PALLIATIVE CARE

I am very interested in this topic. I think that it coul be very difficult and a nurse have to be very strongh for paliative care but the feeling of give to the patient a dignified death have to be very special.

I want highlight some points of  clinic practice handbook that on my point of view a lot of nurses haven´t into account :

• Palliative interventions should be based on needes of the patient and his family rather than within expected survival
• All terminal patients have to right to palliative cares any level care.
•  The palliative care have to be provided, preferentiall, for a suitable multidisciplinare team. 

  
I found an article that on my point of view it resume some points that I think that it is very important have into account in the palliatives care. There are that the objetive of palliative care are to relive, in patients suffering a crhonic disease or in end life, symptoms of physic, phychical, mental and spiritual levels. For this reason it is necessary a multiple and interdisciplinary team of specialist whit specific capacyties and conected between them.

An important concept in palliative care is refractory symptom, there is a symptoms that can not be controlled  by hreatment. There is one the principal problems in this patients.
In my point of view, a palliative care nurses have to :

• be comprehensive
• empathize with the patient
• get dignified death to the patient
•  accompany patient and family  in death phases

One of the most important thing about palliative care from my point of view, is that we have to get a good support to patient decreasing the suffering.
Other point that I would to explain is grief, is the emotional adaptation process that following any loss. There are physic and emotional symptoms.
Sometimes when we talk in grief only think in the loss of a person, that is important thinking in:

• chronic o terminal disease diagnostic
• a short vital prognosis or reduce in quality of life
• loss of autonomy or independence
• loss of part of the body

Bibliography:
Pessini. L: Bertachini. L. Nuevas perspectivas en cuidados paliativos.2006; Acta Bioethica. Interfaces. 
Muñoz Cobos.F; Espinosa Almendro. J.M; Portillo Strempell. J: Benitez del Rosario.M.A.Cuidados paliativos:atención a la familia.2002. Publicado en atención primaria. Vol 30 Núme 09