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  • Subject Name : Nursing

Proposals for Improvement in The Clinical Sector

Introduction to The Novel Approach to Palliative Care

Palliative care is useful in improving the health system for sick people who can easily recover from chronic and serious diseases and are connected to their social environment. It is a good system to diagnose the disease, be it curable, long-term diseases and life-threatening diseases for patients, to predict reasonable diagnostic care that is not cancer treatment (1) and that can be predicted at any stage of disease progression, to consider the use of modernised therapies and even more active hospices that could be useful when the disease is no longer curable or undesirable, or a time limit and disease that are predicted for life in a month or less. It plays a crucial role in helping patients and their families focus their illness within their comfort zone.

WHO Reports

According to the report published by the WHO, although it is well known to us, it is managed under the category and serious illness. In 2011, more than 1 million people in America lost their lives despite a hospice program, according to their report, roughly estimated. Also, the gradual increase towards the peak increases of about 35% was accepted or discharged from the date of six days of bed rest, almost 2 / 3 times 62% of patients were discharged from the hospice program within a month or less (2).

Pros

Hospice is a very good active program in health management and differs from the usual care system. More research on this care program, which has a very good effect on the way patients express themselves, especially less depression, feels better under control, the burden of disease and their level of trust improve, if they are afraid of the disease (3), they do not have to worry about cheaper use of health facilities 3, along with risk factors and emergency admissions. The standard life of patients is also sufficiently improved by the vital attention of nursing staff to patients (4). The widely published data is shown that improved care report who are received the treatment from care office especially for NSCLC (Non-Small Cell Lung Cancer) patients to extends normal lives than standard treatment (5).

Cons

Many factors are taken into account when using the hospice system, due to the miscalculation and the purpose and concern for money, insurance facilities and the great mistrust of possible economic reasons (6). Lack of doctor numbers with lifelong conversations and the fear of the hope of an inpatient opinion can also create the hospice career at Hospice Centre (7) and the additional challenge of the uncertainty of medical assessment of patients "prognosis, although they had a good relationship with patients due to a lower degree of uncertainty about the prognosis (8). Also, the lack of experience, the prognosis of the doctor and nurse in front of the patient play a lesser role. Patients have a more optimistic belief that prescribed treatment will help to cure an incurable disease and a very valuable mindset of doctors "lack of awareness of how to deal with therapies (9).

Best Practices

To take this new path, a validation plan integrated into the centres was monitored in advance, prepared together with prognosis studies and discussed with the patients, the planned call to the nursing facility for each of the first three visits and the verified prognosis, the patient's coping strategies and the areas that need to be implemented in their minds (10).

The nurse should be a prepared study within the decision-making capacity to achieve goals that claim to be better hope and care through a positive pathway to the patients at the centre. Palliative care should work toward a broader expansion of the health care system by limiting the abrupt shifts in the health care system. Physicians must have subtle thoughts about the course of the medical system, along with frequent visits to the nursing home and discussions with the evolution of health facilities. They are conducted in a way to identify the common factors that contribute to chronic diseases, along with the use of tools such as predictive techniques such as the score of palliative predictions, a score of palliative flicker death, the mortality rate of the patient must implement much in the area of the Predictive Mortality Tool, which uses data from five months in older adults.

Furthermore, institutions should be careful to implement certain clinical concepts in large-scale care based on hospice care and characteristics, such as emotional care, distress, repeated and long-term admissions, quality measures, etc. Doctors and nurses have trained and trained them in advance as part of their training management.

How people should also be aware of criticising patients and doctors into their life end process to illuminate the perspective. Medical measures in the sense of healing patients for care and life with the neutralisation of family life within the comfort zone are scenarios that put pressure on patients, family and doctors to be able to deal with them. Appropriate palliative measures are associated with rules and regulations for clinical therapy.

Summary of The Novel Approach to Palliative Care

Palliative care should work toward a broader expansion of the health care system by limiting the abrupt shifts in the health care system. Institutions should be careful to implement certain clinical concepts in large-scale care based on hospice care and characteristics, such as emotional care, distress, repeated and long-term admissions, quality measures, etc. Medical measures in the sense of healing patients for care and life with the neutralisation of family life within the comfort zone are scenarios that put pressure on patients, family and doctors to be able to deal with them.

References for The Novel Approach to Palliative Care

Kaprow MG. (2010). Use of hospice care for patients without cancer. Am Fam Physician. 82(10), 1196.

National Hospice and Palliative Care Organization. NHPCO facts and figures: hospice care in America, (2012).

Teno JM, Clarridge BR, Casey V, et al. (2004). Family perspec­tives on end-of-life care at the last place of care. JAMA. 291(1), 88-93.

Gelfman LP, Meier DE, Morrison RS. (2008). Does palliative care improve quality? A survey of bereaved family members. J Pain Symptom Manage. 36(1), 22-28.

Temel JS, Greer JA, Muzikansky A, et al. (2010). Early palliative care for patients with metastatic non-small-cell lung cancer. N Engl J Med. 363(8), 733-742.

Reville B. (2012). Health policy newsletter. Utilization of palliative care: providers still hinder access. http://jdc.jefferson. edu/cgi/viewcontent.cgi?article=1714&context=hpn. Accessed October 22, 2012.

Casarett DJ, Quill TE. (2007). I’m not ready for hospice”: strat­egies for timely and effective hospice discussions. Ann Intern Med. 146(6), 443-449.

Christakis NA, Lamont EB. (2000). Extent and determinants of error in doctors’ prognoses in terminally ill patients: pro­spective cohort study. BMJ. 320(7233), 469-472.

Meier D. (2012). Learning from Amy Berman: barriers to pal­liative care and how we might overcome them. Health Affairs. blog. http://healthaffairs.org/blog/2012/04/30/ learning-from-amy-berman-barriers-to-palliative-care-and-how-we-might-overcome-them. Accessed Octo­ber 22, 2012.

Smith TJ, Temin S, Alesi ER, et al. (2012). American Society of Clinical Oncology provisional clinical opinion: the inte­gration of palliative care into standard oncology care. J Clin Oncol. 30(8), 880-887.

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