Palliative Care Principles

World Health Organization

WHO definition of palliative care is an integrated
people centered health services at all levels of care to
relieve suffering.

Therapies

Pain

Pain control
an approach that improves quality of life
of the patients by early identification, correct
assessment and treatment of pain and other problems

psycosocial

Well being of patient and their families
Symptoms of anxiety, depression, delirium,
need to be assessed and treated just as effectively
as the physical symptoms

Supporting and providing care in the home by home
support workers and members of the community

social

Suffering from many sources: extreme poverty, lack
of adequate food or clothing or housing. Sigma and discrimination, religious prejudice, financial hardship due to illness and unable to work.

Spiritual

Spiritual and existential concerns treated the same as physical distress and pain. Support may involve a spiritual carer, providing dignity-centered care.

Main topic

LPN Care

Bereavement support

Patients and family members often need emotional support to face the losses associated with death and dying. Staff are called upon to provide this support, also support from the community can be utilized.

Types of Care

Bereavement Assessment Tool

Role of LPN

Non-pharmaceutical interventions

Teaching the family about the use of soft music
and lighting, other comfort measures such as
sips of water, changing position in bed and pillows,
other cultural

Family Participation

Guiding the family through the palliative
process.

Family Education

Providing the tools and guidance to care for loved
one in the home. Keeping the family up to date,
what to be aware of as their family member needs
change. What to expect.

Home Care

Providing home care nursing support
as well as respite for the family. Providing
the family with a care aide to help alleviate
the burden of personal care for the patient.
and

Care

Provide support and education for
the family. Provide nursing care in a
culturally sensitive fashion for the client
and family.

Medication Administration

Providing education about the medications
for the patient, the purpose of them and what
they do. Making sure they are taken correctly.
Teaching about the different routes for each: eg
injections for pain relief for the patient.

Subtopic

Subtopic

Teacher

Subtopic

counsellor

caregiver

advocate

messenger

Being culturally sensitive

Family

Hospice, Palliative Care Unit

Comfort measures

Subtopic

Palliative Techniques or therapies
include all medical and surgical therapies
or procedures to palliate symptoms and
ease suffering

Benefits of
Palliative Care:
Access to doctor
Access to nursing staff
24 hour care
Less stress on home life
of family
Pain Control

To stay in palliative care

Specialist palliative care in units exclusively
by doctors and nurses who are accredited specialists
in palliative care.

Palliative care principles
apply to all care, whatever
the disease suffered by patient
app

MAID, euthanasia

To stay at home

Palliative Performance Scale
Tool used to assess patient

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