Pegkajian Keperawatan Paliatif

Summary

This video explains palliative care nursing assessment, focusing on its holistic approach to patients with life-limiting illnesses. The process involves assessing pain, fatigue, shortness of breath, depression, delirium, and other symptoms, aiming to improve the patient's quality of life. It also discusses how to screen patients for palliative care, scoring systems, and the interdisciplinary team approach. The assessment includes gathering demographic data, medical history, physical exams, and specific evaluations for symptoms like pain and fatigue. The video highlights the importance of psychological, social, and spiritual considerations in providing comprehensive care to both the patient and their family.

Takeaways

• 😀 Palliative care is a holistic, active approach to managing patients with life-limiting diseases, focusing on improving quality of life for both patients and their families.
• 😀 The primary goal of palliative care is to alleviate symptoms like pain, fatigue, shortness of breath, depression, and delirium while enhancing the patient's overall well-being.
• 😀 Palliative care involves an interdisciplinary team of healthcare professionals working together to manage the patient's condition and provide comprehensive support.
• 😀 Screening for palliative care involves assessing if a patient is in the terminal phase or if the patient would benefit from palliative care, with scoring systems to guide this decision.
• 😀 The screening process includes evaluating primary disease, comorbidities, functional status, and other criteria. A score greater than 4 suggests the need for palliative care consultation.
• 😀 The assessment focuses on symptoms commonly experienced by palliative patients, including pain, fatigue, shortness of breath, and mental health issues like depression and delirium.
• 😀 In palliative care, patient data is gathered through interviews (anamnesis), physical exams, and specific tests to evaluate the patient’s condition in-depth.
• 😀 Special attention is given to psychological, social, cultural, and spiritual factors that may affect the patient's experience of their illness and their quality of life.
• 😀 Functional status is assessed using the Gold scale, which evaluates a patient's ability to perform daily activities, such as self-care, mobility, and the need for assistance.
• 😀 Key assessments include vital signs, level of consciousness, pain management, and evaluations of other symptoms like fatigue and the presence of sores or ulcers due to immobility.

Q & A

What is palliative care, and how is it different from other types of healthcare?

Palliative care is a holistic, active care approach primarily given to patients suffering from life-limiting diseases. It focuses on enhancing the quality of life by managing symptoms, such as pain and fatigue, rather than attempting to cure the disease. Unlike other healthcare, palliative care also involves the family and is provided by an interdisciplinary team.

What is the main goal of palliative care?

The primary goal of palliative care is to improve the quality of life for patients with life-limiting conditions by managing symptoms and reducing psychological distress. This care is intended to support both the patient and their family in coping with the illness.

How is palliative care provided to patients?

Palliative care is provided by a team of healthcare professionals from various disciplines. These professionals collaborate to manage physical symptoms like pain and shortness of breath, as well as address psychological, social, and spiritual needs of the patient and their family.

What are the key components of a palliative care assessment?

A palliative care assessment involves several steps, including gathering demographic data, evaluating the patient's medical history, conducting a physical examination, and identifying the symptoms the patient is experiencing, such as pain, fatigue, or shortness of breath. Special focus is also given to psychological, social, and spiritual aspects.

What is the purpose of a screening process in palliative care?

The screening process helps determine if a patient is in the terminal phase of their illness and if they would benefit from palliative care. It involves scoring various factors like the underlying disease, co-morbidities, functional status, and other criteria to decide if palliative care is appropriate.

What scoring system is used in the palliative care screening process?

The palliative care screening process uses a scoring system based on several factors such as the primary disease, co-morbidities, and functional status. Scores range from 0 to 5, where a score of 0-2 suggests no need for palliative care, a score of 3 indicates the need for observation, and scores of 4 or higher indicate the need for a consultation with a palliative care team.

What is the Gold scale used for in palliative care?

The Gold scale is used to assess the functional status of the patient. It evaluates the patient's ability to perform daily activities, ranging from full activity without limitations to being entirely dependent on others for care.

What are the most common symptoms that require assessment in palliative care?

Common symptoms requiring assessment in palliative care include pain, fatigue, shortness of breath (dyspnea), depression, delirium (confusion), and the presence of wounds such as pressure ulcers or stomas.

How is pain evaluated in palliative care?

Pain is evaluated through specific assessments that focus on the location, intensity, quality, and timing of the pain. This helps to understand the nature of the pain and develop an appropriate management plan.

What factors are considered in the psychological and social assessment of palliative care patients?

The psychological and social assessment considers factors such as the patient's emotional state, family dynamics, social support, cultural background, and spiritual needs. These factors are critical in improving the patient's overall quality of life during the palliative care process.