File Name: palliative and end of life care .zip
Back to End of life care. End of life care should help you to live as well as possible until you die and to die with dignity. The people providing your care should ask you about your wishes and preferences, and take these into account as they work with you to plan your care. They should also support your family, carers or other people who are important to you. You have the right to express your wishes about where you would like to receive care and where you want to die.
This book provides readers with a comprehensive and up-to-date guide to non-invasive mechanical ventilation in palliative medicine, focusing on why and when it may be necessary. Physicians will find a practical guide to this specific context, particularly focused on pulmonary function and physiology in the elderly, and on ventilatory management in surgery and chronic stable conditions. The book provides detailed information on the rationale for invasive and non-invasive ventilation, the different modes of ventilation, indications and contraindications, prognostic factors, and outcomes. It addresses in detail the role of postoperative mechanical ventilation following various forms of surgery, and discusses key aspects of withdrawal from ventilatory support. Attention is also devoted to the use of mechanical ventilation within and beyond the ICU.
Historically, palliative care referred to treatment available to patients at home and enrolled in hospice. More recently, palliative care has become available to acutely ill patients and its meaning has evolved to encompass comprehensive care that may be provided along with disease-specific, life-prolonging treatment. Hospice care is a service delivery system that emphasizes symptom management without life-prolonging treatment, and is intended to enhance the quality of life for both patients with a limited life expectancy and their families. Attention recently has been focused on increasing the quality and availability of hospice and palliative care services, both for acutely ill patients and those at EOL. The number of palliative care and EOL care programs has increased rapidly in recent years. Nonetheless, palliative care and EOL care services remain underutilized and more than one million people in the United States die each year of chronic and debilitating illnesses without receiving hospice services.
Hospice care is similar to palliative care, but there are important differences. While the objective of both hospice and palliative care is pain and symptom relief, the prognosis and goals of care tend to be different. Hospice is comfort care without curative intent; the patient no longer has curative options or has chosen not to pursue treatment because the side effects outweigh the benefits. Palliative care is comfort care with or without curative intent. The definition of palliative care is compassionate comfort care that provides relief from the symptoms and physical and mental stress of a serious or life-limiting illness.
The goal of palliative care is to address the impact of serious illness by managing symptoms, providing emotional support and ensuring that the plan of care aligns with patient and family goals. Under usual circumstances, there is a lot of overlap between nursing basics — interaction between person and disease — and palliative care. During a pandemic, we need to consider patient goals and preferences in the context of limited resources.
Compare the similarities and differences between hospice and palliative care. Identify the advantages and disadvantages between hospice and palliative care. As mentioned in the first chapter of this book, end-of-life care is a broad term used to describe specialized care provided to a person who is nearing or at the end of life.
Nurses represent the largest group of health-care professionals in the United States of America. Currently, 3. Nurses are a vital resource for ensuring the provision of safe and effective care for the global population. Nurses spend more time with patients and families than any other health professional as they face serious illness. A systematic review of palliative care health services found more support for the role of nurses than any other discipline. Palliative care refers to the optimization of quality of life for both the patients with serious illness and their families using special measures to anticipate, treat, and prevent suffering.
Explore the latest in end-of-life care, including hospice and palliative care, estimating prognosis, palliative sedation, and more. This cohort study examines the delivery of palliative care among adults in their last year of life who died of terminal noncancer illness compared with those who died of cancer. This randomized effectiveness trial evaluates whether a nurse navigator—led advance care planning pathway combined with primary care professional—facing electronic health record interface facilitates use of advance care planning for vulnerable older adults.
University A to Z Departments. This course is suitable for all health and social care professionals who support patients with chronic, advanced or life-threatening conditions.
Your email address will not be published. Required fields are marked *