• Internal Code :
  • Subject Code :
  • University :
  • Subject Name : Nursing

Concept of Nursing: Hospice Care

Table of Contents

Introduction.

Research Problem..

PICO..

Table 2.

Conclusion.

References.

Introduction to Hospice Care

The report that is going to be made in this case primarily deals with the concept of nursing which is called Hospice Care and the way it is going to play a vital role for the curing of the concerned patient’s ailment that also in an effective manner. In addition to this the concerned report also has an in depth account about the intrinsic elements of the concerned treatment (that is Hospice Care in this case). In addition to this the concerned report is going to have an account about the emotional and the spiritual needs that contributes a lot in solving the issues that are associated with the reduction of the pain and the sufferings. In this report the important matter that is going to be discussed is that of the role of the nurse in curing the patients in an effective manner (Lagman,, 2019 ).

Research Problem with Hospice Care

The problem that is associated with the concerned Research work is that: Firstly it deals with the issues or the challenges that the concerned nurse will face when she will induct herself in the hospital scenario from the home care scenario, it also have the problem of the approach that is going to be adopted by the nurse and whether it is going to be effective or not. In addition to this the concerned report is going to have an account about the emotional and the spiritual needs that contributes a lot in solving the issues that are associated with the reduction of the pain and the sufferings. In addition to this there are some problems that are associated with the access of the resources (Rolbiecki,, 2019 ).

PICO(Patient, Intervention, Compares, Outcome)

P ( Patient)

I (Intervention)

C ( Compares)

O ( Outcome)

What are the challenges that are faced in the Hospital Care?

The interventions that are needed for the Hospital care of the hospice patients are as follows: Firstly comes to the aspect of the routine home care, then comes to the Continuous home care, General Inpatient care, respite care and the last one is the determining the level of the care (Meier,, 2019 ).

· In the case of the home care the activities that are associated with the daily life activities get affected at a large extent on the other hand the hospital care does not have any relation with the daily life activities and it is only for the critical case.

· Nurses those who are associated with the Home care can become a good companion of the concerned Hospice patients but in the case of the hospital care that is not the case as the treatment done is quiet professional in nature (Craig, 2019).

The challenges that the concerned nurses face are as follows: Firstly the nurses who is for the first time entering in to the hospital care face problem regarding the adoption of the process.

Secondly the concerned nurse also has the chance of facing the hazards that might come in the workplace.

Thirdly the working hours in the hospital is going to be quite long as compared to the home care scenario and the is surely going to be a challenge for the new nurse.

P

I

C

O

Patient

Intervention

Compares

Outcome

What is going to be the approach change in the Hospital care?

The intervention that is needed for the change in the approach are as follows: Firstly the concerned nurse needs to be fit herself with the framework of the concerned hospital as it is going to help her to perform well, Secondly the concerned nurse also needs to adopt with the long hours duty that is going to be there while serving the hospice patients in the hospital, the concerned nurse needs to adopt the strategies that is used by the hospital for serving in the concerned hospital (Oliver, 2019).

· In the case of the home care the activities that are associated with the daily life activities get affected at a large extent on the other hand the hospital care does not have any relation with the daily life activities and it is only for the critical case (McCormick, 2019).

Firstly the concerned nurse needs to be fit herself with the framework of the concerned hospital as it is going to help her to perform well, Secondly the concerned nurse also needs to adopt with the long hours duty that is going to be there while serving the hospice patients in the hospital, the concerned nurse needs to adopt the strategies (Kaye,, 2019).

Awareness and Misperceptions of Hospice and Palliative Care: A Population-Based Survey Study

Hospice and Palliative care are associated with controlling patients' symptoms and improving quality of life as well as increasing patient satisfaction. Hospice care is a form of palliative care for patients in the last few months of life, despite the many documented benefits of hospital care. Even though many benefits of Palliative care and Hospice care are there, both of this care remains underutilized among the patients. Less than 5% of hospitalized patients go to a palliative care team and less than half of those who die in the United States receive hospital care. The number of Americans living with serious illnesses is expected to double in the coming years, and promoting access and use of rescue and mental care services is becoming increasingly important.

Several factors contribute to the decline in relief and residential services. One of these is the lack of personal knowledge of these services. In two large studies of adults living within the community, more than 70% of participants reported unknowingly self-reported relief care. Studies have shown that patients and spiritual caregivers are unaware of the basic information about hospice care, including how and when to provide hospice care. However, few studies have examined some of the key elements of palliative and ritual care that adults in the community are aware of or unaware of. Identifying this information will help identify the main goals of the public education effort.

In addition to a low level of knowledge about hospice and palliative care, negative misunderstandings can have a negative impact on one's acceptance of these services. Most of the existing studies investigated misconceptions of different patient populations. Previous research has shown that the greater the knowledge of hospice and palliative care, the greater the acceptability of these services. This care is important for raising awareness and overcoming difficulties to increase acceptance. However the key elements of hospice and palliative care are not defined in such a way that community residents are aware of (or perhaps not aware of) specific misconceptions about this type of care (Shalev, et al., 2018).

Effect of specialist palliative care services on quality of life in adults with advanced incurable illness in hospital, hospice, or community settings: systematic review and meta-analysis

Palliative care is usually provided by physicians and other healthcare professionals in all departments (home medicine, cardiology, oncology, etc.). This is known as “general palliative care” and forms the basis of good palliative care for most patients. There is also a significant increase in professional palliative care (professional or professional palliative care). It recognizes a sustainable model of palliative care that is meaningful, effective and important to experts. This study have reviewed randomized controlled trials comparing the quality of life (QoL; preliminary results), pain, and other specialized outcomes in patients with advanced disease specialized here, QoL being understood as a health-related QoL. The main goal of Palliative care is to improve QL by preventing or treating crises at all these levels. This study also try to capture different aspects of QoL (pain, dyspnea, depression, anxiety, mental well-being, satisfaction, etc., but death, social welfare, etc.).

