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    Hospice Care

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    Eva Yanti
    Hospice care aims to improve the quality of life for terminally ill patients and their families by providing palliative care rather than cure-focused treatment. It takes a holistic approach addressing physical, psychosocial and spiritual needs. Hospice care can be delivered in various settings including at home, and involves an interdisciplinary team. The hospice nurse coordinates care and provides education, advocacy, and emotional support for patients and their families during the end of life process and bereavement period.

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    Hospice Care

    Uploaded by

    Eva Yanti
    415 views33 pages
    Hospice care aims to improve the quality of life for terminally ill patients and their families by providing palliative care rather than cure-focused treatment. It takes a holistic approach addressing physical, psychosocial and spiritual needs. Hospice care can be delivered in various settings including at home, and involves an interdisciplinary team. The hospice nurse coordinates care and provides education, advocacy, and emotional support for patients and their families during the end of life process and bereavement period.

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    Hospice care aims to improve the quality of life for terminally ill patients and their families by providing palliative care rather than cure-focused treatment. It takes a holistic approach addressing physical, psychosocial and spiritual needs. Hospice care can be delivered in various settings including at home, and involves an interdisciplinary team. The hospice nurse coordinates care and provides education, advocacy, and emotional support for patients and their families during the end of life process and bereavement period.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    415 views33 pages

    Hospice Care

    Uploaded by

    Eva Yanti
    Hospice care aims to improve the quality of life for terminally ill patients and their families by providing palliative care rather than cure-focused treatment. It takes a holistic approach addressing physical, psychosocial and spiritual needs. Hospice care can be delivered in various settings including at home, and involves an interdisciplinary team. The hospice nurse coordinates care and provides education, advocacy, and emotional support for patients and their families during the end of life process and bereavement period.

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    HOSPICE CARE

    Oleh Ni Luh Putu Eva Yanti

    Kehidupan manusia Kelahiran & Kematian Manusia tidak tahu kapan wkt kematiannya Bagaimana dgn klien dgn penyakit terminal ? Belum bisa menerima proses menjelang ajal & berduka cita

    Tahapan Penerimaan Kematian


    1. 2. 3. 4. 5. Penolakan atau ketidak-percayaan Marah Tawar-menawar Depresi Penerimaaan

    MENINGGAL SECARA TERHORMAT


    MAKNA seseorang diperlakukan secara manusiawi bahkan saat telah meninggal sekalipun. RESPECT/ Rasa hormat prinsip, individu harus dihargai & perawatan yang dilakukan dilandasi dengan prinsip tersebut.

    Perawatan Paliatif
    Pendekatan yg bertujuan mperbaiki kualitas hidup pasien & kel yg menghadapi mslh yg berhubungan dgn penyakit yg dpt mengancam jiwa, mll pencegahan & peniadaan mll identifikasi dini & penilaian yg tertib serta penanganan nyeri & masalah2 lain, fisik, psikososial & spiritual (WHO, 2002)

    Hospice = Palliative Care Service


    Hospis adlh tempat dimana pasien dgn penyakit terminal yg tdk dpt dirawat di rmh namun tidak melakukan tindakan yg hrs dilakukan di RS. Pelayanan yg diberikan tdk spt di RS, ttp dpt mberikan pelayanan utk mengendalikan gejala2 yg ada, dgn keadaan spt di rmh pasien sendiri.

    Hospice Care
    Hospice care is a coordinated program of palliative services (which alleviate pain or other symptoms without curing) delivered to terminally ill clients & their families (Spector, 1984; ANA, 1987; Murray and Zenter, 1997 dlm Hitchcock, Schubert and Thomas, 1999)

    Hospice Care
    Interventions provide for physical, psychological, social, and spiritual care of dying persons and families Hospice emphasizes the caring and comfort aspect of care over the curing aspect via interventions to alleviate symptoms and control pain in the client & provide support and instructions to the family and significant others

    Philosophical Foundations of Hospice Care


    Hospice offers comfort and support, rather than seeking cure Hospice considers the client and the family as the basic unit of care Hospice provides care in institutional, home, and community settings Hospice continues bereavement care to the survivors following the clients death

    Hospice Care
    Clients are eligible to receive hospice care when it is certified by a physician that the client has fewer than six months to live and when the client is willing to receive palliative, as opposed to curative care

    Hospice Care Services


    Clients are best served by comprehensive hospice program (services for the family and others deeply affected by the death of client) An interdisciplinary health care team manages hospice care The client and family integrated into team and define their rights and responsibilities regarding pain and symptom control, comfort interventions, home emergencies , and identification and use of available resources

    Standards of Hospice Nursing Practice


    Standard I Assessment: The hospice nurse collects client and family data Standard II Diagnosis: The hospice nurse analyzes the assessment data in determining diagnosis Standard III Outcome Identification: The hospice nurse identifies expected outcomes individualized to the client and family

    Standards of Hospice Nursing Practice


    Standard IV Planning: The hospice nurse develops a nursing plan of care that prescribes interventions to attain expected outcomes Standard V Implementation: The hospice nurse implements the interventions identified in the plan of care Standard VI Evaluation: The hospice nurse evaluates the clients and familys progress toward attainment of outcomes

    Standar Kinerja Profesional


    Standar I Quality of Care: Perawat scr sistematis mengevaluasi kualitas & efektivitas pelayanan kep Standar II Performance Appraisal: Perawat mengevaluasi pelayanan kep yg telah diberikan apakah sudah sesuai standar, relevan dan aturan pelayanan profesional Standar III Education: Perawat meningkatkan pengetahuan & keterampilan dlm pelayanan kep hospice

