Palliative Care Nursing Services & Home Based Care

POA
Added
Dec 18, 2019
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What Is Palliative Care?

Palliative Care is an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual.

Palliative Care Services

Palliative Care Services for those people suffering from advanced life limiting conditions, including:

  • Cancer
  • Heart Failure
  • Lung Disease
  • Liver Failure
  • Kidney Failure
  • Multi Organ Failure
  • AIDS

These services are provided by registered nurses, carers, physiotherapists, counsellors and social workers.

Service Provided For These Conditions

Condition Referral Criteria
Congestive Cardiac Failure Symptoms despite maximal medical therapy disabling sob at rest (nyha iv) ≥5 admissions in past 6 months other associated organ involvement
Chronic Obstructive Pulmonary Disease Disabling SOB at rest (NYHA class IV)
≥5 admissions in past 6 months
Associated cardiac failure
Renal Failure Not suitable/declined for dialysis
End-stage renal disease (GFR <15 ml/min)
(stage 5 CKD)
Symptoms of renal failure (anorexia, nausea,
pruritus, intractable fluid overload, decreased
functionality)
Stroke Severe disabling;
Severe dysphagia
Recurrent fever and sepsis
Cancer Stage IV malignancy (metastatic)
Not for (further) definitive treatment
Spends >50% of time in bed
AIDS Stage III or IV disease with dementia, cachexia,
neoplasm or failure of HAART
Other Intracranial haemorrhage not for surgical
management/on ventilator
Post cardiopulmonary arrest
with CNS damage

SOB – Shortness of breath
GFR – Glomerular filtration rate
HAART – Highly active antiretroviral therapy
NYHA – New York Heart Association
CKD – Chronic kidney disease
CNS – Central nervous system

Admission Criteria For Service

  • Patient not expected to live longer than 6 months.
  • Active treatments such as chemotherapy discontinued.

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