Palliative Care for Older People- Free-Samples-Myassignmenthelp

Question: Discuss about the Nursing Care for clients requiring Palliative Care. Answer: Introduction Advanced care planning is an ongoing process which involves process of patients and their families under the primary health cares which shows reflection of values, goals, values and beliefs which shapes the current and future practice. Advanced medical planning is crucial in ensuring that medical care is planned and decision regarding patient health access is determined. Evidential research has indicated that end of life treatment preferences in palliative care centres are often overlooked and at times not available by those providing health care provision for the terminally ill patients, (Brinkman et al., 2014). Ethical issues surrounding the professional obligation among the health care field involves ethical issues such as patient autonomy, which gives the patient the right to accept or refuse treatment offered, (Heyland et al., 2013). In this case ethical dilemma which may arise involve, offering life sustaining approaches like resuscitation and offering assisted dying options, v isavis patient preference. Classical ethical dilemma in this case shows the challenge which a patient can state that they want to die in peace while the health care team can offer life sustaining approach to sustain life and the right to live. However currently, many physician and health care practitioners do not raise such issues for discussion with the patient and often caught being unaware of patient preference. With these view, often many patients and health practitioners find themselves in the dilemma of providing care and end of life termination of the patients. Analysis of Advanced Care Planning Advanced care planning for the elderly is a process which entails critical reflection, discussion and effective communication which enhances the patient ability and decisions making process when they are not able to make proper decision making at ailing time, (Mullick et al., 2013). Thus it is with this essence that advanced care planning involves the fundamental principles of self determination, dignity and minimizing of suffering to the patients. Terminal care patients are at the best opportune chance to benefit to these processes, when involved accordingly. Persons can always opt for this care and choose to end and terminate their life when they dont accept certain choice of treatment and may need peace of mind. Studies on advanced care process have been advanced and studied in various settings with different sets of population. These studies have shown that there is an impact on the quality of life in meeting the patient preference, however there is need for complex interventions which are of assistance to these care, (Parker Clifton, 2016). Legislations with regard to advanced care planning in Victoria have shown that the government is remaining committed to documenting treatment preferences among the patients. This has seen passage of bills such as The Guardian Administration, Act of 1986, Powers of Attorney Act of 2014, Human rights and responsibilities Act of 2006, and all these are geared towards advancing legal framework for advance care planning. Thus critical conversations approaches are not made available to the ailing elderly. Advanced care planning are crucial and beneficial in ensuring health care preference of terminal ill patients are taken care off when they are too unwell to communicate their care preference. As supported by research, families which have done advanced care planning experience minimal anxiety and stress when they are faced with important health care decisions in the course of care. Conclusion Hence with this view, advanced care planning is taking root and the need for proper dialogue which is engaging is paramount. Failure of incorporating advanced care often leads to ethical dilemmas of autonomy and respect t the patient. There is need for involving patients and the health care team in ensuring success of this approach. With the aid of relevant regulatory legislation in support of this practice in Australia, it ensures that patient preference is adhered to. References Brinkman-Stoppelenburg, A., Rietjens, J. A., van der Heide, A. (2014). The effects of advance care planning on end-of-life care: a systematic review. Palliative medicine, 28(8), 1000-1025. Heyland, D. K., Barwich, D., Pichora, D., Dodek, P., Lamontagne, F., You, J. J., ... ACCEPT (Advance Care Planning Evaluation in Elderly Patients) Study Team. (2013). Failure to engage hospitalized elderly patients and their families in advance care planning. JAMA internal medicine, 173(9), 778-787. Mullick, A., Martin, J., Sallnow, L. (2013). Advance care planning. Bmj, 347(7930), 28-32. Parker, D., Clifton, K. (2016). Knowledge into Practice: Improving advance care planning and palliative care for older people in Australia. International Journal of Evidence-Based Healthcare, 14(4), 203.