This systematic review was conducted in accordance with the Cochrane Standard in collaboration with the German Cochrane Centre and is based on the PRISMA (Proposed Systematic Review). Consent is reported in the statement. Part of a specific approach to palliative care (e.g., intervention, patient, and definition of outcome) is created through two international action group sensing projects.

A randomized controlled trial was conducted and a cluster randomized controlled trial of adults (18 years old) with implants and standard treatment of outsiders (full text articles and abstractions, no date or language restrictions). In addition, an advanced disease as malignant and non-malignant disease are as well defined which causes general deterioration of health and ultimately leads to death.

Zimmerman and colleagues refer to palliative care professionals as "the services of at least two separate professional health workers who provide or integrate comprehensive care for patients." To improve the quality of life of all palliative care, we did not initially include focus arbitration on a specific aspect only (for example, symptoms such as dyspnea). Studies that assessed professional palliative care in a hospital, shelter, or community setting were eligible for the study in a minority (<25%) of patients treated at home (Gaertner, et al., 2017).

Table 2

Article

Strategy

Effect of Specialist Palliative Care to the patients

The strategy that is followed in order to solve the matter in an effective manner are as follows: Firstly the systematic review is carried out, then comes to the aspect of the treatment that is done as per the Chon crane standard procedure and that in turn helps in solving the complexity of the disease in an effective manner and the last aspect is the development of the Palliative Care unit which is primarily aimed at the specialized treatment and the plays a pivotal role in the recovery of the concerned disease (Oliver, 2019).

Conclusion on Hospice Care 

The fact that can be well concluded from the above conducted study reveals some of the important aspects and they are as follows: Firstly there is a brief but an in depth analysis of the concerned disease that is Hospice disease that some of the aged patients are facing, then comes to the aspect of the cure which includes the factor of the home care by the concerned trained nurse and in that part one of the crucial area of discussion is the social and the emotional needs that plays an important role for the curing of the disease in an effective manner. Then in this report the PICO analysis is also done where the aspects discussed are the: Firstly comes to the aspect of the Challenges that concerned nurse might face while entering in to the Hospital based care and in the second part the report also have the account about the change that is made in the approach (Mulville,, 2019).

References for Hospice Care 

Gaertner, J., Siemens, W., Meerpohl, J.J., Antes, G., Meffert, C., Xander, C., Stock, S., Mueller, D., Schwarzer, G. & Becker, G., (2017). Effect of specialist palliative care services on quality of life in adults with advanced incurable illness in hospital, hospice, or community settings: systematic review and meta-analysis. bmj357, p.j2925.

Kaye, E. C., Gattas, M., Kiefer, A., Reynolds, J., Zalud, K., Li, C., ... & Baker, J. N. (2019). Provision of palliative and hospice care to children in the community: a population study of hospice nurses. Journal of pain and symptom management57(2), 241-250.

Meier, D. E., McCormick, E., & Lagman, R. L. (2019). Hospice: Philosophy of care and appropriate utilization in the United States. UpToDate. Arnold RM (Ed) UpToDate, Waltham, MA. Accessed3(28), 19.

Mulville, A. K., Widick, N. N., & Makani, N. S. (2019). Timely referral to hospice care for oncology patients: a retrospective review. American Journal of Hospice and Palliative Medicine®36(6), 466-471.

Oliver, D. P., Tappana, J., Washington, K. T., Rolbiecki, A., Craig, K., Demiris, G., ... & Ellington, L. (2019). Behind the doors of home hospice patients: A secondary qualitative analysis of hospice nurse communication with patients and families. Palliative & supportive care17(5), 579-583.

Shalev, A., Phongtankuel, V., Kozlov, E., Shen, M.J., Adelman, R.D. & Reid, M.C., (2018). Awareness and misperceptions of hospice and palliative care: a population-based survey study. American Journal of Hospice and Palliative Medicine®35(3), pp.431-439.

Wang, S. E., Liu, I. L. A., Lee, J. S., Khang, P., Rosen, R., Reinke, L. F., ... & Nguyen, H. Q. (2019). End‐of‐Life Care in Patients Exposed to Home‐Based Palliative Care vs Hospice Only. Journal of the American Geriatrics Society67(6), 1226-1233.

Remember, at the center of any academic work, lies clarity and evidence. Should you need further assistance, do look up to our Nursing Assignment Help

Get It Done! Today

Applicable Time Zone is AEST [Sydney, NSW] (GMT+11)
Not Specific >5000
  • 1,212,718Orders

  • 4.9/5Rating

  • 5,063Experts

Highlights

  • 21 Step Quality Check
  • 2000+ Ph.D Experts
  • Live Expert Sessions
  • Dedicated App
  • Earn while you Learn with us
  • Confidentiality Agreement
  • Money Back Guarantee
  • Customer Feedback

Just Pay for your Assignment

  • Turnitin Report

    $10.00
  • Proofreading and Editing

    $9.00Per Page
  • Consultation with Expert

    $35.00Per Hour
  • Live Session 1-on-1

    $40.00Per 30 min.
  • Quality Check

    $25.00
  • Total

    Free
  • Let's Start

Get
500 Words Free
on your assignment today

Browse across 1 Million Assignment Samples for Free

Explore MASS
Order Now

Request Callback

Tap to ChatGet instant assignment help

Get 500 Words FREE
Ask your Question
Need Assistance on your
existing assignment order?