Quality of Life for the Patient and Family Essay

Quality of life has a different meaning for e very(prenominal)one. Many personal thoughts and aromaings bottom of the inning come into shape when fondness for some others during the ratiocination stages of life. However as a admit and caregiver, these opinions essential be put aside at this significant period. For some sanitaryness care providers, we may feel that keeping the long-suffering comfortable and having them contact by family is most of the essence(predicate). However, for the enduring, personal culture, lifestyle and value for one egotism as well as a sense of independence in handling this time alone is most imperative.Therefor a obligate essential consider the someones past experiences, present lifestyle and personal hopes in which they choose to live in relation to their goals, expectations, standards and concerns at this stage. One must meet non only the physical call for of the patient but the psychosocial demands in this sensitive time of need. Se eking battleful medical treatment vs. palliative care is something that is very personal and differs from individual to individual. Nurses opinions and suggestions of the best care should non be voiced to the patient or family, even if asked in a flash.For Mrs. doubting Thomas, time also plays an important role. She is young and may exact many other worries than those of an older age experience in preparing for end of life. A harbor must consider what areas of life are important to her and what is the relative importance of separately of these areas. Personal perception that counting on family backup is huge, but may not be possible in Mrs. Thomas situation as her children live out of town. STRATEGIES TO IMPROVE grapheme OF LIFEThe support should look at several strategies that directly have-to doe with the patient as well as the family. Quality of life not only looks at the health statusthe patient but those directly involved in the care of the patient. This encompasses a broader set of planning including finances, housing, and employment. This go forth have a direct impact on the entire family. iii important strategies that are sponsorful to relieve overall stress and raise optimal coping skills complicate 1) patient awareness of disease process, 2) on hand(predicate) support from healthcare providers and 3) addressing physical as well as the psychosocial need of the patient. Healthcare professionals must be prepared and speak directly with the patient and family when it is determined best to the physicians ability, that the identified disease of bosom cancer ordain cause death. Advance planning and breeding may be religious serviceful in dying well if Mrs. Thomas is more aware about her status of disease.Physicians and nurses must change the plan of rapacious medical treatments of curing the disease of breast cancer and concentrate providing support and a comfortable well universe of the deteriorating disease process. This in spell s hould provide a plan of care for relief of pain, contentment to the patient and focus on the overall whole being of quality of life.The homecare team up can include doctors, nurses, home health aides, social workers, and clergy as well as trained volunteers. Most team fragments provide on-call 24 hours a day, 7 days a week to deliver support. The patient and family should feel the comfort in calling these resources at anytime. The nurse must prompt Mrs.Thomas and her husband that they are not bothering any team member by asking for assistance. The team must always work unitedly and communicate the patients goals for end-of-life care. It is important for all to realize this is very individualized for each patient and family member. Each individual strategy should include caring for the whole person physically, emotionally, socially and spiritually. It important for the team to widen strengths based perspectives of psychosocial interventions and listen to what the patient and fam ily have to say to enable them to bang better.In doing so, the team must also communicate on each encounter with Mrs. Thomas and family as well as each other to as trustworthy that her and the husbands demand are being met.holistic CAREA holistic nursing care plan in valuable in delivering care to the entire person in support the physical, mental, spiritual, emotional, social andenvironmental needs. With this approach, nursing care needs to move off from viewing Mrs. Thomas as merely a diagnosis and treating her as a whole person. Nursing goals should be to develop immediate pull with the patient and family, provide comfort, ancillary care, and symptom management.This can be striked by effective communication and providing a calm, relaxed setting for Mrs. Thomas. Allowing her to speak openly and candidly about her feelings and emotions of grief, physical complaints such as pain, nausea, and difficulty sleeping is a good way to start to develop a trusting nurse/patient relatio nship. As a nurse, one must be supportive and be willing to listen openly.Once Mrs. Thomas begins to express these types of things, the nurse must review and evaluate every visit to improve limited concerns with her. More importantly, healthcare providers must display an openness to hear forward-looking concerns and prioritize the needs of the patient and family.FUNCTIONAL ABILITYAssessments to maintain the self functional ability for Mrs. Thomas should include creating a plan to achieve realistic goals and allow self care as long as possible. This in turn can give control back to Mrs. Thomas, stand by raise confidence and value her quality of life. Mrs. Thomas physical, social and environmental conditions should also be considered to help her care for herself.Discussing the 24/7 handiness of visits from registered nurses and social workers, involving family and friends or volunteers that can help with running errands and meal preparation for adequate dietary intake, and discus sing appropriate medical equipment to assist with ADLs such as performing personal hygiene can prove to be helpful.PROVIDING redundant CAREWhen self-care is no longer possible, the importance of more frequent nurse and/or social worker visits, and interaction of clergy is valuable. In addition, further affair of additional family, friends, home health aides or volunteers to assist not only with running errands, meal preparation and assistance with ADLs but being present in the home for longer periods to care directly for Mrs. Thomas becomes more imperative.The nurse can assist in making sure appropriate DME equipment is in the home. Inaddition, this turns out to be a time when additional emotional support is of great concern for Mr. Thomas.CHRONIC opinionMr. Thomas already suffers from chronic depression and now has to endure big and continuous stress to care for his wife with advanced breast cancer. everywhere time this takes a toll his health, ability to work, finances, and t heir own personal and family needs. involvement of not only the nurse, but also social worker and ill luck counselor can help Mr. Thomas tremendously. Encouraging him to take his medications will help both him and his wife. Also, reassurance that it is okay to want quiet time and allowing others to help to care for his wife should be verbalized to him in a caring manner.Taking some of the financial worries away from Mr. Thomas may help as well. The social worker can discuss resources that are of no cost from community volunteer organizations and review the reimbursement of covered services from the insurance organization at the beginning and in ongoing care of his wife. sharing the right information with the patients family is very important and can assist in better coping. Again, the home care team must offer an environment that provides the openness to hear all concerns and overall needs of not only the patient but also her family.