Holistic Nursing Care Plan for Terminally Ill Patient
The objective of this study is to create a holistic nursing care plan for a terminally ill patient. This study will explain how perceptions about quality of life and health promotion might affect care for a dying patient with a lingering illness such as cancer and discuss strategies that could be used in the situation to improve the quality of life for the patient and her husband during this illness.
It is important that the nursing care plan for the terminally ill includes the reassurance that the patient will not be abandoned and that the nurse assist the patient in discussing their care wishes and goals. To assist patients such as the patient in this scenario it is important to understand the concepts and elements of end-of-life care and that the nurse be a skilled practitioner of the nursing arts. The end-of-life care if "patient goal-centered and should be provided for those who have a limited life expectancy." (Norlander, nd, p.3) The National Hospice and Palliative Care Organization states that Hospice:
"…affirms the concept of palliative care as an intensive program that enhances comfort and promotes the quality of life for individuals and their families. When cure is no longer possible, hospice recognizes that a peaceful and comfortable death is an essential goal of health care. Hospice believes that death is an integral part of the life cycle and that intensive palliative care focuses on pain relief, comfort, and enhanced quality of life as appropriate goals for the terminally ill. Hospice also recognizes the potential for growth that often exists within the dying experience for the individual and his/her family and seeks to protect and nurture this potential." (Norlander, nd, p. 4)
The holistic nursing practice is defined as "all nursing practice that has healing the whole person as its goal." (Mariano, 2007, p.64) Holistic nursing care is a caring and healing relationship and values the cultural values and beliefs as well as the individuals' spirituality in the nursing care. Holistic nursing care involves care of the individual's physical, mental, emotional, and spiritual being with a focus on the individual's comfort and relief from pain.
Because the patient is terminally ill and is in a great deal of pain one of the first considerations for this patient is relieving her pain so that she is able to function without a great deal of pain. Relieving the patient's level of depression is also of great importance so that she does not spend the end of her life crying in bed as she is doing presently. The nurse should meet with the family members who are reluctant to visit and explain to them that they have a great role to play in the end-of-life care of this patient. The family members should be brought to the understanding that their role is critical.
Patient Emotional Health
Upon relieving the patient of the pain and depression through use of medication, the hospice-care nursing staff will be of great comfort to the patient through simply talking with the patient about her life and about her wishes for her end-of-life care. The patient should be highly active in determining any life support or alternatively lack of life support that she desires to receive. The patient should be assisted in thinking about her wishes for her funeral, the songs and music that will be used at the funeral and what she chooses to wear at the funeral.
Patient Spiritual Health
The patient's spiritual affairs should be addressed as well so that the patient is both emotionally and spiritually prepared to deal with the ending of her life due to the progression of the cancer.
Patient Physical Care
Hospice Care is utilized by many patients who are terminally ill. Hospice Care involves nursing staff coming into the patient's home and assisting them with bathing, dressing, their medication, monitoring the patient's condition, counseling family members about what they can do to make the patient's path of dying easier and more comfortable. The hospice philosophy is stated to be a holistic philosophy, is interdisciplinary in nature, and includes physicians, nurses, social workers, clergy, volunteers, and staff assisting with grief of the family. It is reported that hospice care is "…synonymous with supportive care. Pain management and symptom control is state-of-the-art pain. Volunteers are available for respite care and companionship.
Factors Addressed By Hospice
The hospice team assists with the decisions and challenges that the patient and…