Palliative care is one of the most sensitive specialists in nursing today. Hence the guidance published in nursing times 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... [continues]
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