The Necessity of Early Palliative Care in Patients with Severe Coronary Artery Disease: A Reflective Practice
Abstract
Background: Palliative care aims to improve the quality of life for patients with serious illnesses and their families. It is provided throughout the course of the disease, starting from the initial diagnosis to the grieving phase after the patient's death. Coronary artery disease has been proven to be a major cause of death, making palliative care important. Purpose: This study was to reflect the patient's case in order to gain of new insight and perspective.
Methods: This article was a critical review of author experience when providing patient nursing care in a hospital. The case was reviewed using reflective practice.
Results: Through reflection on the case, it was found that the initiation of palliative care was only carried out when the patient was continuously deteriorating. So that patients and their families do not receive adequate palliative care.
Conclusion: Early palliative care has an impact on symptoms, quality of life, and support for patients and their families during the dying process. However, there are obstacles to early palliative care implementation, such as negative stigma, medical professionals who wish to continue giving treatment in hospitals till the end, and a lack of expertise and capability among health workers to deliver palliative care.
Keywords
Full Text:
PDFReferences
Alinda, N. N., & Maulida, M. N. (2022). A literature review: knowledge and attitude of nurses in providing pallalitive care in indonesia. 151–155.
Bakitas, M. A., Tosteson, T. D., Li, Z., Lyons, K. D., Hull, J. G., Li, Z., Dionne-Odom, J. N., Frost, J., Dragnev, K. H., Hegel, M. T., Azuero, A., & Ahles, T. A. (2015). Early versus delayed initiation of concurrent palliative oncology care: Patient outcomes in the ENABLE III randomized controlled trial. Journal of Clinical Oncology, 33(13), 1438–1445. https://doi.org/10.1200/JCO.2014.58.6362
Baran, C. N., & Sanders, J. J. (2019). Communication Skills: Delivering Bad News, Conducting a Goals of Care Family Meeting, and Advance Care Planning. Primary Care - Clinics in Office Practice, 46(3), 353–372. https://doi.org/10.1016/j.pop.2019.05.003
Borneman, T., Irish, T., Sidhu, R., Koczywas, M., & Cristea Prof, M. (2014). Death awareness, feelings of uncertainty, and hope in advanced lung cancer patients: Can they coexist? International Journal of Palliative Nursing, 20(6), 271–277. https://doi.org/10.12968/ijpn.2014.20.6.271
Caprio, A. J. (2016). Palliative care: Renaming as supportive care and integration into comprehensive cancer care. Cmaj, 188(10), 711–712. https://doi.org/10.1503/cmaj.160206
Choudhuri, A. H., Sharma, A., & Uppal, R. (2020). Effects of delayed initiation of end-of-life care in terminally Ill intensive care unit patients. Indian Journal of Critical Care Medicine, 24(6), 404–408. https://doi.org/10.5005/jp-journals-10071-23454
Dionne-Odom, J. N., Azuero, A., Lyons, K. D., Hull, J. G., Tosteson, T., Li, Z., Li, Z., Frost, J., Dragnev, K. H., Akyar, I., Hegel, M. T., & Bakitas, M. A. (2015). Benefits of early versus delayed palliative care to informal family caregivers of patients with advanced cancer: Outcomes from the ENABLE III randomized controlled trial. Journal of Clinical Oncology, 33(13), 1446–1452. https://doi.org/10.1200/JCO.2014.58.7824
Enggune, M., Ibrahim, K., & Agustina, H. R. (2015). Persepsi Perawat Neurosurgical Critical Care Unit terhadap Perawatan Pasien Menjelang Ajal. Jurnal Keperawatan Padjadjaran, 2(1), 35–42. https://doi.org/10.24198/jkp.v2i1.80
Hafifah, I., & Fithriyah, N. (2018). Pengalaman Keluarga dalam Pengambilan Keputusan pada Pasien Kritis di Ruang Intensive Care Unit (ICU) RSUD Ulin Banjarmasin. Dunia Keperawatan, 6(1), 11. https://doi.org/10.20527/dk.v6i1.4948
Hernández-Marrero, P., Fradique, E., & Pereira, S. M. (2019). Palliative care nursing involvement in end-of-life decision-making: Qualitative secondary analysis. Nursing Ethics, 26(6), 1680–1695. https://doi.org/10.1177/0969733018774610
