Critically Reflect on the Principles Care , How It Impact on Professional Practice?, Relating to Nursing Pratice.

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In this essay, I will define some terms and critically review key elements, principles and Holistic approaches in Palliative care in the process relate them to my practice as a generalist nurse in a hospital setting, its impact on palliative care, and finally discuss on findings and recommendations to my practices. Palliative care is one of the most sensitive specialists in nursing today. Hence the guidance published in nursing times [2012]recommends that trusts draws up a plan to raise awareness of end of life issues in all wards as to improve rapid discharge process for patients who choose to die at home, as it is becoming common nowadays for end of life to occur within the hospital settings [Main, 2002]. The National Institute for Health and Clinical Excellence, 2004 b, p20, defined palliative care, “Palliative care is the active holistic care of patients with advanced progressive illness. Management of pain, and symptoms, provision of psychological, social, and spiritual support is paramount. Hence, the goal of palliative care is to give the best quality of life to patients and their families” Although, I have chosen to use the above definition by NICE, its’ clearly does not highlight the involvement of patients and relations in the care given during the end of life process. However, NICE manual [2004b]explain the important role play by patients, families and other carers in decision making about the care given in ones end of life. Palliative care can be provided at home or hospice by various healthcare professionals such as general nurses or specialist palliative nurses. Its objectives are to improve and manage pain alongside other symptoms of distress, provide physical, spiritual, psychological support to lead a normal active a life as possible. Palliative care therefore can improve the quality of life of patient and families who face life-threatening illness through holistic care. Holism is the sum total of an individual, which consist of the biological, spirituality, psychological and social, make up of an individual in need of palliative care. On the other hand, Interrelationships of the bio-psycho-social, physio-spiritual dimensions of an individual that shows that the whole is greater than some of its part.(Patterson, [1998]meaning the importance of taking all of somebody's physical, mental, and social conditions into account in the treatment of illness and meeting the totality of an individual care needs ,and not just focus on the disease but the whole person. This requires a holistic assessment of each patient in response to their changing needs and preferences.NICE[2004]. Psycho-social approach ,I once nursed a patient whose wife could not visit regularly due to financial problems, as patient had lost his job due to his condition,because he used to be the bread winner, he was psychologically and emotionally affected amongst other worries of his, he was able to verbalise their financial worries to me as his nurse, I referred the wife to the carers team as she is a carer to the husband, the carers team are a charity organisation that help carers with their caring roles, like helps with the right benefits’, assist with care responsibility, help with breaks for both carers, family and patient. This intervention helped the patient and his family financially, helping patient focus more on himself,made the wife visit patient more in hospital looking less stressed. Psychological approach in holistic assessment gives meaning to the role of patient empowerment, as patient under palliative care service users often feel isolated,hoplessness,deperession and disempowered. (Tower, 1999). Following various changes physically, treatment and pain can mean that patients no longer feel in control of their bodies or their future. A core value for palliative care is to empower patients at the end of their life by ensuring appropriate care is delivered where they wish to spend their last days.Which is why the...
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