Thursday, December 13, 2018
Friday, September 28, 2018
What are the public health challenges to provide (Hospice and Palliative care in Dallas/Fort-Worth)
Hospice and Palliative care improve the quality of life of the
terminally ill patient. It includes pain management, depression management,
Social engagement, spiritual activities, management of symptoms which help to
improve the quality of life but do not attempt to cure the terminal illness.
Hospice and Palliative care does not tend to increase the lifespan
or cure the terminal illness. It helps patients to die with the least pain and
emotional distress. Hospice care also helps families to handle the stress of
loss of loved ones.
Following are Public health changes to provide End of Life Care
1. How
easily End of life care is available to the population:
Percentage of terminally ill
patients who utilize Hospice or Palliative care in the USA is lower than
in many developed countries. In the last few years, Hospice services have
been evolved as Home-based care, Inpatient care, Hospital-based care, and
based in Assisted Living, Nursing home and independent senior living.
Medicare and Medicaid cover Hospice and Palliative care expenses.
2.
Effectiveness Care
Another challenge of public health is the effectiveness of Hospice care. Following questions have to answer to check the effectiveness of Hospice and Palliative care.
- Does
palliative care is adequate to minimize the pain of the patient?
- Does
Hospice care diagnose and treat all conditions which help patients to
improve the quality of end of life care?
- Does
Hospice care reduces the mental stress and improve emotional state of the
patient.
Hospice care in Dallas is easily accessible as it is available in the form of home-based care, Hospital-based care, Inpatient hospice based and based in other institutions like senior living, Nursing homes and Assisted Living.
Tuesday, September 25, 2018
Friday, August 17, 2018
Monday, May 21, 2018
Various aspects of pain management in Hospice Care
Pain management in hospice care is not
just keeping the patient on a heavy dose of analgesics. Normally, Doctors,
trained nurses are involved in this care process to make an end of life less
painful. Hospice care does not encourage any treatment to recover from terminal
illness, but it covers everything which can make the quality of life better.
Physical therapy may be helpful to
overcome muscular pain and making patient independent for movement. This
approach can reduce the pain and improve the quality of end of life.
Occupational therapy can also help to
reduce the muscular pain and improve the ability to perform activities using
upper limbs. This approach can help to improve the quality of life and reduce
the pain in muscles and joints.
Spiritual exercises and practices can also
help to reduce the stress and pain as patient’s acceptance of death improves
with the involvement of spiritual counseling.
Dietitians can also help to make an end of
life experience less painful by planning diet which has a positive effect on
health and reduce any discomfort related to diet.
Sometimes it is not easy to control pain
just by using pain medicines. With the involvement of Physical therapy,
Occupational therapy, Spiritual counselor, and dietitian can also help
physicians to make an end of life care less painful and better quality.
Friday, February 9, 2018
Significance of discussion on topics which we do not like
Hospice
care in Dallas/ Fort-Worth is evolving. Awareness about the importance of end
of life care is
increasing with the passage of the time.Every life has an end.
Death is a reality which no one can deny but most of us do not want to talk
about the death. Periodically we hear news about the death of some family
members, famous people and friends and we still do not relate it to us. We do
not want to think about our own or immediate family members death. Let us
consider some consequences of the unexpected death of someone close to us.- Emotional Stress
- Crisis of Distribution
of assets
- Question about
Preferences for burial or disposal of dead body
- Crisis of Liabilities
- Crisis of Unresolved
conflicts
- Crisis of Guardianships
A person
who dies leaves behind family members in emotional stress which takes time to
heal up. If we make death a common topic of discussion with family members it
will be less stressful for them to face such an event.
Assets
may include real state, investments, insurance, business and many others. It is
always recommended to write a living will to state distribution and disposal of
all assets.
Advanced
directives include living will and Medical power of attorney. In the living
will person defines what treatment client would or would not receive in case of
medical crisis. A medical power of attorney involves designation of a person to
act on client’s behalf if the client is not able to communicate due to the
medical crisis.
Most of
the people in Dallas/ Fort-Worth believe that they should talk about the end of
life care but only small percentage have documented living will, the Medical
power of attorney and ever talk to their doctor or attorney about it.
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