Professional Documents
Culture Documents
INTRODUCTION
DEFINITION
Terminally illness is a state in which an
individual faces/medical conditions that will
end in death within limited period. KUBBLER
ROSS
OR
Terminally ill people are those with
active&progressive disease for which curative
treatment is not possible/not appropriate
&from which death can reasonably be
expected within. NATIONAL HOSPICE
ASSOCIATION
SIGNIFICANCE
*Increasing no of terminally ill
*Imroves quality of life
*Acess& avaiability of services.
Symptom control & pain relief
Proper use of resources.
Who needs?
IMPACT OF TERMINAL
ILLNESS
TERMINAL ILLNESS
ON PATIENT
ON FAMILY
GRIEF
PHYSICAL REACTIONS
*Anorexia
*weight loss
*chest pain
*fatigue
*GI disorders
*Hair loss
*Headache
*Immunondeficiency
*Agitation
*crying
PSYCHOLOGICAL REACTIONS
*Anger
*Anxiety
*Apathy
*Denial
*Depression
*Disbelief
*Guilt
*Hallucinationof the deceaseds presence
*Helplessness
*Irritability
COMPONENTS OF TERMINAL
CARE
1)Palliative care
2)Hospice care
3)Home care
PALLIATIVE CARE
PRINCIPLES
Provides relief from pain
Regards dying as a normal process
Neither hastens nor postpones death
Support system
Enhance quality of life
Team approach
Components of Palliative
care
Symptom relief
Psychosocial support
Team work
HOSPICE CARE
Hospice provides palliative care services to
the terminal patients &care for dying
patients.
DEFINTION
Hospice is an inter disciplinary concept for
providing comprehensive care to terminally ill
patients.
characterstics
Centrally administered
Autonomous programme
Symptom controll
Team work
Services extended to families
HOME CARE
ADVANTAGES
Less expensive
More comfortable
Continous care
Clients prefer to die at home
DOMAINS OF CARE OF
TERMINALLY ILL
PHYSICAL ASPECTS
1)Pulmonary impairement
Cough
Dyspnea
Death rattle
Stridor
2)Cardaic dysfunction
Heart failure
Peripheral circulation changes
5)GI Disturbances
Anorexia
Dehydration
Nausea& vomiting
Constipation
Diarrhoea
6)Musculo skeletal changes
7)Integumentary
Pressure ulcer
PSYCHOLOGICAL ASPECTS
Depression
Denial
Anger
Anxiety
Fear of death/dependence
Suicide
SPIRITUAL ASPECTS
SOCIAL ASPECTS
SIGNS &SYMPTOMS OF
APPROACHING DEATH
Decreased level of consciosness
Decreased desire for food &liquids
Decreased urine output
Incontinance
Skin dry
Noisy breathing
AT POINT OF DEATH
Breathing,heart beat ,&pulse stop entirely
Person is unresponsive to shaking/ shouting
Pupils dilated &fixed
Loss of urine &bowel control
LOSS &GRIEF