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N450 - The Essence of Palliative Care - Part II (1
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N450 - The Essence of Palliative Care - Part II (1
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N450 - The Essence of Palliative Care - Part IIDying Well - ANS-- A natural part of life
- Opportunity for growth
- Profoundly personal experience
A "Good Death" Defined - ANS-- Being free of suffering
- Achieving life closure
- Receiving care consistent with one's beliefs, wishes, and values
- Finding meaning, purpose, and dignity at end of life
- Freedom from suffering, being at peace, and achieving sense of closure (older adults) - criteria
for good death
- Person receives care that is consistent w/belief system and their wishes - good death
Life Closure: A Personal Experience - ANS-Completion of worldly affairs, community and
personal relationships
Finding meaning in one's individual life
Experience love of self and love of others
Acceptance of the finality of life
Surrender to the unknown - "Letting go"
Eight Domains of Palliative Care - ANS-1. Structure and Processes
2. Physical Aspects of Care
3. Psychological and Psychiatric Aspects
4. Social Aspects
5. Spiritual, Religious, and Existential Aspects
6. Cultural Aspects
7. Care of the Imminently Dying Patient
8. Ethical and Legal Aspects
Domain 1 - Structure & Processes of Care - ANS-- Care plan based on comprehensive
interdisciplinary assessment of patient/family
- Care plan is based on preferences, values, goals, and needs of the patient/family; developed
with professional guidance & support
- Interdisciplinary team, including volunteers
- Education and emotional support for team members
- Committed to quality assessment and performance improvement
- Relationships among agencies to ensure continuity of care
- Care occurs in setting that meets patient/family needs and preferences
**Emphasis on coordinated continuity of care**
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