Is hospice and palliative care required in the last days of life ?



Introduction: This concept of hospice is started in early 11 th century in Europe and later entered into united states and also now practiced almost every part of the world. Hospice are the places where the patients are been admitted for the last days of treatment at hospitals, nursing homes and also at-home care. This practice mainly focus on the  emotional and spiritual wellbeing of the patient  to cope up with comfortable and pain free rather than medical cure to live there life fullest of the possible
Conditions it can deal with:
Cancer, congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), kidney failure, Alzheimer’s, Parkinson’s, Amyotrophic Lateral Sclerosis (ALS), Dementia, breast cancer
 Palliative care includes:
Pain management, sleep troubles, nutritional guidance, trauma, depression, anxiety, breath, constipation also includes physical therapies and emotional guidance
Importance of nurses in palliative care:  
 Palliative care nurses on team with other health providers, such as social workers, physicians, and interdisciplinary team with highly expertise   and talented professionals work together. Nurses working with the patient are the most primary people in this treatment either medical or natural aspects of the patient. They can spend their much of their time not only with patient but also with the families so that they can give required support to them on course of actions and treatments going on and support them in making decisions on end life issue’s , as well to to support after death       
   Pediatric palliative care
According to the world health organisation, palliative care for children is active and total care of child’s body, mind and spirit unlike the care for old age patients   it also have several challenges and limitations so team of interdisciplinary medical experts are required for this care with the support of the family and some self-help groups
 Conclusion:
The main focus and scope of quality of human life has increased since the 1990s. Approximately in United States today, 60% of the hospitals offer palliative care programme. And a dedicated health care teams are specifically geared towards palliative care treatment 
Physicians treating patients do not always receive required support from people they are treating, family members, and social peers. According to the recent survey more than half of the doctors have received extreme comments as from family or other professionals had characterised their work as murderer or killer of the patient   

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