What does Palliative Care really mean?

Nurse Next Door

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How Do You Live Your Best Life To The Very End?

“It was an honour and a privilege to be able to grant this man his wish to die at home, in the house he built with his own hands.”

It is Palliative Care Week which will mean very different things to different people.  For some, this will spark interest in having a career in this field. For others, it may highlight their loved one’s need for this type of care, while for others this may make that monster known as “grief” resurface because they have lost someone special to them when they were receiving palliative care.

For the majority of people who have lost a loved one, they will look back on the amazing care their loved one received during this time that ensured they were able to live their best life until the end.

What is Palliative Care?

The goal of palliative care is to optimise the quality of life and make sure the person and their family are as comfortable as possible. 

Most commonly we think of palliative care being provided in hospitals. Likewise, we associate it with someone who has cancer. 

The reality is that palliative care is about relieving the symptoms of a progressive disease that cannot be cured. It can be provided in many different environments: aged care facilities, hospitals, a hospice or most importantly at home.  

Palliative care involves identifying and treating physical, emotional, spiritual and/or social symptoms, which will differ on an individual basis. 

Care will include:

  • Pain relief
  • Family Assistance
  • Support for an individual’s emotional, social and spiritual concerns
  • Support for an individual’s cultural beliefs

A recent survey by the Palliative Care Australia organisation found that while Australians acknowledge the importance of Palliative Care, they don’t fully understand the full scope of what Palliative Care is, nor do they want to talk about it. 

In fact, the survey found that nearly 50% of Australians find the subject of death and planning for the end of their life too difficult to talk about. This could be because most people believe that talking about their preferences with their family for the end of their life, including palliative care, will upset them.

It is true that the needs of both our clients and carers are higher at this time, as palliative care requires an increase in services and support that extends all the way through to bereavement care. 

 

palliative care with nurse next door closeup

What Palliative Care really means

While all palliative care involves person and family-centred care for any person with an active, progressive or advanced disease, palliative care can mean different things to different people.

Our very own Care Designer, Di Geddes RN, shares what Palliative Care means to her:

Recently I led a team of nurses and carers who provided beautiful care for a lovely older man who had chosen to pass at home. To see the joy such simple pleasures brought him; such as the view from his bedroom window, the sound of rain on the roof, the smiles generated by his dog visiting him regularly to check on him, as well as witnessing how easily his family could visit was so heartwarming.

He enjoyed fish and chips one night with his family, including his grandchildren. Two beautiful boys, aged 8 and 10 ,could visit him twice a day without any fear because they were visiting Pa in his home.  They got to shake hands with him to say goodbye – a memory they will have forever.  His wife could spend time with him without worrying about hospital parking or driving after a tough visit.

How was this all possible? The team I was proud to lead was in the background, giving pain relief and other medications required to minimise unpleasant symptoms, making sure he was comfortable and clean. We were able to answer the family’s questions and provide support to them without any fuss. 

 It was an honour and a privilege to be able to grant this man his wish to die at home, in the house he built with his own hands.  Our staff have formed bonds with each other and with family members that will go on for some time. This is without a doubt the most wonderful care to have been involved in throughout my nursing career and I am so grateful to the family for allowing me to be a part of such a personal part of their family history.

Talking about palliative care

You will face many difficult decisions as you near the end of life and those decisions will include what kind of care you’d like to receive and where you’d like to receive this care. You will also consider who will make decisions about your care should you not be able to make decisions yourself.

In home care, our greatest goal is to support you and your family’s acceptance of your end-of-life care phase and to discuss any changing aspects of your care process openly and honestly. Most importantly, we guarantee you will never be alone. Your care team and other health care providers will remain in close communication and contact with you and your family at every stage to ensure this chapter is as comfortable and peaceful as possible.

There is no doubt talking about dying is hard. It is also important to talk about death so you can prepare well. Death is inevitable. The better prepared we are for our death, or the death of a loved one, the easier it will be on the ones we leave behind.

If you would like to learn more about palliative care and how we can ensure this passage of your life is as burden-free as possible, contact Nurse Next Door on 1300 600 247 or visit nursenextdoor.com.au to ask for care.

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