According to WHO, palliative care is defined as:
"An approach that improves the quality of life of patients and families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychological and spiritual "
- There is an advanced disease, with a life expectancy of less than six months.
- When no response to specific treatment.
- When presented multiple symptoms that are continually changing and evolving for the worse.
You have any of these conditions: cancer, AIDS, Enf. Neuron, Renal Failure, Respiratory Failure, Heart Failure, Liver Failure, etc.
It is important to establish a trusting relationship with patients and family. Providing understanding, listening skills and emotional support.
- Control of pain. EVA Scale.
- Keep calm and pleasant.
- Maintenance of hygiene.
- It should affect the mouth, cleaning mucus, saliva, change of clothes, diaper soaker.
- Postural changes as pattern, usually every hour, but also according to the state in which the patient is located.
- If the patient is conscious, never be supine, risk of aspiration.
- Controlling the constants in turn.
- Provide the wedge, bottle, if you can. Urination and defecation control.
- Maintain body temperature, clothing. Decreases blood flow.
- If you can take fluids help to take, but keep hydrated. Moisten lips occasionally.
- It is important not to make inappropriate comments, since it is known that the last sense to be lost is the ear. Out of respect for the patient.
Providing pain medication is an irrevocable right of the patient, and that is does not have to suffer in this last stage.
Bibliography:
1. Asociación Española de Enfermería en Cuidados Paliativos
[Internet]. Disponible en: http://www.secpal.com/aecpal/servicios.php
2. Cuidados Paliativos. [Internet].
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