Palliative Care Essay

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Contents Introduction……………………………………………… Page 2 & 3 Principles of Palliative Care……………………………… Page 3 & 4 Pain Management………………………………………… Page 4, 5 & 6 Nausea and Vomiting……………………………………. Page 6 & 7 The Bereavement Process……………………………….. Page 7 & 8 Conclusion……………………………………………… Page 8 References……………………………………………… Page 9 & 10 Nurses, by profession, are carers. Providing care for the dying patient and their family can present a unique set of challenges for the registered nurse. Patients in their final days require careful symptom management and both the patient and their family need support as death approaches. “Recognition of the signs and symptoms that are common in the final hours of life and a basic understanding of how to manage these signs and symptoms are important to helping the patient and family experience a good death”. (Kehl, 2008. pg 409). Care does not end with the death of the patient but continues through to bereavement support. Facing death can be a fearful and emotional time for all involved. The dying patient will have gone through huge life transitions leading to this final life transition. The registered nurse caring for the terminally ill patient in their last days of life must draw on not just their professional skills but also their human skills in order to help the patient die with dignity and as comfortably as possible and to help the family begin the bereavement process. In 2006, Johnston and Smith carried out a study of patient’s perceptions of expert palliative nursing care and found that “the patients’ perceived that expert palliative nursing care consisted of effective interpersonal skills and caring skills” (Johnston & Smith, 2006, pg 707). The study also found that psychological aspects of care, in particular interpersonal communications were more important to the dying patient than the
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