End Of Life Care

Improved Essays
Objectives Upon completion of this power point presentation, the participants should be able to:
Define the meaning of end of life care
Determine the global challenges and innovation of end of life care
Discuss the importance of advance directives and planning
Distinguish palliative care from hospice care
Identify the global role of physical therapy in addressing end of life care

End of Life Care
This sensitive subject, although heart wrenching, is vital to all decision makers to know (patient, legal next of kin, physicians) considering that it may affect the treatment decisions of all participants involved.
End of Life Care In the words of Periyakoil (2012), end of life is often a backward-looking diagnosis. In other words, while
…show more content…
Again, Vermoch (2015, p. 5) illustrated that poor communication between clinicians, patients/families, cultural barriers and medical staff understanding are all challenges in achieving an effective EOLC.
Global Challenges EOLC According to the World Health Organization (WHO), various factors contributes to the hesitancy of EOLC and these are the following: Reluctance to accept death as a natural process, unnecessary medicalization and insistence of defeating the disease (Patel and Kruczynski, 2015, p. SP195). Equally important is the report of Steedman et al. (2014, p. 1613), EOLC is entirely unavailable to low-income nations and if available such as in high-income countries like the United Kingdom, patients with a diagnosis of dementia receives EOLC too late to be efficacious.
Global Innovations of EOLC in Different Countries of the
…show more content…
The research of Mueller and Decker (2011, p. 8) show that a patient-centered outcome approach may help the physical therapist identifies patients that may be appropriate for rehabilitation care and offer rehabilitation services as a treatment alternative for a nonpharmacologic management of pain using various heat/cold modalities and transcutaneous electrical nerve stimulator.
Global Role of Physical Therapy in Addressing EOLC Barawid, Covarrubias, Tribuzio, and Liao (2015, p. 34) made important points that palliative medicine and rehabilitation care are considered to be the two integral part of comprehensive care for individuals with advanced diseases since these interdisciplinary models aim to improve patients level of function and quality of life. Albeit in a global perspective, healthcare legislations of different nations need to understand the benefits of rehabilitation services for EOLC patients to allow allocation of resources to such program.

Related Documents

  • Improved Essays

    Other limitations found in the qualitative studies were a lack of response from physicians in sub-specialties outside of the oncology setting. A larger sample size may provide a more diverse collection of information. Many of the studies reviewed only focus on the physicians’ knowledge of hospice care and their perceived barriers to end of life care. Further qualitative and quantitative studies are needed to investigate the patients’ and caregivers ‘perspective to barriers to terminal care. Failure to incorporate both perspectives creates bias among the literature and leaves out some of the most important knowledge that can be obtained and applied in the area of receiving timely end of life care.…

    • 1635 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    B. The Statutes Legalizing Physician-Assisted Dying The four states that have legalized physician-assisted dying include Oregon, Vermont, Washington, and California. Each state statute specifies certain criteria and procedural safeguards that must be met in order to exercise the right they establish. Of central importance is the definitions attached by the court to the term “terminally ill,” which is the primary requirement for a patient to undergo PAD.…

    • 882 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    These doctors are motivated by their want and need to help people. It is a very complex process to tell someone that they are dying. It comes with acceptance on both the doctor and patient’s sides. The doctor must accept…

    • 1053 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Firstly, If terminally ill cases do not want to live, they should not be allowed to take the valuable beds. Those beds deserve for patients who want to get better. The patients who chose to dead, which means the rights to die. Constitution of the Kingdom of Thailand, 1997 says you should be respected for human dignity and individual liberty, because they were suffered with pain of the hopeless patient, it couldn’t be treated better. There are many cases of mercy killing, for instance; CNN, 2005 found that Terri Schiavo is a case of euthanasia, because she suffered a heart attack with the it total necrosis of cerebral neurons, and a persistent vegetative state, so her husband allowed her to die, her alive with no chance in get better.…

    • 396 Words
    • 2 Pages
    Improved Essays
  • Decent Essays

    This program relates to any person whose condition is deteriorating, indicating that they may be in the last year of their life due to a condition or illness.…

    • 87 Words
    • 1 Pages
    Decent Essays
  • Decent Essays

    The National Consensus Project for Quality Palliative Care (NCP) issued Consensus Clinical Practice Guidelines, now in the third edition.3 The guidelines describe high-quality palliative care practices in eight broad domains: structure and processes; physical symptoms; psychological symptoms; social concerns; spiritual and existential aspects; cultural competency; care of the imminently dying patient; and, ethical and legal aspects of care. These guidelines were endorsed by the National Quality Forum (NQF), along with 38 preferred practices for hospice and palliative care programs.4…

