Chapter

Nursing issues at home

Derek Doyle, David Jeffrey and Kenneth Calman

in Palliative Care in the Home

Published in print October 2000 | ISBN: 9780192632272
Published online November 2011 | e-ISBN: 9780191730245 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780192632272.003.0010
Nursing issues at home

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Despite an increasing trend for death to occur in institutions, terminally ill patients often want to spend most of their time at home. To be able to meet the wishes of the patients to spend their time in a place of their choice, several considerations must be examined and the demands of the integrated approach to care must be effectively addressed by the health care professionals. This chapter discusses and outlines the nursing issues that must be addressed to achieve high-quality palliative care at home. These issues are assessment of home and modifications of home environment to create a conducive palliative care setting, the co-ordination of home care between the general practitioners and the district nurses, the communications between the professionals once the patient is discharged from the hospital, the packages of care available to the patient in the home setting, and the future needs of the patient. The chapter also discusses the home nursing issues associated with the disease, including the concerns of the patient and their families on issues regarding dietary guidelines and dying at home.

Keywords: home; care at home; home environment; home care; assessment of home; nursing issues

Chapter.  3622 words. 

Subjects: Palliative Medicine

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