Hokanson, K., Breault, R. R., Lucas, C., Charrois, T. L., & Schindel, T. J. (2022). Reflective Practice: Co-Creating Reflective Activities for Pharmacy Students. Pharmacy, 10(1), 28. https://doi.org/10.3390/pharmacy10010028
Ichikura, K., Matsuda, A., Kobayashi, M., Noguchi, W., Matsushita, T., & Matsushima, E. (2015). Breaking bad news to cancer patients in palliative care: A comparison of national cross-sectional surveys from 2006 and 2012. Palliative & Supportive Care, 13(6), 1623–1630. https://doi.org/10.1017/S147895151500005X
Kirkpatrick, A. J., Cantrell, M. A., & Smeltzer, S. C. (2017). A concept analysis of palliative care nursing: Advancing nursing theory. Advances in Nursing Science, 40(4), 356–369. https://doi.org/10.1097/ANS.0000000000000187
Koshy, K., Limb, C., Gundogan, B., Whitehurst, K., & Jafree, D. J. (2017). Reflective practice in health care and how to reflect effectively. International Journal of Surgery: Oncology, 2(6), 20. https://doi.org/10.1097/IJ9.0000000000000020
Ma, J., Chi, S., Buettner, B., Pollard, K., Muir, M., Kolekar, C., Al-Hammadi, N., Chen, L., Kollef, M., & Dans, M. (2019). Early Palliative Care Consultation in the Medical ICU: A Cluster Randomized Crossover Trial. Critical Care Medicine, 47(12), 1707–1715. https://doi.org/10.1097/CCM.0000000000004016
Malakar, A. K., Choudhury, D., Halder, B., Paul, P., Uddin, A., & Chakraborty, S. (2019). A review on coronary artery disease, its risk factors, and therapeutics. Journal of Cellular Physiology, 234(10), 16812–16823. https://doi.org/10.1002/jcp.28350
Murillo-Llorente, M. T., Navarro-Martínez, O., Valle, V. I., & Pérez-Bermejo, M. (2021). Using the Reflective Journal to Improve Practical Skills Integrating Affective and Self-Critical Aspects in Impoverished International Environments. A Pilot Test. International Journal of Environmental Research and Public Health, 18(16), 8876. https://doi.org/10.3390/ijerph18168876
Qureshi, D., Tanuseputro, P., Perez, R., Pond, G. R., & Seow, H. Y. (2019). Early initiation of palliative care is associated with reduced late-life acute-hospital use: A population-based retrospective cohort study. Palliative Medicine, 33(2), 150–159. https://doi.org/10.1177/0269216318815794
Robinson, J., Gott, M., Gardiner, C., & Ingleton, C. (2017). Specialist palliative care nursing and the philosophy of palliative care: A critical discussion. International Journal of Palliative Nursing, 23(7), 352–358. https://doi.org/10.12968/ijpn.2017.23.7.352
Schroeder, K., & Lorenz, K. (2018). Nursing and the future of palliative care. Asia-Pacific Journal of Oncology Nursing, 5(1), 4–8. https://doi.org/10.4103/apjon.apjon_43_17
Siagian, E., & Peranginangin, M. (2020). Hubungan Pengetahuan dan Sikap Perawat tentang Perawatan Paliatif di Rumah Sakit Advent Bandung. Jurnal Skolastik Keperawatan, 6(1), 1–9. https://doi.org/10.35974/jsk.v6i1.2231
Sobański, P. Z., Brzezińska Rajszys, G., Grodzicki, T., Jakubów, P., Jankowski, P., Kurzyna, M., Nessler, J., Przybylski, A., Ratajska, A., Tomkiewicz Pająk, L., Uchmanowicz, I., & Pasierski, T. (2020). Palliative care for people living with cardiac disease. Kardiologia Polska, 78(4), 364–373. https://doi.org/10.33963/KP.15276
Sullivan, M. F., & Kirkpatrick, J. N. (2020). Palliative cardiovascular care: The right patient at the right time. Clinical Cardiology, 43(2), 205–212. https://doi.org/10.1002/clc.23307
Tampubolon, N. R., Fatimah, W. D., & Hidayati, A. U. N. (2021). Hambatan-Hambatan Implementasi Perawatan Paliatif di Indonesia: Systematic Review. Jurnal Kesehatan, 14(1), 1–10. https://doi.org/10.23917/jk.v14i1.12815
WHO. (2018). Why Palliative Care Is an Essential Function of Primary Health Care. World Health Organization, 1–20. https://www.who.int/docs/default-source/primary-health-care-conference/palliative.pdf?sfvrsn=ecab9b11_2&ua=1
WHO. (2022). Palliative Care. https://www.who.int/health-topics/palliative-care
DOI: https://doi.org/10.31983/jnj.v8i1.10591
Article Metrics
Refbacks
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
JENDELA NURSING JOURNAL is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.