Pressure Sores Essay Example for Free

Pressure Sores EssayThe basic philosophy of p altogetheriative cargon is to achieve the best quality of purport for patients even when their illness cannot be cured. Palliative care is provided through comprehensive management of the physical, psychological, social, and spiritual needs of patients, while be sensitive to their personal, cultural, and religious values and beliefs. Hospital palliative care services are often provided through an interdisciplinary team of health care master copys including, merely not limited to Doctors, Nurses, Healthcare Assistants, Psychologists, Social Workers, and Priests. FATIGUEFatigue is a common, distressing and debilitating omen findd by people with cancer. In those receiving palliative care it is probably the most frequently reported symptom and is experienced by more than 90 per cent of these patient. However, it represents the most commonly unrelieved cancer symptom. Cancer related don can have a number of factors that can be dif ficult to establish, however despite these problems advancing look into leave behind help to promote the problem as a palliative care symptom that can be assessed and managed. In patients with advanced cancer, the preponderance rates of mingled symptoms are approximately as follows Pain 89% Fatigue 69% Weakness 66% Anorexia 66% Lack of energy 61% Nausea 60% Dry mouth 57% Constipation 52% Dyspnoea 50% Vomiting 30%. (Donnelly 1995)Defining Cancer-Related FatigueCancer-related fatigue is a complex phenomenon with physical, cognitive and affective methods of expression. A clear understanding of what it means is essential before it can be assessed and managed, or healthcare Assistants are able to discuss it with patients and colleagues. after exploring fatigue from the perspective of patients, Ream (1996) derived the following definition a subjective, unpleasant symptom which incorporates feelings ranging from tiredness to exhaustion, creating an unrelenting overall condition which in terferes with individuals ability to aim to their normal Causes and effects. The causes of cancer-related fatigue is still unknown, and lack of success in treating it at the end of life stage is in part due to this lack of knowledge. part of life is related to symptoms, functioning, and psychological and social well-being, while during end-of-life care, spirituality is a study issue, patients become too tired to participate fully in their roles and activities that profit life meaningful, fatigue therefore significantly affects their quality of life.Patients/Family PerceptionsOne of the barriers to treating fatigue at the end of life may be patients, families and Doctors perception of it as an unavoidable, untreatable symptom (Johnson, 2004).Many people experience fatigue, but studies have shown that fatigue experienced by patients with cancer is more rapid in onset, more energy-draining, more intense, longer- detaining, more intemperate and more unrelenting when compared with typical fatigue.Advance care planning and establishing goals of care are essential because they enhance the turn back patients have over their care and curb autonomy if the patient is unable to communicate their wishes or make decisions at later stages of illness. Patients want a voice in their healthcare, they want to know what to count and how to plan for their treatment and their future. Establishing goals early on for current and future healthcare helps to avoid future unnecessary harm and inappropriate prolongation of dying. It is well recognised that interventions focused on curing dying patients result in increased suffering, with little or no benefit for the patient. This suffering may even exit beyond the patient. Nurses also struggle ethically and emotionally when care for dying patients is focused on technology rather than on comfort and quality of life. In addition, twenty-per cent of patients relatives develop a physical illness in response to the stress of coping w ith their loved ones poor health.Treating Underlying CausesBefore a patients fatigue is simply attributed to the cancer it is important to identify and treat easily reversible underlying physiological and psychological causes of fatigue. For example, this may involve reducing non-essential medications, treating infections, correcting hypercalcaemia and electrolyte disorders or treating pain, depression, sleep disorders or anaemia .A link between fatigue, sleep and anxiety can be readily identified, and the approach to management is a general one. In palliative care, efforts are directed at alleviating symptoms, as well as toward preventing or treating the underlying cause when that is possible interventions should begin with the promotion of sensitive communication, gift patients the opportunity to discuss their fatigue in the context of living with a terminal illness and its impact on their lives , found that enabling patients to talk close to their fatigue both facilitated profe ssional assessment and helped them to explore the meaning of the cancer and fatigue experience for themselves, and for their family and friends.This can help patients regain a sense of gibe and freedom to focus on other important aspects of their lives, so restoring their self-esteem .Patient and family education can be of great value in understanding cancer-related fatigue. Family members may interpret fatigue as a sign that the patient is giving up, when it is actually beyond her or his control. Complementary medicine embodies the principles of palliative care by helping to ease the physical, psychosocial, and spiritual effects of illness. It aims to control symptoms and to enhance quality of life for patients and their families. Relaxation, visualisation, massage and aromatherapy are currently being evaluated as part of a global intervention known as Beating Fatigue. There is already evidence of the beneficial effect of massage and aromatherapy on depression and other symptoms i ncluding fatigue.CONCLUSIONS/EVALUATIONSWhilst childbed this assignment certain words keep coming to mind. Words like empathy, caring, stress, burnout, teamwork many more but I have learned to respect all patients, promote dignity, to be a better team player be confident in my abilities, but mostly I have realised that to advertise a career in any area of palliative care will require more training, more understanding of different patients conditions and there requirements on a daily basis and to be more conscience of the responsibilities of healthcare assistants when caring for all patients. As said previously I will essay further training in this area not only to be of greater benefit to the patients but also to seek training in roughly form of grief counselling to be of greater assistance to relatives and friends of patients, to empathise more and to just be able to listen when needed.Despite the high prevalence of cancer-related fatigue among patients in palliative care, its treatment is less successful than treatment for other symptoms at the end of life. The causes of fatigue in patients with advanced cancer are often unclear, multiple factors may be responsible and little is known about its causes. The specific goals of palliative care are to improve the quality of the last stages of patients lives, control symptoms, and provide support to family members and to pay attention to patients perceptions of purpose and meaning of life.The experience of cancer-related fatigue has a major impact on patients motivation as it means they are unable to undertake physical activities and that they lose interest in activities and life in general. Although it is difficult to conduct research on patients who are highly distressed, have severe symptoms or who are dying, there is the potential for such research to have a therapeutic benefit for those taking part. Providing patients with cancer an opportunity to discuss their feelings associated with symptoms such as f atigue provides information necessary to develop professional understanding and can also help patients to make sense or come to terms with their condition.Future research should focus on determining utile solutions including alternative and complementary therapies rather than on reassessing need. More focused fatigue assessment tools and targeted fatigue interventions for patients at the end of life are required, as is training in fatigue management so that healthcare assistants are more knowledgeable and skilled in assessing and managing fatigue. By understanding the physical, psychosocial and emotional needs of an individuals experience of advanced cancer, palliative care research demonstrates that health professionals can help patients to adapt to living with cancer-related fatigue. Such intervention can empower patients to maintain control over decisions relating to their care and can assist them to understand and find meaning in their fatigue.REFERENCESDonnelly S, Walsh D.(1 995) The symptoms of advanced cancer. Semin Oncol 1995 22(2 suppl 3)6772. Johnson, C. (1992). Coping with compassion fatigue. care for, 22(4), 116, 118-120. Ream E. (2007) Fatigue in patients Nursing Stand.2007 21(28)49-56