Palliative Care

Looking At The Future Expectations Of Palliative Care Nursing Essay

Palliative care is moving through an important period of expansion and development and it upholds a unique position in health care. More people need palliative care than any other health or social care services. This essay will be able to compare and contrast the current practice i.e. hospice and hospital with evidence based research. This essay will explore the history of past present and future of palliative care including the current policy and how palliative care will be in 10 years time. This will also go through the relevance of symptom management and pain control in palliative care.
According to the NHS cancer plan (Department Of Health 2000) every year, over 200,000 people diagnosed with cancer and around 120,000 people die from cancer. Terminal care is an important part of palliative care(National Council for Hospice and Specialist Palliative Care Services (NCHSPC 1995). Palliative care grew from hospice which includes terminal care. The point at which terminal care begins is a subjective decision in the absence of an ability to accurately predict prognosis. How do we distinguish between progression and terminal? The word terminal is negative and passive. Palliative care upholds the principles of life and continuity instead of hailing sadness(Clarck and Seymour1999).

The goal of palliative care is achievement of the best quality of life of the patient and their families(WHO 2005).World Health Organisation (2005) defines palliative as "the active total care of patients whose disease is not responsive to curative treatment. Control of pain ,of other symptoms and of psychological social and spiritual problems is paramount" .The palliative care approach aims to promote both physical and psychosocial wellbeing (Addington and Julia,stated in Fallon M 1996) Palliative care is recognised by individualised, holistic models of care, delivered carefully, sensitively, ethically, and...