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Information And Communication With The Patient And Family Oral information is to be initiated immediately after the announcement of a serious diagnosis, early in the development implementation of palliative care. It is adapted to the case of each person. It requires time and availability and a suitable environment. She may need to be delivered from gradually. The opinions and beliefs relating to privacy are addressed at the patient’s request. Informing relatives of the same principles is based on the patient’s wishes. Particular attention will be paid to the contents and procedures for issuing information during the evolutionary phases of the disease.
Communication with loved ones is to: assess the psychological, social and needs of the person cared for and loved ones assist the family to express their feelings of ambivalence, fatigue, wear take into account the individual crisis experienced by each of the persons more involved with the patient (guilt, conflict, fear of the future without the other, etc. . ) Communication difficulties between the patient, their family and caregivers can be present at various times during the treatment. Recognizing his own coping mechanisms, the caregiver is able to understand those of the patient and his relatives to support them in truth a “step” ahead without their psychic journey. Coping mechanisms in patients may be denial, moving, obsessive rituals, regression, the aggressive projection, sublimation and combativeness, the ambivalence. Among caregivers, coping mechanisms can be rushing ahead, false reassurance, rationalization, avoidance, lying. Altered the physical appearance of the patient and in some cases slowing cognitive functions are changing how it perceives and is perceived by those around him.
As a result, communication between the patient, their family and caregivers may be impaired. The body care will aim to improve physical appearance and patient comfort to preserve his dignity and facilitate relationships with loved ones. Coordination And Continuity Of Care The activity of multiple stakeholders with the patient to be effective requires a good and the communication establishing means coordination. Each professional must ensure that the patient or his family has understood the information he was given. The Continuity of care is facilitated by the definition of a care plan, the record keeping of patients by all caregivers and dialogue with all actors involved throughout the treatment of the patient. To cope with emergencies, it is proposed that permanently available emergency protocols and / or requirements and anticipated drugs defined by the doctor as essential. Drugs are necessary to prepare in advance, to keep near the patient regularly to renew and be ready to be administered quickly.
The patient, regardless of where they live, should always have available his emergency kit of morphine, a benzodiazepine, a neuroleptic, a corticoid and scopolamine (hydrobromide), rather injectable form. The Management Of The Terminally Ill And Dying The terminal is to anticipate, by the choice of place of care best suited to the patient, by available to the health care team or possibly relatives, drugs to relieve, and preparing to close this phase. The commitment of the healthcare team to relieve all the way to be served and consistently confirmed the patient and his relatives. Communication with the terminally ill patient is both verbal and nonverbal (Touch, gentle mobilization). Even if the patient is unconscious, it is necessary to talk to him to reassure him by explaining the actions being done to her. The presence of relatives is preferred, and must be associated with the care the most possible, to the extent of their means, physical, psychological and spiritual. The role of health care team is to promote the patient’s privacy with his family, to reassure them giving them an explanation of the patient’s clinical condition and treatment being work, to value them in their support role, to prepare them for mourning.
Establishing good communication with the patient’s relatives and a Early and regular information on the evolution of his illness may enable them to prepare for the loss of the patient. It is recommended to identify the factors in the environment predisposing to a reaction called “complicated” grief (or ambivalent relationship dependence, multiple bereavements previous history of mental illness, particularly depression, the patient’s care beyond 6 months) to try to prevent a state of pathological mourning. What Are The Principles of Management of Palliative Patient Care? Respect of comfort, free will and dignity Decisions about the management of symptoms should be based on the intensity of these, whatever the disease and its stage, the assessment of needs patient’s preferences and on the analysis of risk / benefit ratio of each options in terms of ability to relieve suffering and to preserve as much dignity and quality of life of the person. The patient may suffer from physical pain, altered body image (in related to the illness itself or treatments), the fact that the activities of life require daily effort and time, psychological and moral consequences of the disease, its dependence on others, his vulnerability, his fatigue, his marginalization real or imagined, of questioning the meaning of life, fear and of the suffering around him. These sources of pain should be identified and benefit from support (listening, communication, comfort, respect for others) and a potential therapeutic care (counseling, medication, etc. .
