Reflection On Palliative Care

Improved Essays
I am coming to understand more and more the difference in care that is required for a client who focus of care is palliative compared to someone who health focus is maintenance of illness or cure of illness or injury. In my practice experience at KBRH I have had the opportunity to care for both palliative and non-palliative clients and not only recognize the shift in care, but the understanding around the different types of care. Particularly in the shift to palliative. For example where pain medications are given in greater dose and longer term without concern for addiction or tolerance, or where family may need more care and teaching than the clients, particularly at the end.
The focus comfort through emotional support, physical
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I cannot myself comprehend what a person may be experiencing after finding out they their life now has an expiry date much sooner than anticipated. Understanding that this change in a person’s life can greatly affect their emotional wellness and quality of life can help plan out what priorities are most important in providing care for an individual who focus is no longer on fighting illness about but on comfort, emotional wellness, family support, reduce symptoms of illness.
Another key point I took away from today’s SIM was the importance around teaching and educating the client to ensure they understand what is happening in their health experience. Being transparent about changes, procedures and outcomes (disease trajectory) can enable a client to make decision about their own care and plan (with family, nurses, HCPs) for their future care when they are no longer able to communicate their needs or desires. Transparency and teaching within palliative care also empowers the family to be involved in understanding and participating in caring for the
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I felt as if nothing was making sense and I was not formulating good nursing decisions during my part of the SIM. I definitely feel that it more challenging to care for a client who is agitated and “grumpy”. In reflection of my share of the SIM, I feel like the behavior of the client pulled my away from focusing on my assessment (respiratory). The state in which I felt today in SIM was good reflection that regardless of how I am feeling, that it important for me to maintain my focus and having a partner to work with is a good idea. Support and collaboration can ensure that the care of the client is not compromised because I am not functioning at my best. I can use this in practice for example if I am not able to meet the needs of my client or challenged to find an alternative nursing intervention besides the ones I have tried, that collaborating with other nurses can help ensure adequate care is maintained, as well as I can learn new information that will develop my knowledge of nursing interventions.
Moving forward in my nursing practice, I can start to look at palliative clients health history experience and start to figure our what pieces of data become no longer salient in my decision making when a client’s care focus is palliative and the decisions about care are entirely up to the client about what they want to retain dignity, respect and comport that is means free of pain and any other

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