Calvary Health Care Bethlehem:

Introduction To Palliative Care

The Calvary health Care Bethlehem is recognized for its expertise on two areas. One is the specialist palliative care service and another one is that it provides a statewide care to those suffering with progressive neurological disease (Abel et al., 2012).

Palliative care is a type of care that is mainly required by the patients who are seriously ill and provision of palliative care to those patients can improve the quality of their life. A serious illness can be tackled properly by the provision of proper palliative care. Palliative care also helps a patient to understand or to take a decision of their own care. The nurses in the palliative care should be able to make the patient comfortable and would help them to achieve the best quality of treatment. A proper palliative care can reverse the illness of a patient. Treatment regimen of some serious diseases like cancer, heart or lung disease, come with excessive pain (Arnold & Boggs, 2015). A proper palliative care can help an individual to cope up with the physical and the mental burden of health due the disease. A palliative care should be able to provide a comfort care to the patient. A palliative care nurses should be able to provide home health aids to the patients. Nurses play an important role in the provision of palliative care to patients (Browning, 2013).

Palliative care has to be initiated right from the point of the diagnosis. The nurses who generally work in the palliative care unit are specially trained, as they have to deal with complex symptoms and pain. A palliative care nurse will be able to support the patient in pain, anxiety, depression, fatigue. It is important for a palliative care nurse to look after the conditions like fatigue, respiratory distress, loss of appetite, constipation and several more. Providing Palliative Care And Neurological Disease Treatment Essay Paper

A nurse working in the palliative care unit helps out a patient to tolerate the medical treatments and also helps the patient to gain more control over their care. Palliative care nurse also increases the self efficacy in patients regarding their treatment. The improving patients are sometimes compelled holistically to undertake self management of the disease (Balboni et al., 2012).

The nurses in the Calvary health Care in Bethlehem, care for the physical, spiritual and emotional needs of the patient. It can be found from the researches that the Calvary health care are capable of providing a wide range of service to the people which includes bereavement counseling, nutrition services, music therapy for the patients under palliative care suffering from depression and anxiety. It can be found that the nurses in the organization are connected with the supporting GP and a primary care team.

The Role Of Palliative Care Nurses

There is a community palliative day care centre, where the nurses are entitled to attend the out patients and provide care to them. The nurses are capable of providing a home based care to patient in case of critical conditions (Browning, 2013). The nurses are often appointed at home for the care of the patient in emergency situations. The nurses of this clinical organization also teach the patients. The nurses in this setting are able to provide palliative care as a service to the inpatients and also at home and in the clinics. The nurses working under the Calvary care strive to maximize the quality of life of the patients (Balboni et al., 2012).

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At the Calvary health care Bethlehem, the nurses help the patient with assistive technologies. The nurses are friendly and provide companionships and supporting care for the patients. As per the reports the nurse also extends hands of help to the patient in accomplishing tasks like shopping and club activities, which cannot be otherwise attended by the patient alone. In a word the nurses teach the patients to become and live the life independently.

The nurses in this health care seting provide services that promote positive ageing and independence in patients. The nurses in collaboration with the physicians also participate in deciding the home care packages for palliative care, such that it serves the values and the goals of the requirements. The nurse are responsible for setting up the services, source the needful products. The nurse also helps to make referrals and also helps the patient’s family to prepare the proper budget for the treatment.

According to (Balboni et al., 2012) a palliative care nurse should be able to communicate with the other members of the multidisciplinary team such as the physicians, chaplains, social workers. The palliative care nurses in the Calvary health care distinguish from the other nurses as they have to focus more on the end of life care. A nurse in a palliative care setting should be able to blend her strengths of medical education and emotions to address the spiritual needs of the palliative care patients. As discussed by the author Arnold & Boggs, (2015), a palliative nurse should be able to collaborate in the cultural assessment of the patient in order to provide them with a care that is culturally sensitive (Peters et al., 2013).

It is evident from the sources of websites of Calvary health care, that most of the nurse that has been appointed in this setting are well qualified and are efficiently skilled having specific degrees on their field. All the nurses are registered and enrolled, having associate degree, baccalaureate degree or master’s degree level (Arnold & Boggs, 2015). It means that they are experienced are well aware of the National standards of nursing conduct. It is expected that this nurses have suitable knowledge regarding the codes of ethics of nursing.

Services Provided By Calvary Health Care Bethlehem

There are set of fields in nursing which have direct application in palliative care nursing practice. The set of fields includes – management of symptoms and pain, processes of end age disease, Psychosocial care, provision of care that is spiritual and culturally sensitive, Issues regarding loss and grief, Bereavement care, Legal and ethical considerations, Communication skills with the patient, patient’s family and the doctors, Interdisciplinary collaborative practice, Awareness regarding the community resources.

