The aim of this assignment is to write a report on a chosen topic of interest that demonstrates the knowledge and understanding of the factors that shape community practice. The topic that will be discussed throughout will be palliative care. I feel passionately about this topic, as I sometimes find myself consoling family members on the death of their relative as the role of a student nurse. Part of me wishes that if we as a larger culture stood up to the fear of talking about death, we might really change how we all cope with the inevitable and have more understanding of the matter.
This assignment will firstly discuss the factors that impact upon the health of the dying patient, from the environmental setting that they are in when in the community to achieving quality and cost-effective care when staying at home through their end of life. Secondly, review the strategies that promote health to the end of life for instance the consequence of a preferred place of dying and the outcome of the Liverpool Care Pathway (LCP). Furthermore, analysing the impact of working within a multidisciplinary team will be considered, by understanding the role of different community practitioners and their contribution towards the palliative patient. Finally, to critically evaluate the professional, ethical and legal issues that have an effect in community practice. From ethically giving the end of life patient a decision about their care and place of death and the legal issues that the Nursing & Midwifery Council (NMC) considers.
Health is influenced by a number of factors which exist within the individual and the society. The important factors which will be discussed are social, political, economic and environmental influences of health. Many aspects of health are subject to political legislation. A government initiative that is in place to promote service user’s awareness of the range of services available other than