    Standar Kinerja Profesional


    Standar IV Collegiality: Perawat berinteraksi mengembangkan profesionalism sesama perawat & tenaga kes lainnya Standar V Ethics: putusan & tindakan perawat kpd klien & kelg sesuai dgn etika profesi Standar VI Collaboration: Perawat berkolaborasi dgn klien & kelg, tenaga kes lain, dan multidisiplin ilmu

    Standar Kinerja Profesional


    Standar VII Research: Perawat menerapkan hasil penelitian dlm melakukan pelayanan kep Standar VIII Resource Utilization: Perawat membantu klien dan kelg utk memahami risiko , keuntungan, biaya perencanaan, dan pelaksanaan askep

    Dimensions of Hospice Care


    Physical Dimension Intervensi kep hospice bertujuan untuk meningkatkan dukungan perbaikan/ pemulihan scr keseluruhan utk mencapai kondisi maksimal Mengkaji respons fisiologis klien thdp proses penyakitnya Intervensinya: mengurangi rasa nyeri, mengkontrol gejala penyakit, mempertahankan integritas kulit, menjaga metabolisme energi tubuh, & memenuhi kebutuhan nutrisi.

    Dimensions of Hospice Care


    Physical Dimensions(cont) Terapi modalitas yg dpt diberikan: 1. Autogenic training 2. Relaxation techniques 3. Biofeedback 4. Self-hypnosis 5. Therapeutic touch

    Dimensions of Hospice Care


    Psychosocial Dimension Kondisi emosi, psikologis & kes sosial klien & keluarga dlm menghadapi proses kematian Bertujuan utk mengoptimalkan kondisi psikologis, meningkatkan kekuatan & kontrol klien & kelg, mempromosikan konsep diri positif, mengurangi perasaan kesepian & terisolasi serta mengembangkan komunikasi perasaan & memenuhi kebutuhan klien

    Dimensions of Hospice Care


    Psychosocial Dimension (cont) Perawat berusaha membantu klien utk menerima kematian (yg tdk dpt dielakkan) dgn damai dgn cara mengembangkan komunikasi & membesarkan hati melalui review proses kehidupan yg telah dilewati Intervensinya kontrol diri klien mengurangi kecemasan & membangkitkan perasaan kerukunan klien-kelg dgn damai

    Dimensions of Hospice Care


    Spiritual Dimension Spritual, religious, hub klien-kelg Intervensi spiritual membantu klien-kelg menghadapi masa kematian Perawat hrs mengkaji keb spiritual klien-kelg Intervensinya dgn memenuhi kebutuhan spiritual klien dgn menjelang kematian, membantu klien memenuhi keb tsb, tingkatkan rasa keutuhan dan kedamaian

    Type Of Hospice Program


    The Institution Hospice Care (public agencies, hospital, independent organizations, private agencies) Hospice Home Care Respite Care Family conferences Bereavement care

    Role Functions of the Hospice Nurse


    A high level of professional competence is required to function effectively as a hospice nurse Nurse must be skilled in all of functional role: community setting and background in acute care

    Role Functions of the Hospice Nurse


    Educator : membantu klien & kelg membuat keputusan dgn cara memberi informasi spesifik ttg kondisinya Consultant : perawat mengkombinasikan pengetahuan dan pemahaman ttg kekuatan kondisi klien utk memberdayakan klien mengambil keputusan dlm proses menjelang ajal

    Role Functions of the Hospice Nurse


    Advocate: menegakkan/ membela keinginan klien Selama masa menjelang ajal, klien biasanya dlm kondisi yg lemah dan tidak mampu utk mepertahankan harapan/ keinginannya

    Role Functions of the Hospice Nurse


    Perawat hrs bertanggung jawab dlm megkoordinasikan pelayanan kep pada klien menjelang ajal dan kelg yg berduka cita Berdekatan dan frekuensi kontak yg sering dgn klien menjelang ajal & kelg yg sedih/ distres dpt menghabiskan energi baik fisik dan emosi

    Role Functions of the Hospice Nurse


    Perawat hrs dpt menyeimbangkan keb klien & klien dgn keterbatasan diri multidisiplin tim yg akan memberikan kekuatan selama pelayanan kep hospice Banyaknya perpaduan peran dan fungsi perawat sbg case manager, coordinator dlm perencanaan, advocate, & educator profesi perawat sbg point penting dlm pelayanan hospice

    Stres yg dihadapi perawat:


    Kesulitan menerima kenyataan bhw masalah klien tdk dpt di kontrol Frustasi akibat banyaknya masalah pd klien yg akan meninggal dunia Marah akibat subjektivitas dan kemauan dan harapan keluarga yg tinggi Kesulitan menyusun batas keterlibatan dgn klien kelgnya

    Tim Pelaksana Hospice


    Perawat Dokter Pekerja sosial Rohaniawan Psikolog Konselor Relawan Terapis Ahli Gizi

    Pelayanan Hospice di Indonesia


    RS Kanker Dharmais unit paliatif Rawat inap di RS dan Hospice Home Care Pasien kanker & non kanker yg memerlukan perawatan paliatif Membantu kesiapan menghadapi akhir hayat dengan tenang dan dalam iman Memberi dukungan masa duka cita

    Pelayanan Hospice di Indonesia


    Hospice Home Care YKI HHC-YKI merupakan pelayanan / perawatan pasien kanker terminal (stadium akhir) yang dilakukan di rumah pasien setelah dirawat di rumah sakit dan kembali ke rumah.

    Kelg jangan mengambil sikap pasrah, selama masih ada kemungkinan dan kemampuan, kerjakanlah apa yang bisa dikerjakan untuk mempertahankan kualitas hidup klien sampai akhir hayatnya dengan palliative dan supportive care yang baik.

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