HR7003 Palliative- Reflective essay Level 5 University of East London

The purpose of the project is to identify the best technique or method for providing the best holistic end-of-life care to patients by managing their own beliefs as well as values. It also emphasizes analyzing the way personal values and beliefs affect an individual interaction with the patient.

Main Body

I am working in a healthcare institution which provides treatment as well as special care to people who are suffering from serious diseases. I will be sharing my experience with a patient who has been admitted to a hospital for treatment of cancer. I have analyzed by considering the physical situation of the patient that he requires special care and treatment in order to improve his health and maintain the quality of their life. It was found during the treatment that the particular patient was suffering from the last stage of cancer (Iyer and Bakitas, 2017) I also observed that the patient's family were supporting him in performing routine activities. During my first interaction with the patient, I asked him about his concerns in order to identify the best possible treatment and care which I could provide the patient. I have analyzed by communicating with cancer patient that their main concern was pain. This activity has allowed me to provide several alternative options for helping patients in order to get relief from pain.

Feelings

After seeing the physical condition of the patient, I felt concerned about the pain and his health. When I first got to know about the diagnosis I was most interested in developing an understanding and gaining knowledge about cancer patient as well as their condition. When I interacted with the patient and his family, I felt more sympathetic towards them. During the interaction, the cancer patient stated that when he suffers pain, he feels like giving up and ending his life. I think that the reason for ending life is pain which the patient has to suffer due to serious illness. After seeing such conditions of cancer patients, I have planned to discuss the problems suffered by patients with other medical staff. This activity will help me identify the best possible solution to support patients in getting relief from pain (Segal, Care and Bogetz, 2018)

Evaluation

During my experience as a nurse in a health and social care institution, I have realized that communication is an important factor which helps medical staff build as well as maintain a strong relationship with patients as well as their family members. Effective communication allows medical staff to develop an understanding of the problems faced by patients and enables medical professionals to deliver effective care (Davis, Snider, and Irvin, 2018)

Analyses

As per the World Health Organization, Palliative care is a significant approach which assists a patient in improving their health and enhancing the quality of their life. I have analyzed that due to life-threatening diseases not only patients but also their family members have to face major problems. I have also realized that an individual who are suffering from deadly or harmful diseases requires special care, quick as well as effective treatment and a high level of commitment from medical staff. Palliative care is considered to be a complex activity which involves a holistic approach, that assists in coordinating with an expert medical professional team and making quick decisions related to the treatment of the patient. Some of the symptoms of cancers are vomiting, nausea etc. (Stein, Pincus, and Hilliard, 2018)

I believe that the main consideration of health and social care institutions is to manage emotions. I have also experienced that decisions are affected by the beliefs of service providers, patients and family members. I have also analyzed that in any country the way in which palliative care is delivered is based on religion or culture. I also identified that people who suffer from serious illnesses undergo emotional trauma such as depression, high levels of stress or anxiety. I perceive that it is required by me or other medical staff to develop an understanding of spiritual or religious beliefs. A lack of knowledge can lead to mistakes which might increase the stress level of the patient. Medical staff or care providers are required to be aware of the rituals an individual might have during palliative care or after death(Koliouli, Casper, Berdot-Talmier and Gaudron, 2017) I believe that as a nurse or service provider, I need to provide a safe and respectful environment to patients and their family members. I perceive that spiritual care is more significant for the person who suffers from a serious illness. I and other medical staff should be taking the initiative to cater for the needs of patients and maintain a peaceful environment. For people suffering from serious diseases for such people, their spiritual need is more necessary. By managing the values, and beliefs. I have identified that being a nurse, I can assist palliative patients and support their family members by providing more comfort as well as ease by delivering quality service and care. I have also analyzed that there are certain factors which are required to be considered when providing services or care to palliative patients these involve patient family members in providing treatment or care to individuals suffering from a serious illness. Other factors are the type of food provided to patients, the environment in the hospital etc. It is required that medical staff communicate effectively with family members as well as patients. This activity will support the medical team in gathering essential information as well as identifying the medical history of the patient. It will help medical professionals in determining the appropriate treatment which is to be provided to the patient. Effective communication as well as coordination between medical staff will also aid institutions in eliminating medical errors. I perceive that it is required by medical staff to communicate politely with patients. If in some cases, medical staff fails to provide details about patient health or treatment details due to communication barriers, then in such situation, medical professionals take support from translators. I have also realized by working in health and social care institutions that values or beliefs that are possessed by patients are very much essential in the context of Palliative care. Some of the beliefs or values may include the importance of family, the amount of information patients or their family members do not want to disclose to other people, attitudes towards pain management procedures etc.( Etkind, Bone and Murtagh, 2017

Conclusion

It has been concluded from assignment that delivering Palliative care is a complex activity as well as a difficult task. The report also concluded that medical staff is required to adopt a holistic approach. This will assist medical professionals in delivering quality as well as effective care to patients and support to their family members. It is needed by Medical staff to execute their practices as per the guidelines and make suitable decisions related to providing care or treatment to patients with serious illnesses. The project has also concluded that effective communication is an important factor in health and social care settings. 

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References

• Koliouli, F., Casper, C., Berdot-Talmier, L. and Gaudron, C.Z., 2017. Neonatal palliative care: Review of available literature. Revue internationale de soins palliatifs .32(2) .pp.53-60.
• Davis, C.S., Snider, M.J., and Irvin, L., 2018. A Time to Live and a Time to Die: Heterotopian Spatialities and Temporalities in a Pediatric Palliative Care Team. Health communication. pp.1-11.
• Segal, S., Care, P.P., and Bogetz, J., 2018. A Pediatric Palliative Care Program to Meet the Needs of Children with Severe Neurological Impairment and Their Families.
• Iyer, A.S. and Bakitas, M., 2017. Early Palliative Care in Advanced Illness: Do Right by Mama. JAMA Internal Medicine. 177(6). pp.761-762.
• Stein, G.L., V., Pincus, H.A., Remke, S.S. and Hilliard, R., 2018. Providing Palliative Care to Patients and Families Leff with Pre-Existing Mental Health and Substance Use Issues (P07). Journal of Pain and Symptom Management. 55(2). pp.550-551.
• Etkind, S.N., Bone, A.E., and Murtagh, F.E.M., 2017. How many people will need palliative care in 2040? Past trends, future projections and implications for services. BMC medicine. 15(1).p p.102.

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