nursing foundation end of life care

1. TOPIC – END OF LIFE CARE

2. INTRODUCTION
• Every year more than half a millions die and most of these deaths
occurs in hospitals.
• Some deaths occur suddenly, the majority of deaths occur after a
period of chronic illness, with three quarters of all deaths being
expected.
• During this time people often require ongoing care which may include
end of life care .

3. END OF LIFE : WHAT IS IT?
• Final stage of life when death is imminent
• Unpredictable
• May last minutes , hours or weeks
• End of life care refers of physical,
psychosocial and spiritual care provided to
the patients, and their families
• Care addresses issues related to death and
dying .

4. Goals of End- of -Life Care
• Prevent or relieve suffering
• Provide comfort and support
• Maintain human dignity
• Respect patient’s wishes and desires
• Improve quality of life
• Provide emotional support

5. CARE INTERRELATIONSHIPS

6. PALLIATIVE
CARE
• Focus on improvingquality of life
for patient’s and families.
• Providedduring any stage of life –
limiting illness ; acute ,chronic or
terminal.
PALLIATIVE PROGRAMS ALSO
INCLUDE:
• Relief of physical suffering
• Care of emotional needs
• Bereavement support
• Curative and life- prolonging treatments
• Interdisciplinary teams including
physicians,nurses,social workers, pharmacists and
physical and occupational therapists.

7. HOSPICE CARE

8. Palliative Care Programs Vs Hospice

9. PATHOPHYSIOLOGY OF
DYING
As a person enters the final stage
of the dying process, the body
begins the final process of shutting
down , which will end when all the
physical systems cease to function.

10. Clinical Manifestation

13. Nursing Diagnosis: Comfort Care

16. EVALUATION
• Pain control
• Comfort
• Psychosocial support
• Peace