PALLIATIVE CARE

Palliative care has incorporated a multidisciplinary and interdisciplinary concept in the care of people with advanced disease diagnosis, progressive, incurable and terminal stage. Effective teamwork with different professionals can meet and take care of the various physical, social and spiritual needs of the patient and his family.

Nursing occupies a privileged place it is who remains the most time with the patient, this allows you to clearly exercise the role of caregiver and that is why the nurse should be able to accept that not all patients will heal, which means changing the attitude curative toward an attitude palliative. Therefore, the main goal of nursing is to give the best quality of life for patients and their families. We can say that give relief to suffering is the dominant goal of palliative care. These are based on three pillars: communication, control of symptoms, and family support.

But in my opinion, goes beyond providing direct assistance to physical needs only. Rather the care plans is for the continuity, flexibility, accessibility. The nurse must accompany poise and daily life of patients and their families, and integrate the family into the act of caring. The nurse must support through listening, be sensitive and be aware of the details that give comfort to the patient.

We should note that a dying patient before his death is hopelessly staff, like life. The certainty of death is what humanizes, and of the most important things to consider is that is a living being, and the nearness of death makes to the patient more sensitive, wise and noble. Currently tends to ignore death, the patients that they will die they are separated or they have them asleep, the nurse must procure or allow to the dying  be active before his own death. Not to forget that the patient is still a living person and is entitled to a dignified death.

For me, it is very important in this process the nurse-patient communication as a way to meet the needs of the sick or affected, we must not forget that in many cases the most important tools for providing care are the word and listening, from this monitoring can be made better care.

From my point of view as a project of nurse, in terminal situations the goal of care is not "the cure", is to "take care" to the patient, despite the persistent and irreversible progression of the disease. This is to provide the highest quality of life until death happens.

Bibliography.

• Cruceiro, A. Ética en cuidados paliativos. Madrid: Ed. Tricastela, 2004.

• Collins F. An evaluation of palliative care services in the community. Nursing times. 2004.