The study was reported as qualitative and to have been conducted by the 'Australian National Health and Medical Research Council' research study. It is stated as follows of the study: "The nursing insights indicate that an understanding of end-of-life care in hematology needs to be set in a trilogy of overlapping models (labeled functional, evolving, and refractory) that address the complexity of issues associated with professional and hospital culture." (McGrath, 2007)
Findings include the development of a working model focused on enabling the "integration of palliative care into adult hematology. The model is accredited the development of a new language for understanding and fostering the integration of palliative care and hematology." (McGrath, 2007)
One reason that palliative care is so important for hematology patients are necessary provisions of informed consent and other end-of-life issues. That is because many of these issues have to do with factors related to survival and its priority over quality of life for these patients. It is specifically stated: "Survival benefit is often the primary outcome measure in clinical research relating to palliative chemotherapy. This suggests a difference in perspective between palliative care clinicians, for whom "palliative" refers to improvement in quality of life, and those clinicians who focus on prolonging life. Emphasizing survival gain, however, might not be in conflict with the wishes of patients. Many patients with advanced cancer priorities survival over quality of life1and oncologists might "collude" with them in attempting to do something active about the disease." (Audrey, et al., 2008)
The primary reason for these considerations include that "
The offer of active treatment with palliative effects can support patients through a process of adjustment from the distress of therapy and discrimination. Historically, oncology services have been structured as networks dispensing chemotherapy and radiotherapy rather than services dedicated to the integrated care of the cancer patient. This situation has changed in a continuous and progressive manner over the past few years..." (Maganto, Gonzalez and Moreno, 2004)
Conclusion & Recommendations
This brief review has demonstrated that palliative care in the area of hematology and notes that the articles reviewed are recent in origin and serve to highlight concerns and considerations of haemotological palliative care. However, this study has been of a very brief nature and the proposal for research contained herein is an exploration and examination of the most recent palliative care issues in hematology.
Finlay, Ilora (2001) UK Strategies for Palliative Care. JR Soc Med 2001;94. Online available at: http://jrsm.rsmjournals.com/cgi/reprint/94/9/437.pdf
Audrey, Suzanne et al. (2008) What Oncologists Tell Patients About Survival Benefits of Palliative Chemotherapy and Implications for Informed Consent: Qualitative Study. BMJ 2008, 337:a752. Online available at: http://www.bmj.com/cgi/content/full/337/jul31_3/a752
McGrath, Pam D. (2007) Description of an Australian Model for End-of-Life Care in patients with Hematological Malignancies. Oncology Nursing Forum. Vol.43 No.1 2007. Online available at: http://ons.metapress.com/content/w1l1mx43646772k3/
Maganto, Vincente Valentin, Gonzalez, Maite Murillo and Moreno, Maria Valentin (2004) Continuous Care in the Cancer Patient: Palliative Care in the 21st Century. Clinical and Translational Oncology. Vol. 6 No. 7 October 2004.
C7 Palliative Care Services. (nd) Australian Government Health Publication -- corporate. Online available at: http://www.health.qld.gov.au/publications/corporate/CSCF/docs/cscfv2_c7.pdf
Care of Cancer Cancer diagnosis In many cases the sooner cancer is diagnosed and treatment begins the better the chances of a person recovering fully. If one develops cancer they can improve the chance of early detection if they have regular medical checkups and do some self-exams. Doctors often find early cancer during a physical exam or when carrying out routine tests even when there were no symptoms presented. There are several
Hisory of Palliatve Care Palliative Care Palliative Care Methods Palliative care entails assisting patients get through pain caused by different diseases. The patient may be ailing from any diseases, be it curable or untreatable. Even patient who are sick and almost passing away will need this care. Palliative care has characteristics that differentiate it to hospice care. The key role for palliative care is to help in improving the existence of someone and
Marketing in Healthcare Catholic Healthcare West Catholic Healthcare West (CHW) is a not-for-profit healthcare organization serving parts of Arizona, Nevada and the majority of California. With 42 hospitals it is the largest Catholic hospital system in this part of the United States. The organization focuses its services upon the poor, who cannot afford private hospital services. Regardless, the aim is also to provide high-quality healthcare to those in need. The target market
Introduction Theory guides practice. This is true of many things, but is especially true of nursing. While many processes, actions, and rules are involved in becoming a great nurse, understanding and applying theory must be the most important aspect. Nursing theory allows for one to examine concepts and then attempt practical application of these concepts when theories are tested. Evidence-based practice for example, is the wonderful lovechild of theory and application
Regionalization Effective Regionalization Globalization has become a ubiquitously word in the last few decades. Much of the globalization trend is driven by the fact that many organizations operate internationally and supply chains have become sophisticated, complex, and spans the entire globe. Globalization trends are starting to become more widespread and ever easier to implement due to advancement in information technology. Globalization and its effects have paved the way for increased free trade
S." (Liu, 2008) the actual solution to the challenges facing the health care system in the United States is one that makes a requirement of three components: implementing tort reforms; mandating the use of best practices; and driving systemic process improvement. (Liu, 2008) This report states that the threat of litigation gets in the way of health care delivery in that is "causes providers to hide problems and engage in unnecessary procedures