Friday, May 1, 2020

Standards for Providing Quality Palliative Car †MyAssignmenthelp.com

Question: Discuss about the Standards for Providing Quality Palliative Car. Answer: The palliative care is a domain of health care, which is concerned about providing special health care services to aged people, who are terminally ill, as well as their families regarding the strategies to cope with loss and grief for the patients health condition (Alliance World Health Organization, 2014). There are several factors contributing to the holistic well being of the terminally ill patient, which are considered in the palliative care planning for the patients. In this assignment, the key focus is the terminally ill patient William, who lives in local council. William has been identified with colorectal cancer. His illness has been progressed significantly through one year, which has now spread to his liver. His doctors have conveyed that he may not have an entire year to live further. Thus, he is now worried about his terminal stage of life, as he has many things to do, but confused what are his priorities. He is also worried about his further illness, which he would hav e to encounter, prior his death. He is now seeking help from the palliative care health care professionals regarding his further journey prior his death. Upon a thorough analysis of Williams current condition, the available resources for William and therapeutic plans for him would be demonstrated here. Needs Assessment of the patients The assessment of Williams needs would be done with the help of Palliative care Needs assessment tool (Schenker et al., 2014). Physical symptoms The physical symptoms of William revealed that his cancer has been progressed to liver, as his previous treatment has not worked well. As his illness progressed further, the nurse reported that he is in a bit pain and having problems with appetite, whereas William also reported that the liquid morphin for combating with his pain makes him drowsy. However, no other symptoms like sleep problem or fatigue were reported by William. Activities of daily living William is no longer active in his social performance. However, the daily activities of William are not in a proper form, as he needs assistance. He has claimed that the time near when he would need full assistance and would not be able to take decision for him. Psychological The patient has significant distress for his upcoming future, as it is significantly tough to wait for death. From his initial discussion with doctor, it has been revealed that he is significantly worried about his family after his terminal stage. Cancer is a chronic disorder with fatal consequences, which is prone to introduce significant psychological impact upon the patient (Australia, 2015). William is also undergoing this stage and he is much psychologically distress about further progress in his illness and the difficulties he is going to experience prior his death. These are introducing stress in his life. Medication and treatment He is having some problems with medication and treatment. It has been revealed from the case study that his initial treatment for the colorectal cancer and metastasis of the cancerous cells throughout his other body parts, were not successful; which is evident by his relapse of malignancy in liver. Moreover, his doctors have conveyed that no more chemotherapy would be useful for him. On the other hand it is evident that William is unable is having appetite problem, a bit of pain and drowsiness; the last one is the complications from his liquid morphine, which he want to change immediately. Spiritual William is significantly feeling hopeless, as he knows that he has only few months to live. He is concerned about his wifes survival after his death and seeks assistance from spiritual resource or services, as he agreed with his physician when he approached to provide references regarding palliative care services in the local community (Zimmermann et al., 2014). Financial/legal No such financial concerns related to his health complications have been mentioned by William. However, no conversation with the doctors has been found regarding the available financial schemes for terminally ill patients like William. There is a conflict identified within William and his family regarding his further stay at hospital or hospice facilities. He revealed that he would like to stay at his home, but his kids are working and stay away; thus he does not want to be a burden for them, while staying at home (Saleem et al., 2013). His physician as well as nurse provided assurance to provide adequate support, so that he can stay at his home, while not bothering his children much. The social worker conveyed them the legal procedures that he has to undergo for the time, when he would no longer be able to take decision for himself. Health beliefs, social and cultural William and his family have shown adequate cooperation with the health care service providers, making the health care