WEEK FOUR Flashcards
Define Palliative Care?
“an approach that improves the quality of life of patients and their families facing the problem(s) associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems - physical, psychosocial and spiritual.”
Palliative Care recent trends?
Community and health system responsibility
- Providing systems, skills & support
- Recognition of carers and recognising that death is a part of life
- Enabling peoples preferences for end of life care
- Recognising community support for both the individual and carers
- Life limiting illness are acknowledge within palliative care
Ethical principles of palliative care?
Clinical Integrity
Respect for persons
Justice for all
Benefit to the person
Palliative care phases?
Stable Unstable Deteriorating Terminal Bereavement & support stage
Communication stratergies to breaking bad news?
- Privacy provided and is prepared to receive bad news
- The right to know the truth and be informed
- Diagnosis given in a timely manner
- If possible significant other members to be present
- If possible another health professional should be present.
Steps to breaking bad news (SPIKES)?
Setting Patients Perceptions Invitation Knowledge Explore Emotions and Empathize Strategy and Summary
What are the 3 Tiers of Support?
- Primary carer & informal community support
- Generalist health provider and formal community support services
- Specialist palliative care services
Primary carer issues?
Resent role 85%
Depression
Anxiety
Sleep deprivation
Specialist palliative care team roles?
- Primary provider refers individuals to the specialist team
- Provide care that exceeds that given by carers
- Provides assessment and care within resources and expertise
- Consults with primary care team
- Provides ongoing care
Symptom control analysis
Does the person have a life limiting illness?
- Explore symptom and assess if it is new or a coexisting problem.
- Is the person unwell with an acute problem that can be easily reversed?
- Should we do something about reversing the problem?
- What can we do to maintain levels of comfort?
Generalist health provider and formal community support services:
District & Community nurses Medical practitioners Mental health liaison team Bereavement Counsellor Pastoral Care Dietician Occupational Therapist Complimentary therapist Social worker School counsellor Cancer support Services
Standards for providing quality palliative care?
Standard 1: Care, decision making and care planning are inclusive of others
Standard 2: Holistic approach of individuals and families are considered
Standard 3; Ongoing and comprehensive assessments of individuals and families are undertaken
Standard 4: Care is coordinated to minimise burden on individuals and families
Standard 5: The primary care giver is provided with information, support & guidance role and needs
Standard 6: The unique needs of dying patient are considered, their comfort maximized, and their dignity preserved
Standard 7: The service has a philosophy, values, culture, structure and environment to support compassionate and competent palliative care
Standard 8: Individuals and families have access to bereavement care, information & support.
Standard 9; Community capacity responds to Individuals and families with collaborative partnerships
Standard 10: Access is available for all individuals who require palliative care
Standard 11: The service is committed to quality improvement in research and management practices
Standard 12: Staff and volunteers are appropriately qualified
Standard 13: Staff and volunteers reflect on practice and maintain self care.
Culturally appropriate palliative care for indigenous
Themes surrounding care:
Communicate so it is understood
Can be isolated from supportive health centres
Wish to die at home with family
Lack of distrust of government
Don’t adhere to regimes or storage of medication
Kinship and community may impact on treatment
Significant others in or out of family
Aim of the model of care for cancer
Best practice care and services within a health care system for a person or population group as they progress through the stages of a condition, injury or event.
Objective of model of care
Ensuring people get the right care, at the right time, by the right team and in the right place.
