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   

Comments

Post a Comment

Popular posts from this blog

Secretion Removal Techniques in People with Spinal Cord Injury through Physiotherapy

Image
Respiratory complications are a leading cause of injury and mortality in people with spinal cord injury (SCI) and are more pronounced in individuals with higher level and complete injuries. A major contributor to respiratory illness in individuals with SCI is secretion retention, particularly among individuals with cervical lesions. Higher levels of SCI result in greater denervation of the ventilatory muscles thereby decreasing both inspiratory capacity and expiratory muscle force and resulting in an impaired cough. The figure shows the innervation of the respiratory muscles. Cervical SCI also denervates sympathetic pathways leading to a state of parasympathetic dominance that may increase mucus production and contribute to airway hyper responsiveness. A diminishing cough combined with mucus hyper secretion can overwhelm mucociliary clearance in people with SCI. The impact of SCI on normal airway clearance can be exemplified by examining the sequence of a cough. After f...
Read more

Postural orthostatic Tachycardia Syndrome (POTS): Needs Rehabilitation Therapy

Image
Postural orthostatic tachycardia syndrome (POTS) is the most common of several kinds of dysautonomia, characterized by dysfunction of the autonomic nervous system showing with signs of orthostatic intolerance with or without related orthostatic hypotension and extreme autonomic excitation. Along with musculoskeletal signs of POTS and its known associations with other clinical entities like Ehlers-Danlos syndrome, POTS constitute an unusual treatment challenge of which the orthopaedic surgeon, Physiatrist and other associated healthcare providers should be aware. Symptoms: Cardiac symptoms: ·          rapid palpitations ·          lightheadedness ·          chest discomfort ·          dyspnea Non-cardiac symptoms: ·          brain fog ·     ...
Read more

Why Cancer Rehabilitation is an integral part of the treatment?

Image
Cancer treatment may disturb physical, social, psychological, and work-related abilities. Rehabilitation helps persons to recover these abilities and maintain independence. Many people than ever are suffering with cancer, but the disease and its life-saving treatments often leave survivors with physical, cognitive, and emotional sequelae that need rehabilitation services. Cancer rehabilitation is developing to meet the complex needs of an increasing number of survivors: rehabilitation professionals are working to design interventions that restore the integrity of organ structure and function, remediate functional loss, and allow full involvement in personal roles and activities. Cancer Rehabilitation help in reaching the following goals: ·          Recover physical strength. ·           Increase the ability to care for yourself which reduces the amount of support needed from caregivers. ·   ...
Read more