The number of patients in palliative care and hospice programs that prefer to receive care and die at home has increased over the years. However, many die in institutional settings despite the progress that has been made to achieve the patients’ preferences. Offering a choice of home care can be problematic due to the high expectations of relatives, caregivers, and patients as well (Carers Australia, 2014). In many cases, it is difficult to provide care at home because some illnesses require high levels of care. In most cases, this type of care can be attained in palliative care hospitals. Moreover, there significant risks associated with caring for a patient at home. For instance, a patient may develop uncontrollable pain and complex symptoms which require immediate attendance by professionals other than the caregivers (Hudson, 2013). Additionally, many patients die in hospital settings due to the limited number of care which makes it difficult to provide and guarantee 24-hour care at home as opposed to the hospital.
Nurses play an important role in assisting patients in palliative care. As a nurse, I believe that supporting and meeting my client’s desires is the essence of my profession. I believe that good communication and collaboration with the patient, family members, and other professionals the process of care can do more good than harm to my client. Maintaining good communication with my client will make it easier for them to communicate their preferences and decisions which will enable me to offer the best of care (Hynes, 2013). Moreover, helping patients to understand their state and explore recommendations that meet their personal values can be rewarding for my patient. To achieve this, there is the need to update my clients on their day-to-day progress. Additionally, offering physical, emotional, spiritual, and psychological support is important when providing care because it reassures the patients.
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