LGBTI is normally used as an acronym to describe the people with diverse sexual characteristics. The members of the LGBTI community may include the transgender, gay or the lesbian persons. These people suffer from several issues that are related to their identity and social experience (Brennan et al., 2012).  All though the world have progressed a lot in the field of science and  in dealing with people with diverse sexualities, this condition is still  being  stigmatized in our society which directly affects their physical and mental well being (“Advance care planning and palliative care – Building inclusive services: Rainbow eQuality – Department of Health & Human Services, Victoria, Australia”, 2017).

While dealing with the LGBTI community, it is necessary for the nurses and the health care professionals to be aware of the type of issues faced by the members of the LGBTI community (Quill & Abernethy, 2013). Being a member of the minority sexual group affects the patterns of health. During the health consultations it is not that all the people confess their sexual orientation voluntarily. Health care professionals are sometimes not comfortable to provide service to the LGBTI individuals (Brennan et al., 2012). An ethical health professional should not discriminate between his or her clients, be it related to the socio-economic status or sexuality of the patient.

There are certain recommendations that can help the government from achieving the goals to provide an indiscriminate health service to these groups of people (“Advance care planning and palliative care – Building inclusive services: Rainbow eQuality – Department of Health & Human Services, Victoria, Australia”, 2017)

There should be a single anti discrimination policy for this group of people and should be developed for all the units of the Universities. The Provost, presidents and the vice- presidents should inform the community about this policy, who to be contacted if any such problem is faced and the disciplinary action that should be undertaken. All the government policies, legislations, standards, regulatory mechanisms should cater to the well being of the LGBTI community (Gendron et al., 2013).

Supporting The LGBTI Community

Knowledge regarding the diverse nature of the human sexuality and the policies should be imparted to the faculty, students and all the staffs. There should be new orientation program for the newly appointed staffs. Ongoing support should be provided to these classes of people in handling issues regarding their sexual identity. There should be a consumer directed care service model, which will help the aged care people of the LGBTI community to access their needs of care. Providing Palliative Care And Neurological Disease Treatment Essay Paper

The needs and the rights of the older LGBTI people, the families have been included in the recommendation for the development of Australian Government aged care policies.

It is necessary to discuss openly regarding the needs and wants of these people for their well being. It can be recommended to consider the older people in the development and the evaluation of the aged care services and programs (Gendron et al., 2013).

Empowerment- It is necessary to inform the families of the older people about their sexuality and about the treatment plan for proving a patient centered care to the people. It should be noted that the diversity between the LGBTI communities should be celebrated and acknowledged. One thing should be noted that it will be totally upon the LGBTI people whether they want to disclose their sexuality or not.

Equity an access- all the aged care services should contain an environment that is LGBTI inclusive. It is recommended to watch that the planning of the aged care is consumer oriented. Palliative care services should be nondiscriminatory in nature. It can expected that an aged care service should be able to provide a consumer directed care to the patients of the LGBTI community that will address the ethnicity and the cultural background of the people of the LGBTI community (Bristowe et al., 2017).

Recommendations have also been made such that the LGBTI communities living in the geographically isolated areas get access to the care continuum. A recommendation has also been given to provide a home support to the aged community of the LGBTI people. It depends on the wish of the LGBTI to live independently or in a community care (Harding, Epiphaniou & Chidgey-Clark, 2012). Proper care and support of quality would meet the needs of the LGBTI people and their families (Reygan & D’alton, 2013).

It is recommended that aged care services as per the policy should be able to provide a standard, welcoming, confidential and a culturally stable environment to the LGBTI people. It is recommended that all the aged care workers should be properly skilled and should be able to challenge the negative stereotypes to serve the LGBTI people (Bristowe et al., 2017).

Recommendations For Aged Care Services

All the policies and the regulations for the LGBTI community should be based on current researches and should be evidence based.

There should be necessary and advanced tools suitable for an aged care facility. It can be recommended to strengthen the base of the LGBTI community by developing a proper work force. The work force of the aged care facility clinic should be developed through partnership with the aged care provides and the peak organizations for meeting the demands of the LGBTI community.

Inclusion of the same sex partners in the process of decision making is important for the patient of the LBTI community suffering from serious illness. Further it can also be said that involvement of the partners and the family is also necessary in providing an appropriate care to the patients (Bristowe et al., 2017).