    • 79 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Globally, healthcare organizations, including our facility are constantly in search of quality improvement initiatives to improve the experience of clients, patient outcomes, and the overall quality of care services (Diaz et al., 2010). AB hospital is currently seeking to improve the quality in palliative patient care services through innovation. This BM project is well suited for the vision that the organisation is seeking. Current palliative service model is lacking the policy guideline based on research evidence that could assist the staff to further enhance the valuable service that we are called to serve. Our organisation has served the community since 1950s by providing much needed quality palliative service, even with the limited resources…

    • 547 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    The Australian government sets policy nationally and contributes to health funding, initially through Medicare, the pharmaceutical benefit scheme and private health insurance rebates. The government also funds some services directly and provides payments to state and territory governments for other services delivery. There is different type of approaches for dementia:- A COLLABORATIVE, MULTIDISCIPLINARY APPROACH- There is the need for a collaborative, multidisciplinary approach for to care the dementia patients. The general practitioners and practice or community nurses for coordinating care from diagnosis to end of life care, ensuring patients and family receive the right management and timely information.…

    • 510 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    We understand how hard it is for individuals with terminal illnesses to live life in comfort, and hospice is a special way of showing care for them. Most patients and their families resort to hospice when the curative treatments of their loved ones are no longer an option in managing their health conditions. We deliver our hospice services in a manner which we focus more on the care and not on the cure. Our hospice services are carefully executed and designed to make sure that all of the specialized needs of our patients are addressed. We respect every decision and suggestion of our patients regarding their plan of care.…

    • 144 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Using evidence-based practice (EBP) in health care facilities by all providers, provides patients the maximum opportunity for the highest quality of care and outcomes. However, many clinics and hospital across the nation have been unsuccessful or are unable to fully implement EBP throughout their facilities. Even with unsurpassable evidence about the benefits of EBP implementation, this process is still underutilized throughout the country. No matter the barrier, it is vital that all health care facilities work past their barriers and begin to utilize EBP by all providers (Melnyk & Fineout-Overholt, 2015). To start, even with all the new government mandates involving health care, regulation on implementation of EBP in all health care facilities…

    • 697 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    Terry Schiavo Case Study

    • 1565 Words
    • 7 Pages

    Death and Legal Considerations “Death is both inevitable and irreversible. It is the one personal event that the individual can never report. ”(Riley, 1983 p.192) Riley states in his Sociology Review Article, “Dying and the meanings of Death: Sociological Inquiries.” If I was forced to make an end of life decision I feel it would highly depend on the individual circumstance. In this paper for my final project I will look at problems that arise with end of life decisions, look at legal cases and how they approached the problems and present my decision based on specific circumstance.…

    • 1565 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    Rehabilitation Clinical Observation According to Hinkle and Cheever (2014), rehabilitation is a goal- oriented process that enables people with acute or chronic disorders, including those with physical, mental, or emotional disabilities or impairments, activity limitations and participation restrictions. (p.153) Early, intensive therapies are required for the patient to achieve optimal recovery. Majority of the clients attending a rehabilitation facility are those with stroke, brain injury, neurological disorders, amputation and major multiple traumas.…

    • 1519 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    Quality Palliative Care

    • 560 Words
    • 3 Pages

    True compassion calls us to stand with our suffering brothers and sisters and affirm that they are always a gift and never a burden. Their lives are at every moment worthwhile. As life nears its natural end, the compassionate response to any pain and hardship is good palliative care, not the killing of the patient. The common good of any society depends on the commitment of all citizens to uphold the dignity of every human life at each moment and circumstance.…

    • 560 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    The study is limited in generalizability but could be used by future researchers and practitioners as a discussion point for potential problems encountered during hospice care. Practitioners caring for the patient can initiate discussion and education about the hospice process, which may result in decreased concerns from the patient and their family. Primary care doctor intervention may be especially important for out patient hospice care to be successful. These providers should educate themselves about palliative care and should enlist the help of home or in-patient hospice…

    • 1178 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    Health Care funding, nursing staff and shortness of beds are all big factors for ensuring patients of the hospital and maintaining a hospital. Most people are shocked to think costs of medical procedures was a factor in their life-or-death decisions. Although, unfortunately there is no way to get around the absurd expenses for end of life care in America. When patients come to a conclusion that they will not get better, the treatment doesn’t stop. For example, if you have cancer and you choose to fight it, you’ll fight it until you’ve tried all treatments and you’re still cancerous.…

    • 1452 Words
    • 6 Pages
    Improved Essays