Sunteți pe pagina 1din 3

Palliative Care

Palliative Care in New York

Improves the quality of life of


patients and families facing
life-threatening illness.
Timing: begins early.
Duration: throughout the
treatment process.
Care Strategies: pain control,
symptom relief spiritual
support, psychosocial support,
bereavement support.
Location: hospital, outpatient,
home.

Matthew House in
Auburn, NY
Emeritues at West Side
Manor in Liverpool, NY
Emeritus at East Side
Manor in Fayetteville, NY
Emeritus at Bellevue
Manor in Syracuse, NY

VS.
Hospice

Provides care for patients no


longer seeking curative
treatment.
Timing: begins later.
Duration: Life expectancy of
less than six months.
Care Strategies: Similar to
palliative care with emphasis
on pain control.
Location: patients home,
family members home,
nursing home.

Online Sources for Nurses

Hospice & Palliative


Nurses Association.
http://hpna.advancingexp
ertcare.org/
World Health
Organization.
http://who.int/cancer/palli
ative/en/
American Association of
College of Nursing.
http://www.aacn.nche.ed
u/elnec

Palliative
Care

End-of-Life Care
o

Pain management =
priority
Untreated or undertreated pain
consumes energy, interferes
with function, affects quality of
life, and social interactions.
Alleviate dyspnea, this
contributes to clients comfort
and decreases the families
anxiety. The death rattle
occurs close to the end of life,
families need support!!
Nonpharmacological
interventions to help manage
anxiety may need to be
followed by pharmacologic
agents.
Manage GI symptoms N/V,
gastritis, constipation, and
diarrhea.
Assess for psychiatric
symptoms of depression and
delirum, these are common at
the end of life.
Recognize the spiritual needs
of the patient. This may help
them come to terms with their
illness and the end of life.
Support family caregivers,
because they are the ones that
care for the client from
assisting with ADLs to giving

medications and manage


medical equipment and
treatments.
Family bereavement is
essential because survivors are
at increased health risk for
illness/death.

Domain 8: Ethical and legal


aspects of care

National Census Project


for Quality Palliative
Care
Domain 1: Structure and
process of care
Domain 2: Physical aspects of
care
Domain 3: Psychological and
psychiatric aspects

Important Facts
o

Domain 4: Social aspects of


care
Domain 5: Spiritual, religious,
and existential aspects of care
Domain 6: Cultural aspects of
care
Domain 7: Care of patient at
the end of life

Patients can retain some


functional and cognitive
independence up until the
last days of life.
Hearing is usually the last
sense to go, so be mindful
of what is being said around
the patient.
Supporting family to care
for their loved ones is as
important as supporting the
patient themselves.
Caregivers in the healthcare industry have been
listed as one of the most atrisk employees for
occupational
musculoskeletal injury.

Positioning patients in bed


puts caregivers at high risk
for back injuries, and can
be avoided with proper
body mechanics and
equipment such as glide
sheets.

Daily medications are


discontinued when patient
has difficulty swallowing or
refuses.
To alleviate distress from
incontinence, more

frequent perineal care


should be given.

S-ar putea să vă placă și