Hospice Care Assignment Sample

• 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)

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

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. bmj, 357, 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 management, 57(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. Accessed, 3(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 care, 17(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 Society, 67(6), 1226-1233.

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