6^th World congress on Hospice and Palliative care May 13-14, 2019 Holiday Inn Singapore Atrium | Singapore

Biography:

Abstract:

Holistic palliative Care as a specialty continue to evolve in Australia resulting in community expectations that older people with a life-limiting illness can 'live until they die' in an atmosphere of care and support, such as residential aged care settings (Palliative Care Australia, 2008, p.1).
How frequently in aged care settings do we, as nurses and health care professionals, hear the questions being asked by our colleagues, “Has the resident received their morning medication? Personal hygiene been completed? Care plan been adhered to?” But how often do we hear the question being asked, “Has the resident's spiritual needs been attended to? Has their spirit been cared for?” I would suggest that this is not always a common occurrence, and it is an important issue for all health care professionals to ponder.
In this Poster  presentation, I will display  from a nurse’s perspective, the importance of caring for the resident’s “spirit”, during end of life care and the various ways that this may be implemented.
Neglecting the spiritual needs of the elderly is particularly problematic, since research has indicated that the aged population is a highly spiritual and religious group (Weaver and Flannelly, 2001; Bearon and Koeing, 1990; Young, 1993.)
Throughout the literature, it is evident that nursing home residents do experience a number of spiritual needs, particularity in end of life care, which are often neglected due to nurses' inability to recognize and identify specific spiritual needs. A current nursing focus is the practice of holistic palliative care and all that it entails. According to Burhurt (1989), this includes the domain of care for the spirit and spirituality.
In caring for the resident's spirit, the palliative care nurse or Health Care professional attempts to create a safe, sensitive and nurturing environment in which the resident is able to contemplate and address existential and spiritual concerns. This provides the opportunity for the resident to share their story, by articulating those things in life which are important to them, give meaning to their life, and nurtures their spirit. The presence of 'being there' and holding the sacred space is imperative for the nurse or health care professional to maintain, when caring for the spirit of the resident. By using sensitive listening skills to hear the resident's story, the health care professional can assist in addressing the needs of the aged.
Tailoring to the individual's needs is an important aspect of holistic palliative care, which requires sensitive listening, a multidisciplinary team approach, so as to ensure adequate care of body, mind and spirit. Providing spiritual support is the responsibility of the aged care team and must be fulfilled in order to enhance a resident's quality of life. Tailoring a specific care plan appropriate to the individual and their family is an imperative aspect of holistic palliative aged care.

Biography:

Eunju Park is a clinical assistant professor at the department of family medicine at Pusan National University Yangsan Hospital in South Korea. She is under a PhD at Pusan national university now.

Abstract:

The purpose of this study was to evaluate the feasibility of an advance directive (AD) at the time of starting first-line palliative chemotherapy. We investigated the changes in emotional distress, quality of life (QoL), and attitudes toward anticancer treatments before and after the AD.  Patients with advanced cancer who had just started first-line palliative chemotherapy were prospectively enrolled between February 2014 and October 2016. We assessed the attitude toward chemotherapy, the Hospital Anxiety and Depression Scale (HADS), and the European Organization for the Research and Treatment of Cancer Quality of Life questionnaire (EORTC-QLQ) scores before conducting the AD, and subsequently performed the AD after the first cycle of chemotherapy. Follow-up evaluations using the same parameters were performed in the next cycle visit. During the study period, 104 patients started palliative chemotherapy. Among them, 41 patients were excluded, and the remaining 64 patients were recommended an AD. Among these 64 patients, 44 agreed to conducting the AD. Ultimately, 41 patients completed the AD and all data including follow-up, whereas three were excluded. There were no significant differences before and after the AD in terms of HADS and EORTC-QLQ scores. Attitudes regarding chemotherapy were also unchanged (P = 0.773). A total of 36 patients (82%) followed physician recommendations, with the exception of eight patients, who terminated chemotherapy due to refusal or loss to follow-up. Based on our results showing no significant changes in depression and anxiety scores, QoL, and attitudes toward anticancer treatments after the AD, early integration of the AD at the start of first-line palliative chemotherapy is recommended.

Biography:

Tayseer Jamal Afifi is now a fourth-year medical student at Islamic University of Gaza. He is 21 years old. He has participated at many local and international conferences and published his work in conferences’ journals. He is now a member of Palestine Implementation Team.

