scholarly journals Working Together: An Introduction to Palliative Care for the Medical Interpreter (QI634)

2020 ◽  
Vol 59 (2) ◽  
pp. 518
Author(s):  
Komal D'Souza ◽  
Natsu Fukui ◽  
Helen Fernandez ◽  
Christie Mulholland
Keyword(s):  
Palliative Care ◽  
Working Together ◽  
Medical Interpreter

Cultural Issues in Palliative Care

2018 ◽  
Author(s):  
Sriram Yennurajalingam
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Cultural Differences ◽  
End Of Life Care ◽  
Life Care ◽  
Care Providers ◽  
Cultural Issues ◽  
Medical Interpreter ◽  
Improve Patient

Culture play a significant role in the care of patients receiving Palliative care. Understanding and managing cultural differences in end-of-life care is important as misunderstanding can result in under-treatment and unnecessary suffering for the patient and their care providers. Therefore better understanding can improve patient–physician communication and potentially improve patients’ quality of life, coping, and facilitate patients to make informed decisions and set appropriate priorities with regard to treatment and end-of-life care. This chapter discusses key cultural issues in palliative care, including the concepts of nondisclosure, the importance of the use of a medical interpreter, and the importance of an interdisciplinary team.

scholarly journals Decision-making in paediatric palliative care interpreting

2021 ◽  
Vol 20 ◽  
Author(s):  
Melissa Contreras-Nourse
Keyword(s):  
Decision Making ◽  
Palliative Care ◽  
Single Case ◽  
Real Life ◽  
Medical Professional ◽  
Biomedical Ethics ◽  
Respect For Autonomy ◽  
Paediatric Palliative Care ◽  
Medical Interpreter

The interpreting profession has long used metaphors or rule statements to describe and teach the ways in which practitioners make decisions (Dean & Pollard, 2011, 2018). Interpreting students are also often taught that the context of an encounter will dictate their decision-making by way of statements such as “it depends”. Such pedagogical statements can make talk between a practitioner and a medical professional about the responsibilities of an interpreter during medical encounters difficult. This study is based on the work of Dean and Pollard (2011, 2018) on value-based decision-making and is guided by the four principles of biomedical ethics (respect for autonomy, non-maleficence, beneficence and justice). It has sought to provide evidence of the existence, applicability and usability of these frameworks through a single case study of a real-life appointment in which a parent of a palliative care outpatient and a medical professional communicated during a consultation, aided by a medical interpreter.

Snapshot of an acute palliative care unit in a tertiary cancer hospital

2013 ◽  
Vol 12 (4) ◽  
pp. 331-337 ◽  
Author(s):  
Akhila Reddy ◽  
Marieberta Vidal ◽  
Maxine de la Cruz ◽  
Sriram Yennurajalingam ◽  
Eduardo Bruera
Keyword(s):  
Palliative Care ◽  
The United States ◽  
Palliative Care Unit ◽  
Psychosocial Issues ◽  
Special Report ◽  
Working Together ◽  
Consultation Services ◽  
Specialized Unit

AbstractMost palliative care (PC) programs in the United States provide consultation services that assist the primary medical team with issues ranging from controlling patients' symptoms to initiating end-of-life discussions. This approach may be sufficient to address many patients' needs. However, for certain patients with complex medical and psychosocial issues, a better alternative is a more streamlined approach that can be provided in an acute palliative care unit (APCU), where the PC staff assumes the role of the primary team. An APCU is a specialized unit that delivers highly sophisticated care with professionals from various disciplines working together to improve the quality of life of patients and their families. However, descriptions of the process of delivering PC in the APCU are limited. In this special report, we portray a single day with a series of patients whose care was managed at our APCU to illustrate the unique components of an APCU that allow holistic care for patients with multiple complex medical and psychosocial issues.

scholarly journals NU-14THE PEDIATRIC NEURO-ONCOLOGY AND PALLIATIVE CARE TEAMS: WORKING TOGETHER TO MAXIMIZE MEDICAL AND PSYCHOSOCIAL SUPPORT AT THE END OF LIFE

2016 ◽  
Vol 18 (suppl 3) ◽  
pp. iii137.4-iii137
Author(s):  
Emily Owens Pickle ◽  
Ana Aguilar-Bonilla ◽  
Michelle Richey ◽  
Amie Deak ◽  
Rachel Gray ◽  
...  
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Psychosocial Support ◽  
Palliative Care Teams ◽  
Working Together