). The evaluation and monitoring of the patient’s mental state In palliative care, the patient is experiencing a phase of intense angst when it sees faced with the approach of his death. The loss of confidence in the future of bearings often after a long succession of remissions and relapses, makes tense, anxious, angry, more vulnerable and impressionable. The pain of existential anxiety can be relieved by taking into account spiritual needs of the patient, while respecting beliefs and dignity. It is distinguish the suffering associated with physical symptoms for which treatment respecting specific patient comfort is to be implemented after evaluation. The role of the healthcare team: • recognize the existential crisis from the symptoms expressed by the patient (anxiety, insomnia, pain, etc. .
) and assess how much he agrees his symptoms, his doubts, his addiction; • to accompany this psychic reorganization by listening and support continuous, even if symptoms are controlled. This support is fundamental in time to help the patient to live despite the near death. Health care settings, the people with whom the patient should be selected for secure as possible. The quality of support and the relationship The support and the first relationship of the patient and his family require availability of special health care team. They are intended to mean that the patient immediately dignity and comfort will be respected by the various professionals involved in the support. They can encourage him to express his emotions and fears. They require special attention to the reactions of the patient, even lack of ability to express them verbally (facial expression, gaze, posture body).
This is to follow the patient at their own pace, trying to stay as close to its truth of the moment, identifying integration capabilities of reality, meeting its questions without anticipating. Accompanying this “step” encourages work mental mitigating the patient’s defenses, making possible a more authentic of all stakeholders (patient, family and caregivers). Professional Subject To Recommendations The professionals involved are general practitioners and specialists, nurses, aid-providers, physiotherapists, psychologists, social workers, occupational therapists. Trained volunteers to support and belonging to associations that support them can complete, with the consent of the patient or his relatives, the actions of medical staff. The management of a patient requiring palliative care generally requires the coordinated action of several health professionals and in some cases social sector. Where To Implement The Hospice? Palliative care can be implemented at home, in palliative care units, in health facilities in the short, medium and long stay in the structures for the elderly with possible support of palliative care mobile units.
When To Implement The Hospice? Objective criteria and limitations of the palliative phase of illness and dying are difficult to determine precisely. Palliative care can be considered early in the course of a severe progressive disease regardless of its outcome (death, remission or cure) and coexist with specific treatments for the underlying disease. As soon as the diagnosis, management in palliative care is carried out according to a draft continuing care that emphasizes listening, communication, creating a climate of truth with the patient and his family. This approach aims to help the patient and family to prepare for a possible change of priority in the management of the underlying disease. Indeed, depending on the time, priority will be given to investigations and treatments to cure or slow the progression of the disease, or taking a supported only symptomatic for physical comfort, psychological and moral patient. The relative position of these two is supported to regularly review, and implementation of palliative care should be a consensus among the health care team, the patient and family if the patient prefers.
Palliative care is of acute, continuous, scalable, coordinated and performed by a multiprofessional team. They aim, in a comprehensive and individualized to prevent or relieve physical symptoms, including pain, but also other symptoms, anticipate risk of complications and take into account the psychological, social and spiritual, while respecting the dignity of the person being cared for. Palliative care to avoid investigations and treatments unreasonable and refuse to cause intentional death. Under this approach, the patient is considered to be a living and dying as a natural process. Palliative care is for people severe illness involving progressive or life-threatening or phase advanced and terminal, and their families and their loved ones. Volunteers trained support and belonging to associations that can select complete, with the consent of the patient or his relatives, the work of healthcare teams. A transversal approach to palliative care, regardless of the underlying disease, was choice for developing these recommendations.