provision easy for them. William and his wife has been shown to be strong enough to combat with the difficult situation at his terminal stage, although seeking advice from the health care team to guide them throughout his difficult phase. Action plan (Services and resources in the community to address Williams needs) William has been shown to be concerned about his resident, when he will be unable to stay at home without assistance. He is confused whether he would stay at hospital or a hospice. Although he wish to stay at his home, but he does not want to bother his family for his terminally ill condition. Thus, based on his condition, the following services and resources are provided for his help. Service/Resource Rationale Hammond care, New South Wales They provide holistic care and emotional support to both the patient and patients family. They also have hospice services, which can significantly help William to combat with his terminal stage of life. They also provide palliative care education, both at residential aged care as well as at-home care settings (Hammond.com.au, 2017). Palliative care Australia Palliative care Australia would provide a diverse range of help for the patients with terminally illness. As William has been conveyed that he has few months to live and no other treatments would help him, the services from this facility would help him to cope with and continue to live, while dealing with his illness well (palliativecare.org.au, 2017). William and his family can know more about the services and benefits from the online websites. They would provide support services to Williams wife, which is one of the key concerns of William. Dial-an-angle in-home nursing They provide skilled staff nurses as well as personal health care assistances, who would be able to take care of Williams at either his home or in a residential care. These staffs are efficient enough to help the patients all daily living activities, while providing enough emotional and spiritual support for living (Dialanangel.com, 2017). Australian Association of Social workers They provide social services for the terminally ill patients to make their lives better, instead of being isolated from the society. In addition, they also provide guidelines for legal and financial procedures (Aasw.asn.au, 2017). Cancer care Western NSW Inc. They also provide residential care, in-patient care, support services and hospice support, to help terminally ill cancer patients, from where William would get enough support and guidelines to make his life better (Ccwest.org.au, 2017). As William is mostly concerned about his end-of-life stage, the most of the resources in Williams action plan has been focused upon palliative care, which is the most prioritized need for William. Dial-an-angle and Hammond care, NSW would provide the most appropriate care to William, according to his needs; as these two services would provide holistic support to both of the patient and his family. References Aasw.asn.au (2017).Palliative Care - AASW - Australian Association of Social Workers. [online] Aasw.asn.au. Available at: https://www.aasw.asn.au/new-south-wales/groups/palliative-care [Accessed 6 Aug. 2017]. Alliance, W. P. C., World Health Organization. (2014). Global atlas of palliative care at the end of life.London: Worldwide Palliative Care Alliance. Australia, P. C. (2015). Standards for providing quality palliative care for all Australians. Australia: Deakin West, ACT: Palliative Care; 2005. Ccwest.org.au (2017).Cancer Care Western NSW Inc. [online] Ccwest.org.au. Available at: https://www.ccwest.org.au/ [Accessed 6 Aug. 2017]. Dialanangel.com (2017).In-Home Nursing, Live-In Companions, Disability Care, Aged Care, Respite. [online] Dialanangel.com. Available at: https://www.dialanangel.com/care/home-nursing [Accessed 6 Aug. 2017]. Hammond.com.au (2017).Palliative Care services. [online] Hammond.com.au. Available at: https://www.hammond.com.au/services/palliative-care [Accessed 6 Aug. 2017]. palliativecare.org.au (2017).I'm a Patient - Palliative Care. [online] Palliative Care. Available at: https://palliativecare.org.au/im-a-patient/ [Accessed 6 Aug. 2017]. References Saleem, T. Z., Higginson, I. J., Chaudhuri, K. R., Martin, A., Burman, R., Leigh, P. N. (2013). Symptom prevalence, severity and palliative care needs assessment using the Palliative Outcome Scale: A cross-sectional study of patients with Parkinsons disease and related neurological conditions.Palliative Medicine,27(8), 722-731. Schenker, Y., Park, S. Y., Maciasz, R., Arnold, R. M. (2014). Do patients with advanced cancer and unmet palliative care needs have an interest in receiving palliative care services?.Journal of palliative medicine,17(6), 667-672. Zimmermann, C., Swami, N., Krzyzanowska, M., Hannon, B., Leighl, N., Oza, A., ... Donner, A. (2014). Early palliative care for patients with advanced cancer: a cluster-randomised controlled trial.The Lancet,383(9930), 1721-1730.

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