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Palliative Care

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Palliative Care
Within this assignment the writer aims to identify and explore in depth the role development of the specialist palliative care nurses in the community setting, and in particular how their role has evolved over the last 5 years. The writer aims for the first part of the assignment to provide the reader with a brief background into the development of palliative care and a history of how the traditional role of a palliative care nurse has expanded from a more generalist perspective to that of a position of specialism. The writer will highlight the essential skills and qualities deemed crucial from a professional perspective in implementing such an expanded nursing role, with particular attention focusing on the impact this role development has made to patient centred care. The writer will highlight the importance of inter-professional working in palliative care, and provide evidence of how the government priorities have changed the boundaries of palliative care and how this has impacted on provision of palliative care services. The second half of the assignment aims to show analysis of both the role development of community specialist palliative care nurses and the recent changes, and provide evidence of how this role has impacted on society. The writer will aim to show evidence of how the role has been successful by providing patients perspectives of the service, and more importantly what improvements could be made in order to ensure the safety of positions with the introduction of the new commissioning process being implemented.
The World Health Organisation (2009) defines palliative care as supporting patients and their families with physical, psychological, social and spiritual aspects of care during a physically and emotionally difficult journey of living with a non-curative condition.
People’s awareness of palliative care has been linked to the rise of the modern hospice movement back in 1967, when a doctor by the name of Dame Cicely Saunders was responsible



References: Ahmed, N.et al. 2004. Systemic review of the problems and issues accessing specialist palliative care by patients, carers and health and social care professionals. Palliative Medicine. 18 (6): 525-542. Buckley, J. 2008. Palliative Care an Integrated Approach. Chichester: Wiley-Blackwell. Cambridge University Hospitals NHS. 2007. Palliative Care frequently asked Questions Chapple, A. and S.Ziebland and A. McPherson. 2006. The specialist palliative care nurse: a qualitative study of the patients perspective Dean, E. 2010. Health Charities launch fight to keep specialist nurses threatened by cuts Department of Health. 1995. A policy framework for commissioning services for Cancer services: A report by the expert advisory group on cancer to the chief Department of Health. 1998. A first class service consultation document on quality in the new NHS Department of Health. 2006. Our Health, Our Care, Our Say: A New Direction for Community Services Department of Health. 2008. High Quality care for all: NHS next stage review final Report Fallon, M. and G. Hanks. 2006. ABC of Palliative Care. 2nd ed. Oxford: Blackwell Publishing. Gomes, B. and I. Higginson. 2008. Where people die (1974-2030): past trends, future projections and implications for care. Palliative Medicine. 22: 33-41. Hill, A Kearney, N. and A. Richardson. 2006. Nursing patients with cancer. Principles and practice. London: Elsevier, Churchill and Livingstone. Lugton, J. and R. Mcintyre. 2005. Palliative Care. The Nursing Role. 2nd ed. London: Elsevier Churchill Livingstone. Macmillan Cancer Support. 2010. About Macmillan Nurses. [Online] Available from: http://www.macmillan.org.uk/HowWeCanHelp/Nurses/AboutMacmillanNurses.aspx [18/07/10] Meehan, F. 2010. District nursing is becoming an endangered species. Journal of Community Nursing. 24 (3): 3. Mula, C. and S. Ware. 2003. Extended independent nurse prescribing in palliative care. Nursing times. 99 (18): 30. National Audit Office. 2008. End of Life Care. [Online] Available from: http://www.nao.org.uk/publications/0708/end_of_life_care.aspx Newbury, J. and W. DeLeeuw. and C. Newton. 2008. What do community palliative care nurse specialists do? An activity analysis. International Journal of Palliative Nursing. 14 (6): 264-267. Payne, S. and C. Willard. 2008. New age for end of life care. Cancer Nursing Practice. 7 (7): 28-31. Payne, S. and J. Seymour and C. Ingleton. 2008. Palliative Care Nursing, Principle and Evidence for Practice. 2nd ed. Berkshire: Open University Press. Pellett, C. 2009. Provision of end of life care in the community. Nursing Standard. 24 (12): 35-40 Penson, J Penson, J. and R.A. Fisher. 2002. Palliative care for people with cancer. 3rd ed. London: Arnold Publishers. Rose, D. 2010. Terminally ill unable to die at home through lack of nursing care. Sines, D. and M. Saunders. and J. Forbes-Burford. 2009. Community Health Care Nursing. Chichester: Wiley-Blackwell. Small, N. and P. Rhodes. 2000. Too ill to Talk? User involvement and Palliative Care. London: Routledge. The Argus. 2010. Postcode lottery for Sussex’s cancer patients. [Online] Available from: http://www.theargus.co.uk/news/8267538 [23/08/10] Thomas, K. 2004. Caring for the dying at home. Companions on the journey. Oxon: Radcliffe. Watson, M. et al. 2005. Oxford Handbook of Palliative care. Oxford: Oxford University Press. World Health Organisation. 2009. WHO definition of Palliative Care. [Online] Available from: http://www.who.int/cancer/palliative/definition/en [12/08/10] BIBLIOGRAPHY Douglas, J. and S. Venn. 1999. An audit of the community Macmillan nursing service. Journal of Community Nursing. 13 (11): 24-28. Hull, R. and M. Ellis and V. Sergent. 1989. Teamwork in palliative care. Abingdon: Radcliffe Medical Press. Lorenz, K. et al. 2006. Health care policy issues in end-of-life care. Journal of palliative medicine. 9 (3). 731-748.

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