Monday, January 7, 2019

Receiving Palliative Care In Tulsa

By Richard Patterson


Palliative services are an important aspect of management of terminal illnesses. It is designed to improve the quality of life for persons that have been diagnosed with conditions without a known cure. The most important thing to appreciate is that it seeks to manage a patient as a whole individual rather than merely focusing on the illness they are suffering from. There are a number of things on palliative care in Tulsa one may wish to know if they want to benefit from this service.

Terminal illnesses are so called because they have no known cure. However, a number of interventions can be undertaken to minimize the side effects related to the illness. Such side effects could be physical, emotional, spiritual, social or psychological. This treatment can be provided either in the hospital or at home depending on the how severe the condition is. Patients may also have a say on where they deem best to receive the treatment.

Cancer is a leading cause of death worldwide and often requires palliative care especially if metastases have occurred. Although some forms of the condition can be treated, a majority of them cannot and are considered terminal. Persons that have a diagnosis of terminal cancer have a right to dignified living even as they near their end of life. Severe sepsis, liver and renal failure and end stage HIV/AIDS may also require palliation.

Palliative services require considerable team effort. The multidisciplinary team will have a number of various specialists with training in their specific areas. They have to work together to achieve the same objective which is to meet the various needs of the patient. The number and type of specialists needed is determined by the type of illness being treated. For instance in case of sepsis, an infectious disease specialist may be needed and for cancers, an oncologist would be of great help.

Physical needs relate to the signs and symptoms of the illness. They include, for example, pain, vomiting, nausea, shortness of breath and loss of appetite among others. Everything possible should be done to get rid of these symptoms. When managing pain for instance, pain relievers should be given liberally regardless of whether there are any short term or long term effects such as addiction and physical dependence.

Physical needs are arguably the most pressing for a patient on palliation. They mainly include signs and symptoms related to the condition. The most common among these are pain, nausea, shortness of breath and vomiting. Every effort should be made to make the patient free of these symptoms. When managing pain, for instance, the strongest effective drug should be used regardless of whether or not It is addictive.

Relatives taking care of the patients often go under a lot of emotional stress. Some may also develop depression. For this reason, they also need to be counselled on ways of handling the challenge of sickness. It is important to appreciate that relatives will vary in the readiness to accept the certainty of death. Some will do so readily while others will struggle considerably.

Relatives or caregivers can easily be forgotten while addressing the needs of the patient. They too, are affected to a great extent. Psychological stress is quite common among these relatives and some of them also show various degrees of depression. While some relatives may find it easy to accept the inevitable, others struggle a lot and need to be counselled throughout.




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