One limitation of this approach is it does not allow an exhaustive literature search for the description and management of each symptom because of the link between frequent in the literature Literature specific to palliative care is often based on studies of good methodological quality. As a result, were selected primarily related articles clinical experience of the authors, the findings of the data and professional consensus reference books Anglo-Saxon in the field. Given the methodological limitations of the literature identified, recommendations are mainly based on agreement. The ethical issues raised by certain decisions or therapeutic practices, the sedation, limiting or stopping care, monitoring of mourning, the terms of interdisciplinarity and dialogue around a common care, training and support of health care teams, assessment structures support could not be addressed in this work. These questions, whose fundamental nature in palliative care is recognized, deserve to be subject to additional thoughts and recommendations. Especially, the support for patients and their relatives, an essential dimension of care palliative, not detailed in this work and will be subject to specific recommendations. In these recommendations, palliative care may be suitable to adults with progressive illness, involving life-threatening or advanced stage and terminal or to persons whose life ends in old age.
Palliative care also concern the patient’s relatives. Home health aides work in homes, caring for home-based patients or any other such person who would need some assistance in performing basic daily activities. These can be because such people are incapacitated or have been discharged from hospitals and are undergoing recovery at home. Their roles are much like those of nurses, but their have limitations when it comes to matters medical. Even so, they are responsible for that person’s wellbeing, including hygiene, making sure they take their medicine, prepare their meals, and do laundry and other domestic chores that are greed upon hiring. With the trends of health in America, these types of jobs have been on high demand recently. Agencies even offer free training to their employee before releasing them into the homes.
In most cases, health care institutions like Hospitals, Hospices, employment agencies or even families, do employment and training of HHAs. In the home health aide classes, trainees receive basic life support skills and how to handle emergencies if they happen. The skills acquired and needed for home health aide certification include first aid procedures, organizational skills and interpersonal skill that they will need when talking and handling people concerned. To join such agencies for training, many do not require minimal educational qualifications. However, if one needs a managerial role then minimum qualifications of high school diploma are required. Still, to begin training one must be an 18 year old permanent US resident or US citizen. You must also be able to read, write and speak effortless English.
The law is also demands that such individual seeking to become Home Health aides must be subjected to drug screening tests. If one fails this drug test, then he or she is not to be admitted into home health aide classes or any other such medical field. In working, the HHA make sporadic visits, usually one or three visits per week, as described by the physician or how it will be agreed upon employment. Other extra services like cooking meals and doing laundry is not a mandatory unless agreed when one is hired. Visits and schedules can be changed according to the directions of the doctor or nurse-in-charge or any other medical practitioner responsible for the patient’s medical care. The visits are usually on short-term basis, and the HHA is given medical insurance when handling the sick. The National Association for Home Care & Hospice (NAHC) does home health aide certification and makes the curriculum for training of such individuals.
The role of this body is to evaluate the trained personnel usually by examining using exams or any other ways possible. If one passes this examination, they are legally certified and allowed to practice independently without supervision from nurses or doctors. Be that as it may, if there is a doctor attached to the person being attended to, then he or she will determine what should be done to the patient, how and when. For HHAs to add experience into their home health aide resume there are minor certification exams and courses that can be taken. Some of this includes minor medical procedures and administration of medicine. When writing your home health aide resume, you need to highlight the skills and experiences you have gained. It is also important to write the length of time you have worked as an HHA, because the longer you work the more experienced you are.
HHAs is a profession that needs people who are patient with others, it also needs energetic and self driven people as one is required to move from one patient to another within the same location but different homes. In the present highly competitive healthcare industry, many people are turning to healthcare jobs, particularly home health aide jobs as a long term career. Recent statistics have shown its rapid growth in the last decade, and it is expected to rise high and wide in the coming years. This field in the health industry is comparatively favorable because it doesn’t require any high level education, not even a degree. Consequently, this has given hope to those people who are passionate about this healthcare giving but cannot continue with higher learning for one reason or another. Most home health aides are usually employed by certain agencies but still they are those who prefer to work directly for a certain family. Their jobs are typically physical and are mostly done in the client’s residential areas.
