Community Palliative Care in Spain: The Critical Role of Nursing in Its Development

2020 ◽  
pp. 145-152
Author(s):  
Maria Paz Fernández-Ortega ◽  
Julio César de la Torre-Montero
Keyword(s):  
Palliative Care ◽  
Critical Role ◽  
Role Of Nursing

Practical considerations including difficult conversations

2021 ◽  
pp. 277-285
Author(s):  
Susan D. Block
Keyword(s):  
Palliative Care ◽  
Interpersonal Communication ◽  
Critical Role ◽  
Self Reflection ◽  
Difficult Conversations ◽  
Included Patient ◽  
Communication Challenges ◽  
Multiple Challenges ◽  
Unrealistic Expectations

Conversations about palliative care pose multiple challenges for patients, families, and clinicians. This chapter emphasizes the critical role of relationships in communication, highlights common practical challenges that arise in communication about palliative care issues, and proposes specific strategies for addressing them. Examples of language that expresses key clinician interventions is included. Patient-related communication challenges include dealing with anxiety, denial, anger, and grief and sadness. Approaches to family communication challenges focus on the desire to protect the patient, unexpressed grief, and unrealistic expectations, while those related to the clinician include attachment and grief, and discussing prognosis. The role of patient and family preparation, fostered through early, direct, and gentle conversations, is emphasized as a key practice that supports coping and adaptation. Clinicians are conceptualized as supporting patients through attention to the patient and family as persons, the use of skilful interpersonal communication, authenticity, and a commitment to ongoing self-reflection and flexibility.

Hospital-Based Palliative Care

2019 ◽  
pp. 13-31
Author(s):  
Patricia Maani-Fogelman
Keyword(s):  
Palliative Care ◽  
Interpersonal Communication ◽  
Communication Skills ◽  
Complex Needs ◽  
Care Services ◽  
Medical Clinics ◽  
Palliative Care Services ◽  
Role Of Nursing ◽  
Consultation Time

Hospital-based palliative care (HBPC) is often the primary contact between patients and the field of palliative care. As such, HBPC programs must be built to withstand the challenges and demands of the changing healthcare landscape and the shifting, often complex needs of the inpatient consultation. Time, energy, strong interpersonal communication skills, and dedication are key elements to building a successful HBPC program. Attention to detail and attentiveness to patient wishes round out the foundation of the continuum. HBPC is a forum for expansion of palliative care services into the medical clinics, outreach facilities, community-based practices, and home care venues. The role of nursing across this spectrum of care amid advancing chronic illness is a vital aspect of programmatic success. Ongoing education and research must be offered and resourced for HBPC and palliative care in general to remain steadfast and successful against the background of national healthcare reform.

“She Would Be Flailing Around Distressed”: The Critical Role of Home-Based Palliative Care for Patients with Advanced Cancer

2017 ◽  
Vol 20 (8) ◽  
pp. 875-878 ◽  
Author(s):  
Brook A. Calton ◽  
Nicole Thompson ◽  
Nancy Shepard ◽  
Redwing Keyssar ◽  
Kanan Patel ◽  
...  
Keyword(s):  
Palliative Care ◽  
Advanced Cancer ◽  
Critical Role ◽  
Home Based

scholarly journals Hong Kong’s Growing Need for Palliative Care Services and the Role of the Nursing Profession

2021 ◽  
Vol 16 (1) ◽  
pp. 40-46
Author(s):  
Yuk Chiu Yip ◽  
Wai-King Tsui ◽  
Ka-Huen Yip
Keyword(s):  
Palliative Care ◽  
Care Delivery ◽  
Global Perspective ◽  
Emotional Needs ◽  
Care Services ◽  
Palliative Care Services ◽  
Efficient Planning ◽  
Role Of Nursing ◽  
Delivery Models

This viewpoint paper explores the growing emphasis and social need for palliative care from a global perspective, juxtaposed against the Hong Kong status quo and its increasing need for such services. It further highlights that the role of nursing within palliative care is central to patients receiving the best quality of care. Hong Kong’s current delivery models are generally insufficient and can be improved by the adoption of five recommended policy changes, which reinforce the position of nurses as vital to creating a better service. These recommendations will enable nurses to take the lead in future palliative care delivery frameworks, enabling more efficient planning of future management of patients’ pain and other symptoms, social, spiritual, or emotional needs that arise during assessment. Its value may extend to other countries and settings.

The role of nursing in caring for patients undergoing palliative surgery for advanced disease

2015 ◽  
pp. 793-801
Author(s):  
Anna Cathy Williams ◽  
Betty R. Ferrell ◽  
Gloria Juarez ◽  
Tami Borneman
Keyword(s):  
Palliative Care ◽  
Advanced Disease ◽  
Palliative Surgery ◽  
Team Members ◽  
Health Team ◽  
Disease Trajectory ◽  
Rapid Pace ◽  
Role Of Nursing ◽  
Traditional Setting

Although newer in the traditional setting, palliative care and surgeries are emerging at a very rapid pace. As the path of the surgeon, the patient‘s disease trajectory, and the path of palliative intervention overlap, it is possible for professional and personal conflicts to arise, with negotiations needing to take place. Surgeons and palliative care colleagues, along with other health team members and patients, will need to collaborate on a very intimate level, and often.

Pain at the end of life

2015 ◽  
pp. 135-153 ◽  
Author(s):  
Judith A. Paice
Keyword(s):  
Palliative Care ◽  
Treatment Plan ◽  
Treatment Options ◽  
Critical Role ◽  
Palliative Sedation ◽  
Intractable Pain ◽  
Cancer Therapies ◽  
Nurse Assessment ◽  
Pain Care

Pain is highly prevalent in palliative care, yet the majority of individuals can obtain good relief with available treatment options. An awareness of barriers to adequate pain care allows palliative care nurses to assess for and to plan interventions to overcome these obstacles when caring for patients. Advocacy is a critical role of the palliative care nurse. Assessment of pain, including a thorough history and comprehensive physical exam, guides the development of the pharmacological and nonpharmacological treatment plan. Pharmacological therapies include nonopioids, opioids, coanalgesics, cancer therapies and, in some cases, interventional techniques. Intractable pain and symptoms, although not common, must be treated aggressively. In some cases, palliative sedation may be warranted.

The critical role of nursing in successful opioid withdrawal in chronic non-cancer pain

2005 ◽  
Vol 6 (3) ◽  
pp. S55
Author(s):  
J. Cronin ◽  
P. Dokken ◽  
L. Newell
Keyword(s):  
Cancer Pain ◽  
Critical Role ◽  
Opioid Withdrawal ◽  
Role Of Nursing

The Role of the SLP in Autism Spectrum Disorder Screening and Assessment

2008 ◽  
Vol 15 (2) ◽  
pp. 50-59 ◽  
Author(s):  
Amy Philofsky
Keyword(s):  
Language Development ◽  
Critical Role ◽  
Children With Autism ◽  
Autism Spectrum ◽  
Children With Asd ◽  
Prevalence Estimates ◽  
Notable Increase ◽  
Screening Assessment ◽  
Critical Components

AbstractRecent prevalence estimates for autism have been alarming as a function of the notable increase. Speech-language pathologists play a critical role in screening, assessment and intervention for children with autism. This article reviews signs that may be indicative of autism at different stages of language development, and discusses the importance of several psychometric properties—sensitivity and specificity—in utilizing screening measures for children with autism. Critical components of assessment for children with autism are reviewed. This article concludes with examples of intervention targets for children with ASD at various levels of language development.

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