Certain incurable conditions like advanced malignancy and end-stage organ diseases are a challenge to health professionals like nurses for several reasons. Besides instituting treatments to manage their symptoms like pain, the nurses also need to take care of other aspects like…
Extension of palliative care services to all patients, including those suffering from non-malignant conditions is a much discussed topic in many countries all over the world. Infact, there is a lot of pressure among health service circles for the provision of palliative care to patients based on their need rather than diagnosis. However, at the same time, there is paucity of practical skills and information as to how support must be provided to patients with non-malignant diseases (Cochrane et al, 2008). In this essay, a critical analysis of provision of palliative care services by those specialists providing palliative care for cancer patients will be done.
According to the World Health Organization (2009), palliative care is “an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual." Historically, palliative care services by specialists were provided to only cancer patients (Addington-Hall et al, 1998). But, actually, even non-malignant patients in terminally ill stages require palliative care services and pressure to service these patients is mounting enormously (Cochrane et al, 2008). According to Addington-Hall (1995), palliative care must be provided to patients based on the need rather than on the diagnosis. This means that even non-malignant patients who quantify for palliative services will need palliative care services. Palliative services for those with non-malignant conditions are sparse when compared with those with malignant conditions (Cochrane et al, 2008). Several needs assessments have proven that those with certain non-malignant conditions in the the long term develop some physical symptoms which burden the patients and their family members along with certain psychosocial needs ...
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It assumes that some situations will require a very fast response, with a clear decision from the highest level, while others will require a slower, more consultative approach, which builds consensus as it goes along. One good feature of the model is that it breaks the task of decision making into a series of simple yes/no questions.
Critical analysis of current provision of specialist palliative care services-5 4. Critical review of other service models which have been or could be developed to meet the palliative care needs of people with non-malignant conditions -7 5. Conclusion-9 Palliative Care for Nonmalignant Conditions 1.
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