What are the requirements for and barriers to hospice service? It can be hard on any family when they learn that a loved one is ill, but it can be especially difficult to learn that their loved one is terminally ill. (A terminal person is defined as person who is expected to live six months or less.) Upon finding out that, a loved one is terminally ill, a decision would need to be made on the treatment of the end-of- life care they would need. The most common treatment available is hospice. Hospice is a program that provides the patient with medical services and both the patient and their family with emotional support and spiritual resources.
The average patient is in hospice 59 days. Hospice is for those who are terminally ill, who can no longer take care of themselves and their families are unable to help, and it is also for the cancer patients when chemotherapy and other drugs are at its end and are enable to fight the disease. The decision of hospice is decided by the patient, family and physician. Hospice services are provided by a group of professionals who works as a team to develop the best care plan for the patients as well as their families; those professionals include: Nursing services, physician participation, medical social services, counseling, Pastoral or spiritual bereavement counseling (for family up to one year after patients death), dietary, home health aide services, medications, medical equipment, other medical supplies, laboratory and other diagnostic studies related to terminal illness. Therapy (physical, speech,
The primary concern is to ensure that the patient is as comfortable as possible and that any emotional and psychological needs are being addressed. “For many, hospice is a frightening word because it is associated with end of life. But really the confusion is due to not understanding what hospice is and how it can help people who are sick and their families. Often, the biggest myth surrounding hospice care is that the family has given up and hospice is a final surrender. But hospice is a way for people to prioritize the wishes of the patient and the family and is in no way "giving up."
It is important for nurses to understand nursing-sensitive indicators, and how they can be used to prevent injuries to patients. Nursing-Sensitive Indicators nursing-sensitive indicators are designed to allow for better patient outcomes. They are used to show the structure, process and outcomes of nursing care. They are guidelines which identify specific practices nurses can utilize to achieve safer and better patient care. The structure of nursing is related to the staffing mix.
Often when providing care for a patient with a lingering illness the nurse must refocus to ensure the needs and wants of the patient and family are being followed and not allow her own personal beliefs to interfere. The nurse
Treatment plan “Approximately 28%–58% of individuals with heart failure (HF) suffer from cognitive impairment, commonly identified as difficulty with concentration and/or memory” (Bauer, Johnson, & Pozehl, 2011 p. 577). Mr. P needs a treatment plan that he will be able to adhere, considering his cognitive decline. His wife should be included in his treatment plan and will have to become a leader from now on. When Mr. P admitted to the emergency department, nurses provide basic care in order to sustain life. Nurses should be recording vital signs, order appropriate laboratory work ups, put Mr. P on oxygen via cannula, put him on I&O, administer prescribed medications, and strict daily weights.
REFLECTION: Communication with Dementia Patient During my rotation in Care of Elderly on Sarratt Ward, WGH, we once had a patient with severe dementia. She came in with a chest infection and had been unwell for two weeks and therefore not mobilized during that period of time. Previously she was walking with supervision of one. She was living in a residential home and for her to be able to go back there she was expected to be able to walk again with minimum assistance of one. The nursing staff reported that her chest infection had resolved and she was now more alert.
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
Ashley Helping Those Who Can No Longer Help Themselves Geriatric mistreatment in care facilities is one devastating problem growing in America. Families, who have loved ones in nursing homes, or personal care homes, should not have to worry about their family members being abused either emotionally, or physically at geriatric care facilities. Geriatric care homes have one purpose to them, to care for elderly patients who can no longer take care of themselves. It is painful too see how individuals who have raised and cared for our generation cannot find proper care during their crucial time in need. Elongating Certified Nursing Aide programs, family involvement, increasing security cameras throughout geriatric care facilities and additional
Service Provided: * * Treatment Qualified Staff * Home Care * Social Work Team * 12-Bed Inpatient Unit * Hospital Specialist Palliative Care Team * Safe Environment Support Team * Meals * Bereavement * Counseling Patient Helpline * Respect Service Received: * * Negative Emotions (stress, anxious, confusion) * Attention Given * Patient’s feeling grateful after being taken care and look aftered. * Word-of-mouth advertising * Patients Recovering 1. Develop an experience statement for the hospice. a. From a patients perspective : Since this hospice provides care for those that are in their last days of living from terminally ill diseases.