A CDC funded multidisciplinary expert panel gave recommendations to develop best practices in cancer care (Burkhalter et al., 2015). Recommendations were made in domains like- 1. Cancer prevention 2. Cancer screening 3. Cancer diagnosis 4. Treatment 5. Survivorship 6. Palliative care 7. Public health.

References

Abel, J., Walter, T., Carey, L. B., Rosenberg, J., Noonan, K., Horsfall, D., … & Morris, D. (2013). Circles of care: should community development redefine the practice of palliative care?. BMJ supportive & palliative care, bmjspcare-2012. https://dx.doi.org/10.1136/bmjspcare-2012-000359

  Advance care planning and palliative care – Building inclusive services: Rainbow eQuality – Department of Health & Human Services, Victoria, Australia. (2017). Www2.health.vic.gov.au. Retrieved 6 November 2017, from https://www2.health.vic.gov.au/about/populations/lgbti-health/rainbow-equality/building-inclusive-services/advance-care-planning-and-palliative-care

Arnold, E. C., & Boggs, K. U. (2015). Interpersonal Relationships-E-Book: Professional Communication Skills for Nurses. Elsevier Health Sciences. https://books.google.co.in/books?hl=en&lr=&id=7DAxBgAAQBAJ&oi=fnd&pg=PP1&dq=role+of+nurses+in+palliative+care&ots=uYswI-yCZr&sig=UtXEynNdocu6es87Js8D86rtLt0#v=onepage&q=role%20of%20nurses%20in%20palliative%20care&f=false

Balboni, M. J., Sullivan, A., Amobi, A., Phelps, A. C., Gorman, D. P., Zollfrank, A., … & Balboni, T. A. (2012). Why is spiritual care infrequent at the end of life? Spiritual care perceptions among patients, nurses, and physicians and the role of training. Journal of Clinical Oncology, 31(4), 461-467. https://ascopubs.org/doi/abs/10.1200/jco.2012.44.6443

Brennan, A. M. W., Barnsteiner, J., de Leon Siantz, M. L., Cotter, V. T., & Everett, J. (2012). Lesbian, gay, bisexual, transgendered, or intersexed content for nursing curricula. Journal of Professional Nursing, 28(2), 96-104. https://doi.org/10.1016/j.profnurs.2011.11.004

Bristowe, K., Hodson, M., Wee, B., Almack, K., Johnson, K., Daveson, B. A., … & Harding, R. (2017). Recommendations to reduce inequalities for LGBT people facing advanced illness: ACCESSCare national qualitative interview study. Palliative Medicine, 0269216317705102. https://doi.org/10.1177/0269216317705102

Browning, A. M. (2013). CNE article: moral distress and psychological empowerment in critical care nurses caring for adults at end of life. American Journal of Critical Care, 22(2), 143-151. https://ajcc.aacnjournals.org/content/22/2/143.short

Burkhalter, J. E., Margolies, L., Sigurdsson, H. O., Walland, J., Radix, A., Rice, D., … & Cahill, S. (2016). The National LGBT Cancer Action Plan: A White Paper of the 2014 National Summit on Cancer in the LGBT Communities. LGBT health, 3(1), 19-31.  https://doi.org/10.1089/lgbt.2015.0118

Gendron, T., Maddux, S., Krinsky, L., White, J., Lockeman, K., Metcalfe, Y., & Aggarwal, S. (2013). Cultural competence training for healthcare professionals working with LGBT older adults. Educational Gerontology, 39(6), 454-463. https://dx.doi.org/10.1080/03601277.2012.701114

Guarnero, P. A., & Flaskerud, J. H. (2014). Health and Health Research Needs of the LGBTI Community. Issues in mental health nursing, 35(9), 721-723. https://dx.doi.org/10.3109/01612840.2013.879360

Harding, R., Epiphaniou, E., & Chidgey-Clark, J. (2012). Needs, experiences, and preferences of sexual minorities for end-of-life care and palliative care: a systematic review. Journal of palliative medicine, 15(5), 602-611. https://doi.org/10.1089/jpm.2011.0279

Peters, L., Cant, R., Payne, S., O’Connor, M., McDermott, F., Hood, K., … & Shimoinaba, K. (2013). How death anxiety impacts nurses’ caring for patients at the end of life: a review of literature. The open nursing journal, 7, 14. doi:  10.2174/1874434601307010014

Quill, T. E., & Abernethy, A. P. (2013). Generalist plus specialist palliative care—creating a more sustainable model. New England Journal of Medicine, 368(13), 1173-1175. DOI: 10.1056/NEJMp1215620 . Providing Palliative Care And Neurological Disease Treatment Essay Paper