Anxiety disorders can be defined as the sustained mental incapacity to be in control of ones own emotions hence succumbing to constant fear, worry, and anxiety. It ends up in someone being unable to carry on with daily activities. Some people get into such disorder, and no amount of help and medical assistance can return them to normalcy (Halter & Varcarolis, 2013). Such patients end up being taken care of in medical facilities as psychiatric patients. Hospice care facilities have raised their tact in ensuring the proper end of life care for patients. The article Enhancing end of life care for terminally ill psychiatric patients by Faith Steves and Tommy Williams does feature aspects of psychiatric nursing that are fundamental to the positive and beneficial care unto patients.
The fact that there are few hospice care facility services needs to be checked upon. Health caregivers ought to expand their capacities to host and serve psychiatric patients. Not only are the facilities few but also the inadequacy of staff and specialists in the field of psychiatric nursing hampers the quality of service received by patients as they need closer and frequent contact. It is becoming apparent that hospitals that have hospice facilities shy off admitting mentally ill patients on the grounds of safety. Counseling services need boosting as well because there is need to comfort the facility residents when a fellow approaches death and passes away. The policy of abstaining from, declaring a patients death at the facility helps to aver ensuing grief, but eventually, the patients are treated to the information of death hence supporting the need to have counselors, staff, and specializes in such facilities.
The article asserts the need for most of the nurses in hospice and palliative care facilities to seek more academia. It happens that most psychiatric nurses are trained for the psychiatric care but not to the extent of terminal illness that demand s proper palliative and hospice care. The need for emotional and psychological support drives the essence of this adaptation by nurses.
The environment aspect of care facilities is weighty and carries great significance for patients. This assertion is true to the extent that patients who are terminally ill facing the glaring ultimate end of death have a preference to be in a friendly environment. The staff has to be sensitive in ensuring the patients obtain their serene ambiance. This can be done by having the patients live in a bright and clean space and those opting to live singly or amongst other patients obtain their preference. It is essential to have the patients in comfort to lessen their plight of illness (Townsend, 2014).
Scholars have argued that the essence of communication is not only to share information but to establish a relationship of trust and confidence between the patient and the caregivers. The premise of utilizing communication skills in empathy and emotional support is a good foundation to bring the family of the patient to a hopeful and relieve their worries. Patients have always desired to have information as to their health progress and status. The fact that the information is what patient has shown an inherent human tendency to desire, it can only be satisfied by putting effort on making sure that even mentally ill patients get to know their status. The chain of command in medical nursing Care facilities ought to be built on the pillar of communication and interpersonal interaction to ease and make effective the activities in such setup.
Faith Steves and Tommy Williams in the article further assert the necessity of supporting caregivers and the family of the patients. These are the people that absorb the stress and fatigue of having to be close and more concerned about the terminally ill patients. For the staff case, having to serve patients who are facing death and with no chance of recovery may result in subsequent emotion malady. The family of the patients has to labor with the imagination of having lost their loved ones to terminal illness forever. To ensure that such is avoided, by having the professional and medical expert based approaches communicated to the caregivers as well as educating the family about the process has a positive impact on them.
There is often resistance by the family members to the hospice care facility based approach for terminally ill patients. Many family setups would opt to have their patient taken care of from their homes. The importance of communication and support to the family comes handy at the point where they are made to understand also the perspective of their particular patient if one is opting to remain in the facility. The resistance can only be quelled by having conversations between family and the Medicare (Townsend, 2014). Resistance also comes in with the change of module and tact. Employees as caregivers or nurses used to a particular way of handling patients often find it hard to change to new patterns, but the management, ought to involve the service givers of the importance of particular changes to bring everyone on board and have perfect service delivery.
It is clear that the article has espoused critical issues at a place in hospice and palliative care facilities and the challenges faced. In light of the issues posed, the solutions have been stated with and in the fullness of accomplishing the particular reforms necessary, then can psychiatric nursing take off to greater and exemplary service provision. The article, nonetheless, demonstrates a service sector that is trying its best to serve patients terminally though, specific patients indeed would require special care that strains the facilities.
Halter, M. J., & Varcarolis, E. M. (2013). Varcarolis' Foundations of Psychiatric Mental Health Nursing. Elsevier Health Sciences.
Townsend, M. C. (2014). Psychiatric mental health nursing: Concepts of care in evidence-based practice. FA Davis.
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