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 UK,1967
• London
The
USA,1970s
• New York
Worldwide
• Health
care
system
THE INTEGRATION OF PALLIATIVE CARE
WHO CAN RECEIVE PALLIATIVE CARE?
• Advanced cancer
• Advanced diseases with poor prognosis
• Severe cortical dementia or change in mental status
• HIV or AIDS
• Patient, family or caregiver’s stress
• Uncertain goal of care
ATTRIBUTES OF PALLIATIVE
CARE
• Personally holistic care
• Provide counseling until bereavement
support to caregiver
• Viewpoints and visions
• Effective communication
Patient-
centered care
Family
support
Effective
communication
Interdisci
plinary
team
work
A PALLIATIVE CARE TEAM
Patients &
Families
Nurses
doctors
pharmacists
therapists
Psychologists
Social
workers &
priests
THE EFFECTIVENESS OF PALLIATIVE CARE
Health care system
Improving quality of care Reducing cost of care
Family
Healing of relationship Improved bereavement outcomes
Patient
Relief of suffering Improving Quality of life
BARRIERS OF PALLIATIVE
CARE SERVICES
1. Cultural attitudes towards death and terminal care
2. Lack of knowledge and misunderstanding about palliative
care
3. Lack of communication skills in palliative care team
4. 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), 452-459
• World Health Organization (2016). WHO definition of palliative care. Retrieved
from http://www.who.int/cancer/palliative/definition/en/

Introduction to Palliative Nursing Care

  • 1.
    INTRODUCTION TO PALLIATIVE NURSINGCARE Duangrat Monthaisong MSN, RN, Doctoral Student
  • 2.
    WHAT HAPPENED INHEALTH 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)
  • 3.
    DEFINITION OF PALLIATIVECARE - 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)
  • 4.
    HISTORY & DEVELOPMENTOF PALLIATIVE CARE The UK,1967 • London The USA,1970s • New York Worldwide • Health care system
  • 5.
    THE INTEGRATION OFPALLIATIVE CARE
  • 6.
    WHO CAN RECEIVEPALLIATIVE CARE? • Advanced cancer • Advanced diseases with poor prognosis • Severe cortical dementia or change in mental status • HIV or AIDS • Patient, family or caregiver’s stress • Uncertain goal of care
  • 7.
    ATTRIBUTES OF PALLIATIVE CARE •Personally holistic care • Provide counseling until bereavement support to caregiver • Viewpoints and visions • Effective communication Patient- centered care Family support Effective communication Interdisci plinary team work
  • 8.
    A PALLIATIVE CARETEAM Patients & Families Nurses doctors pharmacists therapists Psychologists Social workers & priests
  • 9.
    THE EFFECTIVENESS OFPALLIATIVE CARE Health care system Improving quality of care Reducing cost of care Family Healing of relationship Improved bereavement outcomes Patient Relief of suffering Improving Quality of life
  • 10.
    BARRIERS OF PALLIATIVE CARESERVICES 1. Cultural attitudes towards death and terminal care 2. Lack of knowledge and misunderstanding about palliative care 3. Lack of communication skills in palliative care team 4. Unequal palliative care coverage
  • 11.
  • 12.
    THANK YOU FORATTENTION so that our children can enjoy the same resources and beauty that we have for generations.
  • 13.
    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), 452-459 • World Health Organization (2016). WHO definition of palliative care. Retrieved from http://www.who.int/cancer/palliative/definition/en/