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Palliative Care
care for the seriously ill which is part of cancer care expanded to address comprehensive symptom management, psychosocial care and spiritual support to enhance quality of life focus COMFORT
Hospice palliative care that is delivered at home or a special facility who are approaching the end of life focus QUALITY OF LIFE Both aims to prevent and relieve
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HOSPICE CARE
PALLIATIVE CARE
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5 Stages of Grief
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-"this can't be happening to me", looking for the former spouse in familiar places, or if it is death, setting the table for the person or acting as if they are still in living there. No crying. Not accepting or even acknowledging the loss.
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Anger-"why me?", feelings of wanting to fight back or get even with spouse of divorce, for death, anger at the
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Bargaining-bargaining often takes place before the loss. Attempting to make deals with the spouse who is leaving, or attempting to make deals with God to stop or change the loss. DepressionBegging, wishing, praying for overwhelmingcome back them to feelings of hopelessness, frustration, bitterness, self pity, mourning loss of person as well as the hopes, dreams and plans for the future. Feeling lack of control, feeling numb. Perhaps feeling suicidal.
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Acceptance-there is a difference between resignation and acceptance. You have to accept the loss, not just try to bear it quietly. Realization that it takes two to make or break a marriage. Realization that the person is gone (in death) that it is not their fault, they didn't leave you on purpose. (even in cases of suicide, often the deceased person, was not in their right frame of mind)
Affirms life and regards dying as a normal process Neither hastens nor postpones death Provides relief from pain and other distressing symptoms Integrates the psychological, ethical, legal and spiritual aspects of care
Offers a support system to help patients live as actively as possible until death Offers a support system to help patients families cope during the patients illness and in their own bereavement
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Models of Care
Palliative Care Services operate in one or more of the following ways, reflecting local practice and needs, but there is no right or wrong type of service.
In-patient beds
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Cont.. an in-patient palliative care unit may be part of a hospital or an independent free-standing unit a hospital unit may be either a special ward within the hospital or a separate unit built in the hospital grounds a free-standing unit is physically separate from the hospital, but should still be able to access its staff and services patients may be admitted for symptom management (physical or psychosocial) terminal care short duration rehabilitation/convalescence 4/14/12 to provide a period of respite for family
MODELS OF CARE
services providing specialist advice and support for the family doctors and community nurses managing the patients services providing hands-on nursing and allied health services to patients at home, in co-operation with the patients own doctor
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MODELS OF CARE
Day units
provide care, rehabilitation, support and respite during the day for people
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under care at home, who are still well enough to be transported to and from the Day Care Unit, often by 4/14/12 volunteer transport
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MODELS OF CARE
Has four components to be culturally competent; cultural awareness, cultural knowledge, cultural skill and cultural encounter
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Cultural Awareness
examination of ones own heritage, practices, experiences, religious and spiritual beliefs
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example: to what extent do you believe in life after death?, what kind of death
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cultural competence
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serves as a guide to assist hospice/palliative in providing quality care be careful with assumptions stereotyping
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cultural communication, cultural interpretation and appropriate interventions are required skills tools used focuses on cultural affiliation, values orientation, health-related beliefs and practices, etc.
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HINDUISM
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Transition between previous life and the next Bodies are cremated, during the first 10 days relatives must create a new ethereal body A good death is timely in the right place and
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to God
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Jewish are obligated to visit the sick Most rabbis allow Jews may enroll to hospice
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Religious law imposes no special requirement for medical treatment Buddhists may refuse pain relievers, believed that an unclouded mind leads to a better
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No obligation to postpone death, the attempt to save life is forbidden Impending death is offers a chance to reconcile and ask for Gods forgiveness
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