Nursing Research

2019 ◽  
pp. 855-860
Author(s):  
Terrah Foster Akard ◽  
Karen Hyden ◽  
Mary Jo Gilmer
Keyword(s):  
Palliative Care ◽  
Healthcare Providers ◽  
Nursing Research ◽  
Ongoing Research ◽  
Care Research ◽  
Research Areas ◽  
Current State ◽  
Research Organizations ◽  
Life Threatening ◽  
Care Nursing

Palliative care nursing research aims to improve care for patients with life-threatening conditions and their families and includes physical, emotional, social, and spiritual domains. This chapter will help guide nurses and other healthcare providers in understanding the current state of nursing research and future directions. Published articles, information from leading palliative care and research organizations, and authors’ ongoing research were used to describe selected components of palliative care nursing research including (a) goals of palliative care research, (b) benefits and challenges in palliative care research, (c) priority research areas in palliative care, (d) palliative care funding source, and (e) preparation of a research proposal. Nurses are in ideal roles not only to provide palliative care at the bedside, but also to serve as leaders in research to advance the science of palliative care.

Palliative Care in the Community

2019 ◽  
pp. 615-623
Author(s):  
Nancy Robertson ◽  
Barbara Sutton
Keyword(s):  
Palliative Care ◽  
Nursing Practice ◽  
Hospital Setting ◽  
Interdisciplinary Teams ◽  
Community Based ◽  
Current State ◽  
History Of ◽  
Future Of Nursing ◽  
Seriously Ill ◽  
Care Nursing

Palliative care, as its own specialty, has grown exponentially within the hospital setting and is now flowing over into the communities where seriously ill people and their loved ones live. But how to deliver this approach is as uncertain as the socioeconomic and political influences currently at play. What is not unclear is the huge opportunity presented for nursing’s impact on this field. Palliative care is nursing at its core. Along with nursing’s long history of serving in the community, the nursing discipline stands to contribute greatly to the success of this specialty. This chapter reviews the current state of community-based palliative care. It looks at the efficacy of the community-based palliative care interventions, the various models being utilized to deliver these services, and the structure as it exists of the interdisciplinary teams providing this care, as well as the reimbursement challenges currently faced. Rules and regulations along with standards governing palliative care nursing practice will be reviewed, and the future of nursing in this arena is discussed.

scholarly journals Palliative Care as a Form of Relief for the Dying: A South African Perspective

Obiter ◽  
2020 ◽  
Vol 41 (2) ◽  
pp. 348-370
Author(s):  
Marc Welgemoed ◽  
Henry Lerm
Keyword(s):  
South Africa ◽  
Palliative Care ◽  
South African ◽  
Community Resources ◽  
Current State ◽  
Life Threatening Illness ◽  
Relief Of Suffering ◽  
Life Threatening ◽  
African Perspective ◽  
State Of Affairs

This article has a critical look at the current state of affairs in palliative care in South Africa. While euthanasia remains unlawful in South Africa, there is only one alternative – namely, palliative care – to mitigate pain and symptoms, make life tolerable, and ease the emotional stress of dying for patients and their families. Palliative care, unlike euthanasia, has always been regarded as a sound medical practice, ethically, morally and legally. The practice the world over includes family, friends and community. However, no system or legislation has been put in place in South Africa to serve as a guideline for end-of-life practices. The focus of this article is to try to establish guidelines through a multidisciplinary approach that includes the family and makes use of community resources to improve the quality of life of patients and families facing the problems associated with life-threatening illness, through the prevention and relief of suffering.

Grief and Bereavement in Perinatal and Pediatric Palliative Care

2019 ◽  
pp. 758-772
Author(s):  
Rana Limbo ◽  
Kathie Kobler ◽  
Betty Davies
Keyword(s):  
Palliative Care ◽  
Teaching And Learning ◽  
Healthcare Providers ◽  
Early Death ◽  
Pediatric Palliative Care ◽  
Chromosomal Disorders ◽  
Team Members ◽  
Parents And Children ◽  
Threatening Condition ◽  
Life Threatening

The diagnosis of a life-threatening condition in a young child (including the unborn) brings staggering grief when the prognosis predicts the likelihood of an early death. The diagnoses range from genetic or chromosomal disorders that will cause death either during pregnancy or shortly after birth to malignancy, severe prematurity, and trauma, among others. Perinatal and pediatric palliative care are discussed from the standpoint of relationship, highlighting nursing care that focuses on a theory of teaching and learning—guided participation. As family members learn to deal with their own and their child’s suffering and physical condition, the nurse joins with them in identifying how relational, task-related, and emotional competencies can be attained and maintained by establishing new goals (regoaling) and hopes. The purpose of this chapter is to discuss grief as a life-long, relational process. The trajectory of grief reflects how survivors of loving relationships maintain closeness and connection, cherishing dear ones who are no longer physically present. The authors highlight grief theory and provide examples of clinical application. Chapter content also includes practical strategies for grief assessment and supporting bereaved parents and children. Finally, the authors focus on how healthcare providers are affected by the intensity of bearing witness to the child’s, family’s, and other team members’ suffering.

Palliative Care for Patients with Mental Illness

2019 ◽  
pp. 503-512
Author(s):  
John D. Chovan ◽  
Betty D. Morgan
Keyword(s):  
Mental Illness ◽  
Palliative Care ◽  
Special Needs ◽  
Ethical Decision Making ◽  
Healthcare Providers ◽  
Interdisciplinary Teams ◽  
Underserved Population ◽  
Persistent Mental Illness ◽  
Life Threatening ◽  
Persons With Schizophrenia

This chapter describes the challenges and special needs for persons living with severe and persistent mental illness as they face chronic and life-threatening illnesses. Healthcare providers, especially those working on palliative care interdisciplinary teams, will learn the magnitude of this underserved population; their circumstances; the special needs of the persons with schizophrenia, bipolar disorder, and personality disorders; and those aspects of their mental illness that limit access to and delivery of appropriate healthcare throughout the trajectory of their illnesses. Techniques for caring for and communicating with patients and their families are offered, as are ethical decision-making advice regarding refusal of treatment, capacity and competence, advance directives, and interpersonal issues.

scholarly journals Psychedelic medicines for existential distress associated with life-threatening illnesses

2022 ◽  
Vol 9 (1) ◽  
pp. 33
Author(s):  
Houman Farzin
Keyword(s):  
Palliative Care ◽  
Altered State ◽  
Psychoactive Substances ◽  
Current State ◽  
Existential Distress ◽  
Life Threatening ◽  
History Of ◽  
Altered State Of Consciousness ◽  
State Of Affairs ◽  
The Right

This presentation will review the history of scientific research into the use of psychedelic medicines for the treatment of existential distress due to life-threatening illnesses, it will then outline the current state of affairs in North America, and conclude with exploring the implications it will have on the future of palliative care. Despite the significant advances in the field of palliative care with regards to symptom management, and pain control in particular, we have yet to devise an effective treatment strategy for individuals facing the existential distress associated with the inevitable reality of facing death. Psychedelic-assisted therapy, which involves the use of various psychoactive substances in the right set and setting to experience an altered state of consciousness, could serve as a powerful tool to alleviate the anxiety that many face after receiving a life-threatening diagnosis.  

The future of palliative care nursing research in Australia

2000 ◽  
Vol 6 (1) ◽  
pp. 32-38 ◽  
Author(s):  
Lesley Wilkes ◽  
Sally Tracy ◽  
Kate White
Keyword(s):  
Palliative Care ◽  
Nursing Research ◽  
The Future ◽  
Care Nursing
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