PATIENT-NURSE RELATIONSHIP

Patient-Nurse Relationship

Patient-Nurse Relationship

Introduction

In recent years, the role of nursing has acquired a special role in terminality through palliative care. Palliative care is understood as the total attendance, which has continuous active patients and their families by help of an interdisciplinary team when the expectation is not healing. The primary goal is to provide quality of life for the patient and his family, without trying to lengthen or shorten survival specifically, it being necessary to meet the physical, psychological, social and spiritual fundamentally. Therefore, all the issues related to effective patient-nurse partnership in a patient centered model of care will be discussed in detail.

Discussion

The medical consultants understand a terminal patient who has a progressive and incurable advanced disease, unable to respond to specific treatment, with a prognosis of limited life (usually less than 6 months). There is a presence of symptoms with intensive multifactorial and changing, with emotional impact in the individual, family and social groups and in need of comprehensive care. It is the nurse / team member to the nearest health who is in close contact with the patient and his families, especially in stage of disease that must therefore take care that are necessary in the last journey of life. Many people also recall that the International Council of Nursing, in its position statement on care for dying patients and their families, states that the role of nursing is essential for palliative care to reduce suffering and improve quality of life of dying patients and their families through early assessment, identification and management of pain by identifying physical, social, psychological, spiritual and cultural elements. Such care is the foundation on which stands what all people know today as the nursing process and is only one systematic method that provides humanistic care focused on achieving objectives (expected results) efficiently (Kaplan, 1989, 245).

It is systematic because it consists of five steps (assessment, diagnosis, planning, implementation and evaluation) during which the nurse carries out deliberate actions to achieve maximum efficiency and thus achieve beneficial results. It is humanistic because it relies on the idea that as people plan and provide care. They must consider the interests, ideals and inner desires the individual, family or community. This care plan is aimed at assisting terminal patients and their families. Carers also has an essential focus of palliative care on one hand and accompany the patient / at different stages of the disease with the emotional impact it carries, its main source of income and social support are there while they are the major contributor to the implementation and success of the plan of care. They are therefore target population and reference for health education (self-diagnostics of caregivers). There is a standard tool that provides and helps the nurse to facilitate the implementation of professional care to the population. In other words, it is the specific protocol of care appropriate for those / or patients who have normal or foreseeable problems related to a specific disease or clinical process, ...