Pediatric Hospice and Palliative Care

2019 ◽  
pp. 708-726
Author(s):  
Vanessa Battista ◽  
Gwenn LaRagione
Keyword(s):  
Palliative Care ◽  
Essential Role ◽  
Healthcare Professionals ◽  
Well Being ◽  
Pediatric Palliative Care ◽  
Working Together ◽  
Hospice And Palliative Care ◽  
Family Centered ◽  
Unique Part

This chapter provides an overview of pediatric palliative care, which is a family-centered approach to multifaceted care that focuses on a child’s and family’s well-being along a physical, psychological, emotional, spiritual, and social continuum. Pediatric hospice is a necessary and unique part of comprehensive pediatric palliative care as it can be provided simultaneously with curative treatment through the provision of concurrent care. Pediatric palliative care is best delivered by an interdisciplinary team of healthcare professionals working together to effectively communicate with families, provide excellent pain and symptom management, and support children and families in making decisions that are best for them. The goal of pediatric palliative care is to relieve suffering and improve quality of life for everyone affected by the illness of the child, including siblings, parents, grandparents, other relatives, teachers, school friends, faith community, and neighbors, as well as the healthcare professionals involved in their care. Nurses who care for dying children and their families have a unique and essential role, and they need significant personal and professional support and opportunities for ongoing education, as well as for self-care and reflection. Pediatric hospice and palliative care is a rapidly developing field with many opportunities for growth and expansion.

Much Ado About Fried Chicken: Abetting Aspiration or Respecting Autonomy?

2019 ◽  
Vol 28 (3) ◽  
pp. 1356-1362
Author(s):  
Laurence Tan Lean Chin ◽  
Yu Jun Lim ◽  
Wan Ling Choo
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Multidisciplinary Team ◽  
Biopsychosocial Model ◽  
Family Members ◽  
Clinical Decisions ◽  
Goals Of Care ◽  
Complex Needs ◽  
Aspiration Risk ◽  
Patient Centric

Purpose Palliative care is a philosophy of care that encompasses holistic, patient-centric care involving patients and their family members and loved ones. Palliative care patients often have complex needs. A common challenge in managing patients near their end of life is the complexity of navigating clinical decisions and finding achievable and realistic goals of care that are in line with the values and wishes of patients. This often results in differing opinions and conflicts within the multidisciplinary team. Conclusion This article describes a tool derived from the biopsychosocial model and the 4-quadrant ethical model. The authors describe the use of this tool in managing a patient who wishes to have fried chicken despite aspiration risk and how this tool was used to encourage discussions and reduce conflict and distress within the multidisciplinary team.

Project BRAIN: Working Together to Improve Educational Outcomes for Students With Traumatic Brain Injury

2012 ◽  
Vol 22 (3) ◽  
pp. 106-118 ◽  
Author(s):  
Paula Denslow ◽  
Jean Doster ◽  
Kristin King ◽  
Jennifer Rayman
Keyword(s):  
Traumatic Brain Injury ◽  
At Risk ◽  
Brain Injury ◽  
Educational Outcomes ◽  
School Personnel ◽  
Department Of Education ◽  
Health Providers ◽  
Accurate Identification ◽  
Transition Intervention ◽  
Working Together

Children and youth who sustain traumatic brain injury (TBI) are at risk for being unidentified or misidentified and, even if appropriately identified, are at risk of encountering professionals who are ill-equipped to address their unique needs. A comparison of the number of people in Tennessee ages 3–21 years incurring brain injury compared to the number of students ages 3–21 years being categorized and served as TBI by the Department of Education (DOE) motivated us to create this program. Identified needs addressed by the program include the following: (a) accurate identification of students with TBI; (b) training of school personnel; (c) development of linkages and training of hospital personnel; and (d) hospital-school transition intervention. Funded by Health Services and Resources Administration (HRSA) grants with support from the Tennessee DOE, Project BRAIN focuses on improving educational outcomes for students with TBI through the provision of specialized group training and ongoing education for educators, families, and health professionals who support students with TBI. The program seeks to link families, hospitals, and community health providers with school professionals such as speech-language pathologists (SLPs) to identify and address the needs of students with brain injury.

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