Abstract:

Pain is now considered by many international pain societies to be the fifth vital sign. The need to assess and treat neonatal pain has been increasingly appreciated. So, proper assessment of pain is essential to allow safe and compassionate care of infants in the neonatal intensive care unit (NICU). The is the first national Palestinian study that involved 850 neonates at five NICUs in Gaza Strip and eight NICUs in West Bank. The study was in the year 2018 from August 15^th to November 1^st. Among the 850 observed neonates, 68% were males and the mean age was 9 days. Most of neonates were admitted within the first 24-hours of life primarily due to prematurity. Exposure to painful procedures was assessed by the team members, including blood sampling and cannulation, in addition to invasive procedures such as lumber puncture and mechanical ventilation. Regarding pain assessment, most neonates scored less than five during procedure assessment, which meant they only needed some nursing comforting measures. However, nothing was done to handle this pain. There were marked differences in practice among all units. On the other hand, most neonates showed that the post-procedural assessment score was the same as or more than the pre-procedural assessment score. While few showed the opposite in whom interventions were done to reduce the pain. Some neonates were sedated at time of assessment. Nevertheless, physiologic parameters demonstrated that they were distressed during the procedure. There was no relation between the age of neonate and the pain score. 

Biography:

Catherine is a Registered Nurse with twenty-nine (29) years’ experience eighteen (18) in clinical practice and eleven (11) in teaching. She is an energetic, ambitious and reliable person who has developed a responsible approach to any task that she undertake, or situation she is presented with.  As an experienced Nurse/Lecturer she has strong analytical skills capable of assessing issues and finding solutions as she has excellent leadership and managerial skills. she is also an effective trainer and educator. 

Abstract:

To assess the Knowledge, skills and attitudes among nurse lecturer’s on palliative care.

Specific objective: To determine the lecturers knowledge on palliative care, Identify the lecturer’s attitude on palliative care, Establish the type of palliative care training the lecturers have received. 

Main Objectives: assess the factors influencing eye care utilization in Murang’a level five hospital eye unit.

Design: A cross-sectional quantitative study.

Setting: Kenya Medical Training College (Nairobi, Muranga& Thika).

Main outcome Measures: Lecturers Knowledge, Attitude & Skills on Palliative Care.

Results: (50%) of the nurse lecturers did not believe the concept of PC was well understood among nurse lecturers.Comparing academic qualifications and morphine use the chi- square was 0.040 which significant Comparing academic qualifications & whether suffering and physical pain are synonymous in terminally ill patients the chi square was 0.01 which is significant.79% said PC would be more effective if the nurse lecturers undertook a PC course. 54% felt PC is important in caring for terminally ill, while out of 58 only 17(29%) had training related to PC.Out of 17 lecturers 12 (70%) had undertaken a five (5) day course on pain management. One (1) 6% had a degree in PC while 4(24%) had a higher diploma in PC.

Conclusions: there is a knowledge gap among the nurse lecturers on PC concepts while their attitude towards PC is favourable.On the types of training received the study concludes that there is a big gap in the training of lecturers on PC as the majority have only undertaken a five day course on pain management

Biography:

Francia Cruz-Lisay is a registered Nurse and Licensed Professional Teacher and graduated her Bachelor degree as Bachelor of Science in Nursing in Immaculate Conception College- Albay, Certificate in Professional Teaching  Major in Biology at University of Sto. Tomas-Legazpi . She completed her International Master’s degree in Public Health in Tsinghua University, Department of Medicine and Public Health. She is currently working as an Instructor in Partido State University under Nutrition/ Dietetics Program. She was also the proponent in proposing a Public Health Program in the University and a committee member of Bicol Consortium for Health Research and Development in Bicol

Abstract:

Palliative care (PC) is defined by WHO as “an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness through prevention and relief suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychological and spiritual” Nurses as part of health care team plays an important role in achieving optimal and quality care for the patients.  The demand for highly trained and compassionate health care professionals such as nurses for palliative care is indeed very important especially of more persons living with the effects of serious illness due to poor lifestyle, effects of globalization and the increasing rate of Non Communicable and Chronic Diseases. Nurses from different hospitals in Albay and Sorsogon Province, Bicol Region Philippines was self-assessed using a survey questionnaire that includes their knowledge, attitude and practices.  Results shows that nurses are generally competent in terms of knowledge and attitude, however, still needs an improvement in terms of their practice on End of Life Care. Practices that need to improve are Communication among health care providers, patients and families, Alternative choices of treatment, Guiding principle and Involvement in decision making process. Factors  perceived by nurses as  hindrances  in giving Quality End of Life Care includes inappropriate nurse to patient ratio, insufficient supply of pain relief medication and  lack of Continuing education. Therefore, Nurses in a developing country like Philippines must emphasize the needs of specialized trainings and skills to provide quality Palliative Care