Their job is to provide personal care and hygiene to the old, the disabled, the chronically ill who stay in their homes instead of health institutions. The tasks can vary from one patient to another. A typical day for a home health aide involves light housekeeping, house cleaning tasks such as laundry, changing of bedding, shopping and preparations of food, helping with basic exercises and giving basic medication prescribed by the doctor. These tasks can even go up to providing psychological support to clients and offering them advice. Some even have to accompany their clients to see specialists and report any changes in their health status from time to time. However, these home health care jobs descriptions vary and depend on ones level of training and the patient’s health condition. Most people who get into the home health aide industry are quick entry job seekers with limited expertise and training.
This, however, has a substantial degrading impact on their salaries. Statistics in the recent past have shown that an average home health aide worker earned 20,000 (USD) per year with the other average job earnings exceeding it by about 30,000 USD. Fortunately, there is some light at the end of the tunnel. The wages are gradually improving as by last year’s statistics, where the average home health aide salary increased to 25,000 USD per annum. The patient’s health condition has an impact on the salary. Psychiatric and drug abuse cases have been known to be the best paying. The agency one works for and, place one lives also determines how much one earns.
Like with any other job, those who are seeking to venture into this field must have a clearly outlined resume which markets their services in the best way possible. The resume must show their credentials, skills and experience in the field which is sure to get them the job they are applying for. A typical resume contains a summary of the objective, summary of skills, professional experience, education summary, personal information and reference. With a straightforward, clearly outlined home health aide resume, one is sure to secure a job in this growing industry. With more and more people becoming conscious of their health, health care givers are among the health care experts who are in high demand. These caregivers job have put big smiles on many people’s faces, particularly the disabled and the elderly. Times have changed and, more people are embracing the idea of getting home health care without having to go to a health facility.
They also ensure that their clients remain engaged in their day to day activities while staying close to their families and friends. For these intriguing reasons, job opportunities are sure to increase in the future as more and more people pave their way to the promising industry with the hope of making successful, long-term careers. Working in a home health care and taking care of patients is something that largely tests our emotions and mind. There are a lot of things that you must have so has to give a good care to the patients. Since you are the primary care giver you need to have a big heart that will enable you undertake your everyday activities. You are the one that is there the whole day so you try to help the patients both physically and mentally. Not only do you have to help them mentally and physically but you also must support them emotionally.
There can be times that the patient is dying and he or she needs your support to stay happy and comfortable. This can be a big challenge so the person who is doing this must have a home health aide certification. The skills needed are: You don’t need to have a diploma to earn you a HHA certification. You are first going to earn your training on this type of job as you go and the training is offered by a licensed nurse. Home health aide jobs are cooking, cleaning, changing bed linens, running errands and offering companionship to the sick. For the most part you will be working in a home setting that is the patient’s home. You will be trained on how to react to certain situation if incase something happens to the patient.
The common things that you will be taught are the use of a defibrillator and first aid. There are some employers who will take you on their wing and train you on how their aides should be. There is a 75 hrs course that you will have to undertake so as to get the license. Once you have done the course you become a certified home health aide. you will also have to complete a competency test that will prove that you have the skirls to work in a home health care. the training includes basic nutrition, taking vital signs, medical terminology and also being able to control the infection. Also you should be able to know about the basic steps that you need to take incase of an emergency.
Working as a home health care aide you can earn an hourly wage of $9-$10 depending on the place that you are working. Working for companies is not going to pay as much as working in a nursing home. The pay also is directly proportional to the experience that you have. The more the experience the more your payment will be and the less the experience the lower your payment will be. Beginning a carrier at the medical field is challenging at the same time exciting you need to be well prepared to face difficult patients and also to be going for long hours at times. In addition it is important to know about the necessary procedures that you have to take to ensure a smooth care is done. Nevertheless if you want to get online training then you can visit websites that offer training.
Although there are some websites that claim that they offer free training you should be wary of them. The best thing to do is to get information from online agencies and get information about those websites if they exist. You should also get contacts with the health departments which will further help you in looking for home health training. Lastly ensure that you have the basic home health care that will be of help in attending to yours patients.