Running head: PALLIATIVE CARE: A CONCEPT ANALYSISof 19Nursing practice involves an immense amount of concepts. From these key concepts we can develop nursing theories (Parker & Smith, 2015). Palliative care is a concept that can be enhanced with the use of the Humanistic Nursing Theory. This paper will provide a literature review on the concept of Palliative Care. This literature review will discuss attributes, antecedent, consequence, and empirical referents of palliative care. Case studies will further the
Running head: PALLIATIVE CARE: A CONCEPT ANALYSISof 29importance of palliative care. Nurse practitioners can use this application of the Humanistic Nursing Theory to palliative care to enhance their practice (Wu, Volker, 2011). Definition of Palliative CareThe Center to Advance Palliative Care describes palliative care as “specialized medical care for people living with a serious illness. This type of care is focused on providing relief from the symptoms and stress of the illness. The goal is to improve quality of life for both the patient and the family” (2020, p.1). It is imperative that Nurse practitioners understand what palliative care is. Nurse practitioners need to assess patients who are in critical condition or suffering from an advanced illness for the implementation of palliative care. Nurse practitioners should holistically try to understand their patients and their families. Incorporating patients health status and goals nurse practitioners can help implement a plan, such as palliative care, to achieve those goals (Matzo & Sherman, 2015). Literature ReviewIt is important to identify the need for palliative care early when can help eliminate the suffering faced by patients and their families during the end of life process. Palliative care is delivered by a multidisciplinary team; nurses, care techs, physicians, and nurse practitioners. This type of multidisciplinary care is best facilitated by nursing theories (Dobrina, Tenze, Palese, 2014).Older adults is the population that is usually focused on when discussing palliative care. Older adults are more likely to experience illnesses that require the use of palliative care. Researchers looked at 228 older adult patients who were transferred from ICU to a step down unit. It was found that only 2.6% of patients received a palliative care consult, despite that 88% of them had at least one potential need that would qualify them for palliative care. Information and competence about palliative care needs to be increased to provide patients with improved quality of life (Caple & Schub 2018).
Running head: PALLIATIVE CARE: A CONCEPT ANALYSISof 39Palliative care has become an important aspect of critical care units. Through literature review it is evident that critical care nurses are often in distress when they feel that their patients are not receiving the palliative care that they should. Critical care nurses report that they are often in situations where they feel they are prolonging life or death. These nurses also report that patients families are being lied to by the providers. In a study of 167 nurses it was found