There is a strong emphasis put on keeping those in the fold of the Church and going out and recruiting the heathens who do not come to Church. Instead Billings has so graciously broaden the prospective to show the Church that the people who are not coming should still be a part of the Church community and their needs are just as important as those inside the Church. The greatest opportunities for the Church are when the ‘outsiders’ decide they have a reason to come and use the Church as a resource. They may need the Church for a baptism, a wedding, or a funeral; these opportunities are great to show that the Church bears life and is there to support them. The present society appears to have an identity predicament with the Church, because there is a tremendous amount of self-help propaganda in this society; therefore they simply do not care about a commitment with the Church, but can read about how to be better people in the comfort and safety of their own homes.
In addition to identifying and following advanced directives, practitioners are also faced with the legal and ethical implications in end of life treatment and care. Palliative care and comfort care measures are another area that significantly impacts the health care provider also today. As we have made so many advances in medical care, we must also look at the quality of life that remains when we have prolonged someone’s life. As terminal conditions continue to progress, health care providers continue to have an ethical and legal obligation to promote the best possible care for the patient. Sometimes this means not aggressively treating a terminal illness and allowing the patient to choose to die with dignity and as comfortable as possible.
It also reduces any anxiety that the family members may be feeling if the patient has their wishes laid out for them to follow. Many elderly patients prefer to die at home and should be given the option to do so. Hospice care can assist these families with caring for their loved ones. During this time, when the treatments for a person’s disease may stop, the care the individual needs will continue. The primary concern is to ensure that the patient is as comfortable as possible and that any emotional and psychological needs are being addressed.
When an individual is at the end of life, usually you are aware due to the documentation that is present. (which is a legal requirement) In my job role I would read and acknowledge the rights and wishes of the individual, including any religious beliefs to ensure they are cared for according to their wishes. Outcome 2 Understand factors affecting end of life care. 2.1 Outline key points of theories about the emotional and psychological processes that individuals and key people may experiences with the approach of death. Although each person reacts to the knowledge of impending death or to loss in his or her own way, there are similarities in the psychosocial responses to the situation.
Knowledge about end-of-life decisions and principles of care is essential to supporting patients during decision making and in end-of-life closure in ways that recognise their unique responses to illness and that support their values and goals. As an individual clinical practitioner, I respect each person’s individuality and their unique response to illness. Therefore, patients are encouraged to express their preference about how they wish to be treated for, where they wish to be cared for and where they wish to die. For example, I remember one of patients in my ward. She was a Chinese lady and no English speaking.
RTT Task 2 Establishing a root cause analysis (RCA) especially in a healthcare situation is a fundamental step to avoid future cases of patient negligence as noted with the unfortunate death of Mr. B. The step leads to proper problem solving and identifying faults especially in training and skills transfer amongst health practitioners. However, in consideration of causative factors that lead to a sentinel event such as a patient’s outcome, there are issues worth revisiting. First, it is imperative to describe the problem or define the event through the inclusion of quantitative and qualitative attributes. In the given case study, for instance, future provision of moderate sedation and additional backup must remain a mandatory exercise.
A Summary of “Professional Love in Palliative Nursing” In the article “Professional Love in Palliative Nursing: An Exceptional Quality or an Occupational Burden”, Jane Catherine Rollings (2008) discusses the importance of professional love in the relationships between palliative care nurses and their dying patients, and whether the effect on the nurses is a positive achievement or a distressing, emotional strain. Rollings believes that The care a nurse provides for a patient should be based on love, compassion, and empathy. She suggests that By providing a similar level of love and support to the patient as the family does, the palliative care nurse is allowing them to feel secure knowing that their loved one is well cared for. Rollings describes her belief of professional love as a combination of a compassionate, selfless love and a familial, bonding love that families display amongst themselves. She asserts that palliative care nurses, who spend longer periods of time at the patient's bedside, are more likely to express this love than nurses in other specialties.
A physician job description is to aim at the provision of treatments with health benefits in the patient’s best interest, and to avoid adverse outcomes (Fiona Randall & Robin Downie 2010). Once a patient has died it is no coming back and the physician does not want this one their conscience when one day a cure could come along for terminally ill patients. Physicians are to heal and prolong life not take a life. Granted, physician assisted suicide if it does become legal it is still a decision left
From their analyses of key elements of palliative care which included theoretical principles and goals of palliative care as the main element, four aspects were discovered; target groups, structure, tasks and expertise. World health organisation ( ), defined palliative care as a way that improves the quality of life of patients and families facing life-threating illness through early identification and excellent assessment and treatment of pain as well as physical, psychosocial and spiritual problems to prevent and relief suffering . Many palliative care definitions describe target population. Target groups – for whom? The earlier definition of the WHO included patients ‘whose disease is not responsive to curative treatment’,43 which in one sense could be conceived as a relegation of palliative care to the ‘last stage of care’.52 The newer definition of the WHO extended the potential
According to the World Health Organisation (WHO) (2002), palliative care is the total care of patients whose disease is not responsive to curative treatment and includes control of pain, other symptoms, and psychological, social and spiritual problems. Palliative care is not limited to patients at the end but applies earlier in the course of illness, provided in conjunction with active treatment. Patients with end stage renal disease (ESRD) are especially appropriate candidates for palliative care as defined by the WHO. Patients who have irreversible kidney failure face certain death unless they receive active treatment in the form of renal replacement therapy (RRT). Even with RRT, patients live with the reality of a shortened life span.