With the data that was collected, there was a conclusion drawn that reflected the resident and family member preference of care. This research was based on human understanding of care that they want. 7. Is the method adequate to address the phenomenon of interest?…
The nation 's inner cities and suburbs appear to be racially segregated because of the policies of Federal Housing Administration (FHA) and Home Owners Loan Corporation (HOLC) in the past. The HOLC was signed into law on June 13, 1933 by the request of President Roosevelt. HOLC devised an appraisal system that undervalued neighborhoods that were dense, mixed, or aging. In this appraisal system, the green A area, as the first grade, was a new, homogeneous, and suitable to live in; the blue B, as the second grade, was a “still desirable” places that had “reached their peak,” but was expected to remain stable for many years; the yellow B, as third grade, was a place that was described as “definitely declining”; the Red D, as the fourth grade,…
Siew Tzuh Tang has her expertise in understanding prognosis awareness and preferences of EOL care of terminally ill cancer patients and their family caregivers and longitudinal impact of changes of prognosis awareness and preferences of EOL care on patients’ psychological well-being and quality of life, changes in physician-patient EOL discussion during terminally ill cancer patients’ dying process and its impact on subsequent aggressive or hospice care received before death, family caregivers’ caregiving burden, EOL-care decision conflicts and their impact, and how bereaved family caregivers use internal and external resources to overcome challenges during their loved one’s dying process and in…
In addition to analyzing her own journal, Rena Miller also analyzed Palliative Care at Home Manual and her husband, Jim’s care file which she obtained through the regional health office. When Rena first looked…
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.…
Methods: There were 164 anonymous questionnaires doctors respondents :Doctors H-87, women 79.4% of the median age from 42.2 years. nurse: H-167, 96.5% women, mean age 40.3 years. The goal of this paper…
Hello, Tera~~ Good post this week. End-of-life care interventions must report arrangement and strategy alterations, as well as developments in specific nurse's communication expertise regarding end-of-life conversations. The hospice training and development and diffusion of efforts for the general public and experts in palliative care will affect the growth and acceptance of end-of-life conversations. Also continue to participate in the skills and experience to enhance the level of comfort and the opportunity to foster dialogue and end of life, as well as individual experts, it is important for them to work within the organization. These efforts will not only nurses but also the most important for the doctor (Giovanni, 2012).…
He had his wishes respected, he and his family had support and room to process death, and he went with well-managed symptoms that gave the appearance that he was sleeping when he passed. Unfortunately, I have seen both with my friends and family, as well as patients and families, being deprived of the hospice palliative care services that my grandfather was provided. Although I understand that as a professional I must be mindful of how my opinion might affect a patient’s care, I feel that patients with either life-threatening or life-limiting should be given the opportunity to choose a hospice-palliative care approach. In addition, I hope that I will be able to explore further my knowledge and understanding of hospice palliative care to become a better advocate for patients and continue to improve my nursing practice. Lastly, I believe that my grandfather’s passing marked the start of my life’s journey with death and is one that I will continue to learn and grown on until it is my day to meet him for…
In hospice care, it deploys nurses, doctors, social worker which helps in helping the patients live the life to the fullest. There are benefits of hospice for the patient from what Dr. Gawande explains but the family members would not just accept the situation. They would try to offer the best treatment possible to the patient to extend his life. The only way that more family would opt for hospice care is only when they read official scientific publications which summarizes all the positive outcomes in the patient’s life. The support of the medical community is also very essential for hospice care to spread widely.…
Other variables that influence the interaction are: the hospice patient, patient’s friends and family members, interdisciplinary care team providers (especially hospice nurse providing assistance and education), and the attitude/emotional stability of the caregiver (i.e., anxiety, emotional pain, fear). The outcomes of this protocol will be systematically measured using the following scales: caregiver Quality of Life (QOL) scale scores, State-Trait Anxiety Inventory (STAI) scores, and Problem Solving Inventory (PSI) Scale scores (D’Zurilla and Nezu,…
chance to engage in normal family functions, and gives them social opportunities (Hill and Coyne,2012). These home visits serve to keep an update on any new developing symptoms and any resources that the family might still need. Communication is key during these home visits. Arland et al. (2013) stated, “The home visits enhance the ability of the healthcare providers, to deliver more accurate healthcare information about the child based on current assessments of the child’s need, and to have sufficient time to provide reassurance to the family minimizing the need to transport the dying child to the clinic or hospital”.…
In this qualitative study, ethical challenges within the nursing home is discussed. Researchers Georg Bollig, Eva Gjengedal, and Jan Henrik Rosland focus on a qualitative study to better understand the “phenomenon” from the perspective of the subjects. The purpose of this study is clearly expressed, which provides an understanding of the perception of the nursing home based on the residents and their relative’s point of view, “the aim of this study was to explore what patients and their relatives perceive as a “good life” and ethical challenges in nursing home care including end-of-life care” (Bollig et al., 2014, p. 143). This was done by digitally recording in-depth focus group interviews from relatives and residents. The researchers use human experience through a naturalistic approach, “…they are…
It contributes to greater nurse efficiency and professionalism which helps results in better health outcomes for the patients. EBP is a crucial element of quality care since individual nurses are able to position themselves to provide optimal care to the patients by using the competencies acquired from the practice (Polit & Beck, 2010). Patients will often have an improved outcome where EBP has been used because it promotes the collection, interpretation and integration of reports from the clients, observations of the practitioner and the research obtained from evidence to give maximum results. As a result, the preferences of the patients themselves, their families and those of the community as a whole are served (Polit & Beck,…
Critique This paper will critique Bramley and Matiti (2014) paper exploring compassion. This article shows the importance of developing and practicing compassionate care whilst in education and also throughout the careers of nurses. The Care Quality Commission (CQC), (2014) stated that reports and recommendations in regards to compassions refer largely to nursing care.…
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.…