Non-Malignanat Palliative Care Assignment Example | Topics and Well Written Essays - 1500 words

Non-Malignanat Palliative Care - Assignment Example Introduction 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 emotional support, spiritual care and psychosocial interventions (Arolker and Johson, 2007). Patients who are in terminal stages of life need to be managed in a holistic manner keeping in mind the emotional distress they are going through. Such a care is known as palliative care. 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 supp ort 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. 2. Overview of the needs of people with non-malignant conditions for palliative care According to the World Health Organization (2009), palliative care is â€Å"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 mou nting 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 that are unmet. Some such conditions include certain chronic neurological conditions like multiple sclerosis, end-stage renal disease, chronic respiratory problems like chronic obstructive pulmonary disease and chronic heart problems like dilated cardiomyopathy (Cochrane et al, 2008). The end-stage of life, when the patient and his/he r family members know about the proximity to death, evokes certain feelings and emotions like rage, denial, bargaining, envy, depression and acceptance (Aranda, 2008). According to DOH (2008), "the challenge for the NHS and social care services now, is to extend this quality of care from the minority of patients (mainly those with cancer) who currently come into contact with hospices and specialist palliative care s