporting grieving families through death and bereavement. Key aspects of palliative care are outlined, along with signs that death is imminent and how to handle post-mortem care. Models of grief like Kubler-Ross' stages of grief are also presented.
The document discusses hospice care and services for terminally ill patients and their families. It highlights that hospice care aims to help patients live as fully and comfortably as possible. The hospice team provides medical care, pain management, emotional support, and other services to support both patients and their families. Signs that hospice may be appropriate include multiple ER visits, shortness of breath, weight loss, or spending most of the day in bed or a chair. The document encourages discussing hospice with a doctor if these signs appear in order to learn more about the benefits of hospice care.
The course of death and dying has changed tremendously in the past.docxarnoldmeredith47041
The passage discusses several key aspects of end-of-life care including palliative care, hospice care, communication about death and dying, and spiritual concerns. Palliative care focuses on comprehensive management of physical, psychological and spiritual distress to improve quality of life, while hospice care emphasizes comfort for dying individuals. Effective communication is important but challenging when discussing death, and social workers must address spiritual issues which often arise for patients facing end of life.
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8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
The skin is the largest organ and its health plays a vital role among the other sense organs. The skin concerns like acne breakout, psoriasis, or anything similar along the lines, finding a qualified and experienced dermatologist becomes paramount.
3. للبحـــرين السـكاني الهرمللبحـــرين السـكاني الهرم
للسنواتللسنوات19501950––20002000--20502050
Population Pyramids, 2000
1950 2000 2050
60+
0-59
Male Female
Age
Percentage Percentage Percentage
4. • Poor raw material
• Prevailing poverty
• Fast ageing in parallel with rapid social
changes
– urban vs. rural ageing
– changes in family structure
– Epidemic in Africa such as AIDS
The reality in the developing world
5. The developed worldThe developed world
becamebecame richrich before itbefore it
becamebecame oldold..
Developing countries areDeveloping countries are
becomingbecoming oldold
before they becomebefore they become richrich..
6. End of Life
Ageing is good for you – remember: there is
only one alternative to it!
7. End of Life
Ageing is good for you – remember: there is
only one alternative to it! DEATH
8. End of Life
Ageing is good for you – remember: there is
only one alternative to it! DEATH
Every person is different, and the paths to
death will vary.
9. Definition
The word "hospice" stems from the Latin
word "hospitium" meaning guesthouse.
It was originally used to describe a place
of shelter for weary and sick travelers
returning from religious pilgrimages.
10. History
In UK
During the 1960's, Dr. Cicely Saunders, established St.
Christopher's Hospice near London.
St. Christopher's organized a team approach to
professional care-giving, and was the first program to use
modern pain management techniques to compassionately
care for the dying.
In USA
The first hospice established in New Haven, Connecticut in
1974.
Today there are more than 3,200 hospice caring for nearly
885,000 people (in 2002).
11.
12.
13.
14. What is Hospice care?
Is the choice made to enhance life for a dying
person.
Traditional care emphasizes the use of medical
interventions, hospitalization and drugs to cure
or control disease. It may involve aggressive
and expensive high-tech medicine.
Hospice is an appropriate choice, when cure is
possible and when cure is not possible.
However, it is not the only choice.
15. -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 care neither prolongs life nor
hastens death.
What is Hospice?
16. -Hospice staff and volunteers offer a
specialized knowledge of medical care,
including pain management.
-The goal of care is to improve the quality
of a patient's last days by offering
comfort and dignity.
What is Hospice?
17. What is Hospice?
-Hospice care is provided by a team-
oriented group of specially trained
professionals, volunteers and family
members.
-Hospice addresses all symptoms of a
disease, with a special emphasis on
controlling a patient's pain and discomfort.
18. What is Hospice?
-Hospice deals with the emotional, social and
spiritual impact of the disease on the patient
and the patient's family and friends.
-Hospice offers a variety of bereavement and
counseling services to families before and
after a patient's death.
20. Why Hospice?
Hospice provides relief from pain.
The physical pain arising from a terminal
illness may be debilitating, frightening
and dehumanizing. Hospice providers
have the skills and resources to permit
persons to live as pain-free, as
comfortable, and as full a life as possible.
21. Why Hospice?
Hospice care focuses on maintaining
patients' quality of life, as opposed to
aggressively treating their illnesses.
Hospice provides support.
Provides physical comfort of the dying
person, also social and spiritual support
for the patient and his or her family.
22. Who are the Patients?
•The are typically in their last six months of
life.
•Approximately 2/3 of hospice patients are
over the age of 65.
•Not only patients with cancer, but patients
with pulmonary disease, heart disease,
neurological disorders, Alzheimer's
Disease, and AIDS.
23.
24.
25. Hospice Staff
Multi-disciplinary team consisting of:
physicians, nurses, aides, social
workers, spiritual care givers,
counselors, therapists and volunteers.
Trained volunteers are an integral part of
hospice service. In USA Over 95,000 people
volunteer for hospice annually. Volunteers
provide over 5 million hours of care and
service annually.
26.
27. Staff Training
They are specially trained to provide
medical assistance and to deal with
the loneliness and fears experienced
by both the patient and his or her
loved ones.
28. The experience of caring for people at the end
of their lives Can be very difficult.
Seeing the suffering of the dying may cause
feelings of helplessness and anticipation of
future losses. Working with the dying can be
exhausting because of the various emotions that
are shared. Those who do this work with the
dying must understand themselves as important
and valuable individuals.
29. Staff Training
There is a great need for psychosocial and
psychological death education for nursing
home staff.
30.
31. Staff Training
They works with the patient and his or her
family to develop a personalized care plan.
They respect patient wishes and help foster
communication amongst family members
32.
33. Hospice Goals
•Stages of Dying
•Problems associated with a terminal illness
•How caregivers can help the dying
•Grief/Bereavement issues
•Care for the caregivers
•Exercises, handouts
34. What to Expect Before Death
The Dying Process: Physical and Psychological
Symptoms
•Signs of Approaching Death
Sometimes caregivers do not know how to tell when
their patient or loved one is dying. But patients often
tend to show specific symptoms when they are nearing
death.
•Emergency Profile
What rational decisions will need to be made in times of
crisis.
35. What to Expect After Death
Grief
Grieve after lose of beloved.
Every person's journey through grief is different.
Correspondence details and logistics
After the death, loved ones will be faced with
overwhelming logistical details and paperwork. The
person(s) responsible for taking care of these
details will need to correspond with appropriate
organizations, institutions, and businesses to inform
them of the death of the family member.