scholarly journals Exploring Challenges of Hospital Chaplains in Transdisciplinary Teams

2020 ◽  
Vol 5 ◽  
Author(s):  
Stephen A. Spates ◽  
Catherine Y. Kingsley Westerman ◽  
Leslie A. Laam ◽  
Ryan Goke
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Health Outcomes ◽  
Quality Care ◽  
Ability To Work ◽  
Hospital Chaplains ◽  
Communication Challenges ◽  
Medical Health

Hospital chaplains experience obstacles in contributing to team objectives when a part of transdisciplinary teams. This case study explores the communication challenges of membership on transdisciplinary teams for hospital chaplains, using a fictional account based on data from a previous study. Chaplain David Howard is one of three chaplains at Grace Hospital and is assigned to the newly formed palliative care transdisciplinary team. The purpose of this team is to work towards providing quality care to patients in the upcoming integrative medicine wing. Although the team is tasked with improving the quality of life for patients, David notices that his concerns of quality care often clash with his medical colleagues' concerns about improved medical health outcomes. As the team's differing perspectives are revealed, it is evident that their communication is crucial to their ability to work together successfully.

MP72-19 THE IMPACT OF HEALTH RELATED QUALITY OF LIFE ON CYSTECTOMY PATIENTS USING THE MEDICAL HEALTH OUTCOMES STUDY

2015 ◽  
Vol 193 (4S) ◽  
Author(s):  
Brian Winters ◽  
George Schade ◽  
Sarah Holt ◽  
John Gore ◽  
Atreya Dash ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Outcomes ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Outcomes Study ◽  
Medical Health ◽  
The Impact

Utilizing participation in meaningful occupation as an intervention approach to support the acute model of inpatient palliative care

2013 ◽  
Vol 12 (5) ◽  
pp. 409-412 ◽  
Author(s):  
Erin Ashworth
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Treatment Plan ◽  
Occupational Therapists ◽  
Care Practice ◽  
Occupational Performance ◽  
Occupational Participation ◽  
Specific Symptoms

AbstractPalliative care is a model of care that aims to improve quality of life (QOL) for patients and their families/carers who are facing the challenges associated with a life limiting illness (WHO, 2012). Until recently, palliative care has been seen to be largely focused on the medical management of specific symptoms, with little or no consideration given to the patient's occupational identity and goals.Occupational therapy is a profession whose core philosophy is grounded in occupational participation. Occupational therapists have the skills and expertise to incorporate an individual's occupational performance goals into their treatment plan, thereby helping people to participate in personally meaningful occupations, within the limitations of their illness and physical capacity.The present article aims to illustrate (using case-study examples) how personally meaningful occupational participation can better support an acute model of palliative care practice, resulting in better patient outcomes and improved quality of life for both patients and their carers.

Communication Challenges at the Crossroads of Oncology and Palliative Care: Finding a Way Forward When Clinicians Differ on Prognosis

2018 ◽  
Vol 34 (4) ◽  
pp. 241-244
Author(s):  
Molly E. Collins ◽  
Janet L. Abrahm
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Common Ground ◽  
Difficult Situation ◽  
Communication Techniques ◽  
Communication Challenges

In this article, we present a dialogue between a junior and a seasoned palliative care attending on approaching situations in which clinicians have differing opinions about patients’ prognoses. In such situations, we may find a way forward by identifying common ground and exploring patients’ and clinicians’ values. Specifically, we can ask what constitutes a reasonable quality of life for our patients, and we can explore our colleagues’ hopes, worries, and values using familiar communication techniques. Ultimately, we can support and align with both our patients and colleagues and work toward reframing a difficult situation.

Parenteral nutrition complications in palliative medicine

2021 ◽  
pp. bmjspcare-2021-002991
Author(s):  
Zoe Smith ◽  
Emily Sills
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Parenteral Nutrition ◽  
Care Patient ◽  
Fluid Retention ◽  
First Case ◽  
Harmful Effects ◽  
Palliative Patients

