Palliative care & hope:
Setting goals is integral part of curing patients with incurable disease even if progressive .In patients close to death hope trends to become focused on:
- oBeing rather than achieving.
- oRelationship with others.
- oRelationship with God
It is possible, therefore, for hope to increase when a person is close to death, provided care and comfort remain satisfactory .when little else is left to hope for, it should still be realistic to hope for peaceful death .
Palliative Care center
What is Palliative Care ?
Is an approach that improves the quality of life for patients and their families facing life-threatening illness. This is achieved through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other symptoms. Problems with the physical, psychosocial and spiritual problems are also addressed.
Because family members are also involved in a person's illness, the palliative care team supports them and helps them feel informed, as well.
Palliative Care benefits:-
Improved Quality of life.
Better Pain control.
Improved Management of symptom.
Manage Emotional Stress.
Help Deal with Grief.
Meets Individual Needs.
Components of Palliative Care :
- Pain Management.
- Other symptom Management.
- Physical Assessment.
- Social Assessment-Financial.
- Anticipation of Potential Problems.
- Spiritual assessment.
- Psychological Assessment.
- Referral Process.
- Families/Caregiver Support.
- Palliative care services:-
1- In patient:
Criteria for specialist palliative care:
a- Palliative care mode :
Patient suffering from progressive active disease and not for disease modifying therapy with prognosis more than 3 months , palliative performance status (pps) is more than 40% and patient Does not require acute (ICU) care at the time of starting palliative care services .
b- Acute palliative care :
Referred to H.C.C for symptom management physical, nutritional, social, or psychological for short hospital stay and to be referred back to the primary doctor to continue his treatment (around 15% of beds capacity).
2- Consultation at other hospitals (care at site).
4- One day care (Respite care).
5- Home visit.
Palliative care team:-
- Palliative care doctors.
- Psychologist & Social workers.
- Spiritual advisor.
- Physiotherapist and occupational therapists .
- Clinical pharmacists.
- Alternative medicine specialist team.