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Receiving Palliative Care In Tulsa

By Richard Patterson


One of the most difficult things for any individual or family to go through is to handle a diagnosis of a terminal illness. Apart from grappling with the certainty of facing death, there are also a myriad of problems that the affected individual has to grapple with. Palliation seeks to consider a patient as a whole rather than simply focusing on their diagnosis. If they intend to get palliative care in Tulsa patients should first understand a number of things on this treatment.

Cure is usually out of the picture so the rest of the treatment is directed at preventing and managing the side effects of the primary illness. The side effects may be emotional, physical, spiritual, spiritual or social. Palliative care can be provided at home or in the hospital depending on the nature of the illness. Patients and their relatives are also at liberty in deciding where they would wish to receive the care.

One of the commonest groups of diseases that requires this kind of care is cancer. Most malignant metastatic cancers are incurable. It is only humane that patients that have been diagnosed with these kinds of cancers receive proper end of life care even in their last days of life. Traumatic brain injury, chronic liver failure and end stage HIV/AIDS may also be considered for palliative services.

Due to the wide nature of services requires, teamwork is important. A multidisciplinary team comprising of various specialists is usually assembled depending on the underlying diagnosis. Each of these specialists has been trained and certified and is skilled in handling patients who fall in this category. Typically, the team is headed by a physician who helps in coordinating the other service providers. Other members may include other doctors, nurses, chaplains, dieticians and social workers among others.

Emotional needs are also quite many and important. They may include anxiety, psychological stress and depression. The severity greatly varies from one person to the other and so the manner in which they can be dealt with is also greatly individualized. The treatment for these emotional problems needs to be initiated as soon as possible and should be continued for the entire duration of the illness. Psychotherapy and the use of drugs are the two common ways of treatment used.

Physical needs are perhaps the most pronounced in patients with terminal illnesses. They mainly include signs and symptoms of the condition such as nausea, vomiting, pain and shortness of breath among others. Nothing should be held back while trying to manage these symptoms. In managing pain, for example, in managing pain, the strongest pain relievers should not be withheld for fear of dependence or addiction.

Relatives also need to receive special care. They are, in most instances, greatly affected by the sickness of their loved one. It is important that their emotional and psychological needs are addressed alongside those of the patient. While some relatives may find it easy to accept the certainty of death, others struggle to come to terms with the reality and would require counselling during the illness and even after.

Palliation is related to but is not the same as hospice services. Palliation is simply supportive treatment that a patient is accorded right from the time a diagnosis is made. Hospice services, on the other hand, are given principally as end of life care when cure for a particular disease is considered impossible. Both of them are, therefore, found on the continuum of care for chronic conditions.




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