Psychological Care Of Terminally Ill Patient Nursing Essay

The principles of palliative care and its form of organization of palliative care today declared a new medical specialty. This is not entirely correct. Perhaps it is the oldest profession, as many hundreds of years ago, doctors and nurses did not have any other means other than those that could only alleviate the suffering of patients. A misunderstanding arises from the fact that the formation of many doctors and nurses practicing today, there was an era of dominance of new technologies in medicine, when to assisting terminally ill received very little attention has been paid or not at all. In fact, the new ones are only clinical and scientific discoveries in the field of pharmacology, surgery and radiotherapy, which have been achieved over the past decade. It is these discoveries that can and should be used today to improve the quality of life of terminal patients, as well as the formation of a new attitude to death and dying, and with it the dying patient, put palliative medicine to a whole new level of practical and suggest the formation of a new discipline. Psychological Care Of Terminally Ill Patient Nursing Essay. Modern palliative care also revived a new, known for centuries the benefits of working in a close-knit team of people with different knowledge and skills to ensure a common goal – comprehensive help the terminally ill, which today is called an integrated multidisciplinary approach. World health care organisation defines palliative care as approach that improves quality of life for the terminally ill patients and their families through the prevention and relieve of suffering. It is very difficult to give a definition of human suffering, this feeling is very individual. Suffering is defined as a strong tragic experience associated with events that threaten stable condition and integrity of the individual ( ). Suffering is an independent phenomenon, and it must be distinguished from pain or other symptoms with which it can be combined for a variety of reasons. First, a person is experiencing suffering as a person, as a whole person, body or suffer not mind apart from each other. Second, the suffering may be the result of an imbalance or welfare of any constituent component of personality – physical, psychological, social, cultural or spiritual, and not just the result of pain or other symptoms. Thirdly, there are huge individual differences in the degree of suffering caused by the specific pain or danger. Finally, if during the acute illness and people are suffering as a result of physical pain or other discomfort, it is present to a small extent and is easily overcome. ( ) The 3 principles of palliative that will be discussed in this study will be based on psychological care of terminally ill patient, pain management and family and relative support. Psychological Care Of Terminally Ill Patient Nursing Essay.

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Psychological care of terminally ill patient

Feeling of loneliness, isolation from family, society, and life is generated even in the first stages of the disease. Within the depressive feelings often see patients in a disease peculiar punishment for the wrong life, and sometimes blamed for the fate of injustice. .Alternatively loneliness can only be empathetic close contact with their families and staff. Uncertainty for tomorrow leaking sense of time, doubts about the meaning of life force the patient to seek psychological support. The same feelings are often overwhelmed by family. Again, the main link is the palliative care staff, that creates a comfortable psychological environment. Underlying psychological climate are physical, emotional, intellectual and spiritual contacts. Physical contact offers maximum compatibility with the patient from initial acquaintance, accompanied by a handshake to the next touch. They are manifested in the so-called body language. Light touch of hands can convey feelings and sympathies, and the credibility and approval, but also to stop the patient from the splash vain to calm anxiety, shift attention. It is important to be in the same temporal and spatial field with the patient. Then there is no need for long explanations. Touching the dying is especially important in cancer patients. Ignorance of the aetiology of cancer is often directs people to self-isolation, because they feel “contagious” or “suicide”. Touch gesture can arrest the false systems of disgust or expectations of such feelings in others. Joining the patient to his field can significantly stretch the sense of time and that, at times, the greatest gift we can give to the outgoing person. Even during the comatose state holding the hand helps the patient to cope with fear. Emotional contact is based on a sense of sympathy.

Pain Management

Pain is seen as a component of the disease and is treated along with other symptoms. Such an approach is logical in terms of aetiology and pathogenesis, but it must be admitted that the task of effectively treating pain is often outweighs all other tasks of therapy, and sometimes, unfortunately, is the only one available for the correction of an integral part of the disease, when it is not possible significantly help the patient with everything else. Psychological Care Of Terminally Ill Patient Nursing Essay. Especially the importance of these issues takes a number of categories of patients – chronic rheumatic patients with persistent pain in the joints of patients with malignant tumours in incurable stages. In these patients, the problem of adequate, long-term, effective pain control is recognized as one of the priorities. Pain management and palliative care today is based on new scientific approaches. Both of these areas are still developing, and improving.

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Patient’s family

Family members pass through various stages of adaptation, similar to patient. At first, many of them do not believe. They deny the fact that their relative can be dying. They can seek help and support in fortune tellers and go from one doctor to another. And only gradually come to them direct perception of reality, which is a sharp change in their lives. Depending on how the disease relates to the patient, the extent to which he is aware of the situation and ability to communicate to the family members, faster or slower, too, goes through several stages. If they are able to discuss and make decisions together, the most important issues will be brought under control immediately, without loss of time and without the debilitating emotions. As the patient going through a stage of anger, in the same way the whole family goes through this emotional stage. Their anger might be directed alternately to the doctor who examined the patient before and did not notice the disease, then the doctor who delivered them to the cruel fact. They can direct their anger at the hospital staff, who will never deliver adequate care in their perception. In such a reaction, there is a significant proportion of jealousy, because family members often feel cheated and excluded from a patient who needs their help. Plays a big role and a sense of guilt, the desire to correct or atone for missed opportunities earlier salvation. When anger, resentment and guilt overcome the stage of preparatory grief, family is better able to express the sorrow of death. If family members are able to experience this suffering together, they gradually realize the imminent approach of separation and take her along. The most difficult thing for the family is perhaps the terminal stage, the patient is slowly moving away from the whole world, including the family: they do not understand why dying, finding peace and accepting his death, step by step separates itself from others and even from the most beloved. Psychological Care Of Terminally Ill Patient Nursing Essay.