Ageing and dying is a normal process and body goes through several changes in whole life. Palliative care is a kind of health care. It is offered to those whose illness cannot be cured. It helps people to live as well as possible while they manage their illness. This assignment discusses the principles of chronic, complex and palliative care. It will also looks at the assessment and management strategies in chronic, complex and palliative care. Furthermore, this will look at case study of 70 year old man diagnosed with adenocarcinoma of the right lung. The topics to be covered in this case study are nursing history of the client, nursing assessment, assessment tools and list of care priorities on key issues that associated with the nursing care of the client.
Principles of Palliative Care, Chronic and Complex Care
The Quality of life is most important principles of palliative care. According to The standards of Providing Quality Care for all Australians (2006) palliative care offers to all who have a chronic and life limiting disease, with slight or not vision of cure and for whom the main treatment option is to increase the quality of life. Alber et al ( 2010, p.18) states that the symptom and pain management, spiritual care, psychological care and social support can be used to advance the quality of life of patients for whom there are no any other option of treatment.. If the client has a clear understanding of his diseases trajectory he will be able to make clearer choices. Parker & Arandra (2009, p.157) believes that most people with terminal illness will want to keep on living as long a quality of life is reasonable. Alber et al (2010, p. 19) also believes that to improve the quality of life in cancer patients, palliative care is one of the important treatment for them. Therefore, when measuring quality of life, diseases, and treatment related symptom physical functioning and psychological emotional wellbeing and social interaction are significant areas that need to be integrated.
The provision of comfort care and symptom management is extremely important in palliative care. As previously mentioned they impact greatly on a person’s quality of life. Aranda (2007, P.7) believes that alleviation of symptoms is closely tied to the palliative
care goal of maximizing quality of life. Furthermore, Ferrell et al (2010, p. 406) states that the palliative care approach to the symptom management is based on through assessment o current symptom and planning a ahead for general problems. The study shows that a small but reliable optimistic impact of palliative care services on quality of life, symptom management and satisfaction at the end of life (Abernethy et al., 2008, p.586). Lewis and Kitchen ( 2010) states that effective communication skill plays significant role to the delivery of high quality palliative care to patients and their carers.In addition, education from the health workers to the patient, especially using easily understood terms is beneficial. It is important to use effective communication skills listen observe and instruct.
A multidisciplinary approach is very important in palliative care. According to Hermsen and Henk (2005, p.561) the care of person dying with chronic illnesses is not essay and needs a team of people who have special skills and expertise. It is a network that includes formal support from health care team members and informal support from family and friends.
Moreover, holistic care is also one of the important principles of palliative care. It is not just a managing a client symptoms but it includes person as a whole. In palliative care to a certain extent holistic care will also incorporate the family. Street et al (2005, p. 44 ) states that nursing will be the key discipline in ensuring that emotional, social and spiritual dimensions are addressed but through consolations with and referral to colleagues in these dimensions of care.
The end of life...
References: (APA Style)
Abernethy, P.A., Currow, C.D., Fazekas, S.B., Luszcz, A.M., Wheeles, L.S., & Kuchebhatla, M. (2007). Specialized palliative care services are associated with improved short- and long-term caregiver outcomes. Journal of Palliative Care, 16(4), 585-597.
Aranda, S. (2007). Euthanasia nursing and care of dying: Rethinking. Australian Journal of Nurses, 3(2), 1-18.
Albers, G., Ectheld, A.M., Philipsen, O.D.B., Linden, M., & Deliens, L. (2010). Evaluation of quality-of-life measures for use in palliative care: a systematic review. Journal of Palliative Medicine, 24(1), 17–37.
Chang, E., & Johnson, A. (2008). Chronic Illness and Disability: Principles for Nursing Care. Sydney, Australia: Elsevier.
Crisp, J., & Taylor, C. (2008). Culture and Ethnicity: in fundamental of nursing .Sydney, Australia: Elsevier.
Hermsen, A.M., & Henk, A.M. (2005). Palliative care teams: Effective through moral reflection.Journal of Interprofessional Care, 19 (6), 561-568.
Higginson, J.I., & Evans, J.C. (2010). What is the evidence that palliative care teams Improve outcomes for cancer patients and their families? Journal of Cancer, 16(5), 423-425.
Ferrell, Betty., Koczywas, M., Grannis, F., & Harrington, A. (2010). Palliative Care in Lung Cancer, Journal of Palliative Care, 9(1), 403-407
Please join StudyMode to read the full document