Physical and Psychological Domains of Palliative Care

Physical and Psychological Domains of Palliative Cargonstrong-arm AND PSYCHOLOGICAL DOMAINS OF PALLIATIVE CARETaking grapple of critically light forbearings is challenging task and it needs proficiency. Its very difficult to shargon a family and terminally aguish enduring without any proper companionship. To exculpate the problems and handle the difficult situation during mitigative contend is proper fostering and kat onceledge slightly mitigatory safekeeping. It also needs proper prepare and experience for caring terminally ill patient. harmonise to Kaasa Loge, (2003) in mitigatory care quality of behavior is the basic and central concept. Quality of purport is has been used in vast concept which includes physical, mental, unearthly, and social life of a patient.it is an approach to improve the quality of life of patient who come cross slipway life threatening disorder for example pubic louse. The main purpose of alleviatory care is hiatus from anguish or to early recognition of symptoms as early as possible. During my alleviatory clinical rotation I ease up encountered a 60 years old, female patient who was diagnosed with liver locoweedcer stage III. Patient was exactly on palliative care she had not received any chemotherapy or radiation. Now she was admitted in hospital for run stern fluid and for pain management. When I was taking history of patient I came to know that patient was disquieted about her condition and she was unmindful(predicate) about her diagnosis and prognosis. She was very depressed and anxious about her health. She was uneffective to do her mundane routines delinquent to abdominal distention, pain and tenderness. Furthermore she was physically very weak. temporary hookup taking care of patient I free-base all four domains of palliative care in my patient which includes physical, psychological, emotional, religious and sociocultural. But physical and psychological domains were the most effected domains in my patient. In this paper I willfocus on physical and psychological domain of palliative care. In literature it is declared thatPalliative care is aimed at improving the quality of life for patients and their families who are confronted with life-threatening illness by providing support and care for pain, physical symptoms, psychological and social stress, and spirituality.(Weiner et al, 2013). While taking care of patient I realized that patient was suffering from pain. Some other physical symptoms which are present in patient are abdominal distention, general weakness, abruptness of breath, fatigue, and loss of appetite. According to Skevington eminent (2003) pain, fatigue, general weakness, loss of appetite, nausea, vomiting are the common symptoms in raftcer patients. Furthermoreit is stated inClinical practice guidelines for quality palliative care (2008) regular, ongoing sagaciousness of pain, nonpain symptoms (including exactly not limited to shortness of br eath, nausea, fatigue and weakness, anorexia, insomnia, anxiety, depression, confusion, and constipation), treatment berth effects, and functional capacities should be documented through a systematic process.in sheath of my patient due to abdominal distention she had pain, feeling fullness and shortness of breath. To repose from pain first I encourage patient to see deep breathing and staff inserted drain to drain out ascetic fluid. After draining 1000 ml fluid she felt relief from pain. In appurtenance in mypatient due to nausea and anorexia she has low appetite. refer suitable to poor intake she felt lethargic and unable to do her daily activities. Therefore I encouraged patient to eat frequently but in small amount and I also educate her incident about the importance of proper nutrition.The second important domain touched in my patient was psychological domain. Due to physical deterioration by and large patient become frustrated of their life and do not privation to live furtherand end up with sadness, loneliness, anxiety due to hospitalization and they worried about the prognosis of disease. My patient also faced above bring uped problems as she did not know about her prognosis and she was worried about imperfect symptoms likeabdominal distention, pain, fatigue and general weakness.Furthermore in case of my patient she was worried because she was unmindful(predicate) of her diagnosis.When I was taking history her attendant said that we did not fall in the diagnosis to the patient because she already worried about disease. As either patient has right to know about their diagnosis and their disease process. According to Jhordy et al (2007) physical weakness and impairment disturb most aspects of life like psychological, social, informal, spiritualand other daily activities of life. Due to limitations in activities patients at the mellowed risk of psychological problems. Therefore most of terminal patients think that they are dependent on famil y and they burden on their children and spouse. In literature it is stated that mood disorder, anxiety, and depression are coexist with advanced illness. Psychological hurt with terminal ill patient is very common in palliative care setting. Patients response in different ways to show the depression, for example sadness, fear and grief in different stages of their advancing disease.35 to 50 % of hindquarterscer patient experience psychological problems. The experience of psychological problems effect on an individual coping mechanism with illness, physical symptoms and on their treatment. (Kelly,Chonchinov McClement, 2006).Therefore its very important to tax the psychological problems of patient to take a shit a quality care and is as important as to assess physical condition of patient. It is also stated in above mention member. That we should educate patient about different psychologist, social groups who support them. To relief from stress I also encourage patient to verbali ze her feelings and encouraged her to take deep breathing. We also arrange an activity that we gathered very(prenominal) diagnose patient and encourage them to verbalize their feelings and I also impart a paper to express her feelings on paper. After activity patient mentioned that she felt better and it effects positively on patients.In addition I spend most of the time with patient to encourage her to express her feelings and I also educate her attendant to support her and spend time with her.The challenges that I faced during clinical were to communicate the prognosis of disease. Because patient was unaware of her diagnosis and their family did not want to tell the patient bout her diagnosis. Therefore due to this reason I was unable to communicate the disease process justly and it hinders me to apply the concept of palliative care. Furthermore due to lack of resources I was unable to pay off holistic care.As a nursing savant I want to recommend that palliative course should be required in the nursing school and medical, so they can provide knowledge about end of life.There should be proper training for students so they can advantageously handle the difficulties while taking care of terminal ill patient. Its not important to wee palliative care to only terminal patient but its our responsibility that from the diagnosis we stomach to taking care of patient. On institutional level different seminar should be arrange to give awareness about the palliative care. In addition we can arrange different sessions for patients and families to give awareness about palliative care and disclosure of life threatening diagnosis.it also important to give proper training to the staff of health care system so they can give comfort and help the patient to end up with a peaceful death. There should be a separate hardship room for families so they express and spend last time with their patients. merely there should be a palliative care team so they give proper trainin g to staff ongoing basis to carry through competency in palliative care.According to Ramjan et al (2010) palliative approach can improve comfort and dignity of patient through the early identification and assessment as well as knowing the patientspsychological, emotional, social and spiritual concerns. Furthermore we can give awareness through social media, that everyone can approach aware about the importance of palliative care.Mostly patients want to overhaul in home in the presence and support of family. One of article it is mention that health care provider need to support and give education to the family members on symptom management so they can easily continue care at home also(Luckett et al, 2013).In conclusion, palliative care is very important part of health profession. The basic theme of palliative care is not the treatment of the disease but it is all about to decrease the sufferings of patient.There are different domains in palliative care which are affected due any of progressive disease, such as physical, psychological, spiritual, socio-cultural and sexual domains of life. The most important is physical which disturb other domains of life.Moreover when I ruminate back I realized that overall clinical and palliative care is very beneficial and productive. Now I can easily shuffle theoretical knowledge in a hospital setting. Furthermore now we can educate patients and their family members abut palliative care and be able to assess all domains of health.