Parenteral nutrition in palliative care is contentious, and decisions on starting or continuing its treatment in palliative patients centre on an individual’s preference, balanced with quality of life. This case report describes the unusual onset of pain and agitation secondary to fluid retention, in a patient with metastatic pseudomyxoma peritonei, established on 2.5 L/day of parenteral nutrition. Immediate volume reduction of the parenteral nutrition to 1 L/day successfully reversed the patient’s symptoms. To our knowledge, this is the first case of parenteral nutrition inducing pain and agitation in a palliative care patient. There is no specific internationally acclaimed guidance concerning parenteral nutrition content and volume in palliative patients, due to a lack of high quality studies. This case study highlights the need for further research into parenteral nutrition content and volume in palliative care, to prevent harmful effects from fluid retention, impacting on quality of life.

scholarly journals Nurses Training and Capacitation for Palliative Care in Emergency Units: A Systematic Review

Medicina ◽  
2020 ◽  
Vol 56 (12) ◽  
pp. 648
Author(s):  
Sonia Ortega Romero ◽  
Almudena Velando-Soriano ◽  
José Luis Romero-Bejar ◽  
Keyla Vargas-Román ◽  
Luis Albendín-García ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Palliative Care ◽  
Emergency Services ◽  
Positive Impact ◽  
Quality Care ◽  
Training Professionals ◽  
Emergency Units ◽  
Specialized Team

Background and objectives: Palliative care (PC) prevents and alleviates patients´ suffering to improve their quality of life in their last days. In recent years, there has been an increase in visits to the emergency services (ES) by patients who may need this type of care. The aims were to describe the training and capacitation of nurses from ES in PC. Accordingly, a systematic review was performed. Materials and Methods: Medline, Scopus, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases were used. The search equation was “Palliative care and nursing care and emergency room”. A total of 12 studies were selected. Results: The studies agree on the need for training professionals in PC to provide a higher quality care, better identification of patient needs and to avoid unnecessary invasive processes. Similarly, the implementation of a collaborative model between ES and PC, the existence of a PC specialized team in the ES or proper palliative care at home correspond to a decrease in emergency visits, a lower number of hospitalizations or days admitted, and a decrease in hospital deaths. Conclusions: The development of PC in the different areas of patient care is necessary. Better palliative care leads to a lower frequency of ES by terminal patients, which has a positive impact on their quality of life. Access to PC from the emergency unit should be one of the priority health objectives due to increment in the aged population susceptible to this type of care.

scholarly journals Knowledge and Attitude of Nurses About Palliative Care

2020 ◽  
Vol 7 (1) ◽  
pp. 68-73
Author(s):  
Asia Parveen ◽  
Khawer Sultana ◽  
Ali Waqas ◽  
Sidra Tasneem ◽  
Robina Jabeen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Quality Care ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Cross Sectional ◽  
Job Experience ◽  
Knowledge And Attitude ◽  
One Year

Palliative care enhances the quality of life. To improve the quality of life, it is necessary for nurses to have good knowledge and attitude towards palliative care. It is imperative that nurses provide quality care to terminally ill and chronically sick patients. The present study was designed to assess the knowledge and attitude of medical staff nurses about palliative care in cancer. This cross-sectional, descriptive study was conducted in Mayo Hospital, Lahore and Jinnah Hospital, Lahore with sample size of 300 registered nurses by using the simple random sampling technique. Inclusion and exclusion criteria was used. Data was collected from the nurses who have more than one-year job experience. The statistical analysis results showed that only 43.5% of respondents agree on when the palliative care is needed to be provided. Over all in the study, nurses were less aware about palliative care. Most of the nurses distorted the term palliative care. They become confused about the term palliative care and dying patient care.

Misophonia: An Evidence-Based Case Report

2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Case History ◽  
Pure Tone ◽  
Physiological Responses ◽  
Evidence Based ◽  
Management Option ◽  
Pure Tone Audiogram

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.

Chronic Refractory Cough: A Case Study

2017 ◽  
Vol 2 (3) ◽  
pp. 57-62
Author(s):  
Anna Maria Siciliano
Keyword(s):  
Quality Of Life ◽  
Adult Female ◽  
Chronic Cough ◽  
Treatment Regime ◽  
Speech Language Pathology ◽  
Old Adult ◽  
Language Pathology

This paper presents a successful behavioral case study in treatment of chronic refractory cough in a 60-year-old adult female. The efficacy for speech-language pathology treating chronic cough is discussed along with description of treatment regime. Discussion focuses on therapy approaches used and the patient's report of changes in quality of life and frequency, duration, and severity reduction of her cough after treatment.

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