• Uncategorized




Dr.Diane Meier discusses ways through which health care practitionersmay provide appropriate strategies for helping patients with chronicillnesses as well as their families in coping with the situation. Oneof the steps she focuses on entails researching and preparing beforemeeting with the families to identify an appropriate space to themembers where they would discuss the facts regarding the condition.These steps may be applied by nurses in providing palliative care tothe patients through skillful intervention and relationships aimed atimproving the welfare of all members of a family. She alsoaccentuates that the establishment and sustenance of the connectionbetween physicians and families necessitate factors such as listeningto what they know, asking and answering difficult questions as wellas explaining the options available. These elements indicate thatpalliative care requires skillful intervention and relationshipsprovided by physicians to improve people’s welfare.


Accordingto Hanson, Gedaly-Duff, Kaakinen and Coehlo (2010), during theprovision of palliative care, the family members and the patientsuffering from a chronic illness are treated as one unit. The essenceof managing them together entails addressing issues that emergeregarding ways on how to deal with the patient as well as the role offamily members. On one side, patients develop concerns aboutburdening their families and the impact of the demise of their lovedones. On the other hand, concerns on the family members includedisrupting the patient’s treatment, provision of the requiredmedication and care. These issues bring about the development of fearbut eventually escalates to communication barriers, lack of supportand isolation. Nevertheless, nurses equipped with the necessaryskills may alleviate the situation through guiding the patient andthe family members on how to cope with the condition (Hanson,Gedaly-Duff, Kaakinen and Coehlo, 2010).


Thecase study regarding the Garcia family portrays a patient, Emma, whobegan receiving palliative care immediately after birth. Emma wasborn at night at a local hospital and transferred to a publicfacility three hours away, where she could receive specializedattention. She began receiving palliative treatment immediately uponarrival at the public facility based on the indication that herpervasive muscles weakened by the minute to the extent that limitedher life expectancy (Hanson, Gedaly-Duff, Kaakinen and Coehlo, 2010).The situation had significantly affected Emma’s parents bothpsychologically and emotionally to the extent that sought toterminate the ventilator services provided to their sick daughter.However, upon discussion with staff members at the NICU, Emma isgiven end-of-life care with the aim of making her last moments asseamless as possible. The end-of-life care occurs after the parentsaccept that their child may not recover from the condition.


Thequality of palliative care portrayed in Linda’s case entails theestablishment and sustenance of connections between nurses andfamilies. While at the hospital, Linda received quality care from thenurses who provided medication to ease her pain. Similarly, beforeshe was discharged, the nurse leader, Catherine, noticed potentialissues related to the way Linda and her family coped with thecondition (Hanson, Gedaly-Duff, Kaakinen and Coehlo, 2010). The itemsincluded questions regarding Linda’s discharge from the hospital aswell as fatigue in taking care of her. Nevertheless, the nurse leaderand her team initiated a family meeting aimed at addressing theissues and developing appropriate ways of delivering quality care tothe patient. The meeting focuses on elements such as the shared goalsthe family seeks to achieve, welfare strategies they may pursue andfactors to consider in providing care to Linda as well as coping withthe condition.


Hanson,&nbspS.&nbspM.,Gedaly-Duff,&nbspV., Kaakinen,&nbspJ.&nbspR., &amp Coehlo,&nbspD.&nbspB.(2010).&nbspFamilyhealth care nursing: Theory, practice, and research&nbsp(4th&nbspEd.).Philadelphia: F.A. Davis