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Pallative and Hospice Care (physical symptoms and pain management (fatigue…
Pallative and Hospice Care
The goal is to improve quality of life for patients and their families by anticipating, preventing, and treating suffering.
An interdisciplinary palliative care team works collaboratively to provide care and coordinate services for the patient and family.
When aggressive treatment is no longer benefitting the patient, it may be discontinued, and the patient transferred to hospice care.
physical symptoms and pain management
fatigue
dyspnea
pain
constipation
loss of appetite
sleep disturbances
NURSING INTERVENTIONS
Open discussion of feelings helps the patient and family to work toward resolution of the grief process.
Demonstrate respect for the patient's privacy and need or desire to talk (or to not talk). Be honest in answering questions and giving information.
Accept expressions of anger, fear, or guilt without judgment. Assure the patient and family that these feelings are a normal part of grieving.
Encourage families and patients to continue their usual activities as much as possible. They need to discuss their activities and maintain some control of their lives. You might help them to identify what they can and cannot change.
Respect the person's right to privacy, right to have a wide range of emotions, and right to talk when he or she chooses.
Acknowledge and encourage the expression of feelings but at the same time realize how difficult it is to come to terms with grief.
emotional support
coping
intellectual
social
spiritual support
INTERDISCIPLINARY CARE TEAM
physician
nurses
care givers
pharmacist
physical therapist
occupational therapist
music therapist
speech therapist
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facilitation of patient autonomy
access to information
choice
SETTING
hospital
nursing home
home
outpatient palliative care clinics