Introduction to Palliative Nursing Care Duangrat Monthaisong MSN, RN, Doctoral Student

What happened in health care system?5 to 10 percent of all patients living with advanced illness, chronic illness, or organ failure. 90 million Americans living with serious illness.

(Fletcher and Panke, 2012)

Definition of Palliative Care Palliative care is an approach to care which improves the quality of life of patients and their families facing the problem associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual problems. (World Health Organization, 2016)

History & development of palliative care

The integration of palliative care

Who can receive palliative care?Advanced cancerAdvanced diseases with poor prognosisSevere cortical dementia or change in mental statusHIV or AIDSPatient, family or caregivers stressUncertain goal of care

Attributes of palliative care Personally holistic care Provide counseling until bereavement support to caregiverViewpoints and visions Effective communication

7

A palliative care team

The effectiveness of palliative care

Barriers of Palliative Care Services Cultural attitudes towards death and terminal care Lack of knowledge and misunderstanding about palliative care3. Lack of communication skills in palliative care team4. Unequal palliative care coverage

(Fletcher & Panke, 2012)

Thank you for attention so that our children can enjoy the same resources and beauty that we have for generations.

References Ferrell, B. R., Coyle, N., & Paice, J. (Eds.). (2015).Oxford textbook of palliative nursing. Oxford University Press.Fletcher, D. S., & Panke, J. T. (2012). Improving value in healthcare: Opportunities and challenges for palliative care professionals in the age of health reform.Journal of Hospice & Palliative Nursing,14(7), 452-459World Health Organization (2016). WHO definition of palliative care. Retrieved from http://www.who.int/cancer/palliative/definition/en/