Palliative and Hospice Care
The problem that will be the focus of the project
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Palliative care and hospice care are specialized care that are essential to not only to geriatrics but also to people suffering from chronic conditions. According to the Center for Disease Control and Prevention, chronic diseases such as heart conditions and cancer are the leading cause of mortality in the United States. Approximately 86% of funds allocated to the healthcare sector are spend each year in managing this conditions and their complications. Many patients receive general care like other acute patients when they would have benefited better if they received palliative care or hospice care depending on the stage of the disease (Center to Advance Palliative Care | CAPC, 2016)…
The setting or context in which the problem educational need to be observed
In nursing homes, assisted living residences and hospitals where palliative care and hospice services are offered, lack of knowledge on assessment of symptoms, management and prognostication costs patients (Swami & Case, 2018).)…
High level of detail regarding the problem
Difference between palliative care and hospice care that is misunderstood by many lies on the goals of care and the prognosis. While palliative care is offered at any stage of life, hospice care is provided at end stages of life; when a patient remains with less than six months to live if the disease had to follow its natural cause. The primary goal of both services is to improve quality of life, manage symptoms and pain ensuring the comfort of the patient and the family (Hospice Vs. Palliative Care, 2016)…
Impact of the problem/issueon the quality of care and patient outcome
Lack of knowledge and skills among care providers on palliative and hospice care especially on communication, assessment of symptoms, other needs and management affects the quality of care and quality of life of the patients (Eide Lunde, 2017). Some of the urgent needs of the patients and the families go unattended as the healthcare practitioners, attending palliative and advanced stage patients, concentrate on the physical symptoms and management of pain mostly. Neglecting of functionality, social and spiritual support to chronic patients by nurses and other attendants shortens survival of those patients. patient and family satisfaction and comfort which are the main aims of palliative care are not achieved.
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Significance of the problem/issue and its implication to nursing.
Nursing practitioners play a vital role in the care given especially to the patients suffering from a progressive condition…
Proposed solution
Training of practicing caregivers on palliative care and hospice care can improve the knowledge, attitude, and skills…
References
Bernacki, R. E., & Block, S. D. (2014). Communication about serious illness care goals: a review and synthesis of best practices. JAMA internal medicine, 174(12), 1994-2003.
Bhatnagar, S., & Patel, A. (2018). Effectiveness of the certificate course in essentials of palliative care program on the knowledge in palliative care among the participants: A cross-sectional interventional study. Indian Journal of Palliative Care, 24(1), 86.
Center to Advance Palliative Care | CAPC. (2018). Capc.org. Retrieved 24 April 2018, from https://www.capc.org/seminar/
Eide Lunde, S. A. (2017). Individual care plan at the palliative stage-helping relatives to cope: Establishing an individual care plan at an early stage of palliative care gives relatives hope and support. They also feel seen and their burden of responsibility is lessened. Norwegian Journal of Clinical Nursing/Sykepleien Forskning.
Hospice Vs. Palliative Care. (2016). Caregiverslibrary.org. Retrieved 24 April 2018, from http://www.caregiverslibrary.org/caregivers-resources/grp-end-of-life-issues/hsgrp-hospice/hospice-vs-palliative-care-article.aspx
Center to Advance Palliative Care | CAPC. (2016). Capc.org. Retrieved 24 April 2018, from https://www.capc.org/seminar/
Swami, M., & Case, A. A. (2018). Effective Palliative Care: What Is Involved?. Oncology (08909091), 32(4), 180-184.
Temel, J. S., Greer, J. A., Muzikansky, A., Gallagher, E. R., Admane, S., Jackson, V. A., … & Billings, J. A. (2010). Early palliative care for patients with metastatic non–small-cell lung cancer. New England Journal of Medicine, 363(8), 733-742.
