Communication and palliative care in medicine-1.pptx

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1. Communication and palliative care in medicine (Communication between Health professionals, with the politicians, public and Media). Group 6 society and medicine

2. Group members Name Sin Program Synodian Mulenga 17109578 MBChB Owen Chisoti 17111187 MBChB Febby Nyawana 17114698 MBChb

3. Objectives: 1. define communication and palliative care 2.importance of communication in palliative care 3 . barriers to effective communication in palliative care 4 . communication between health professionals, the politicians ,the public, and media.

4. DEFINITION

5. Introduction Communication : This is the exchange of facts, ideas, opinions or emotions by two or more persons (Newman and Summer). This can be verbal or nonverbal communication -Communication cycle -Barriers Palliative care : WHO defines palliative care as the prevention and relief of suffering of adult and pediatric patients and their caregivers facing the problems associated with life-threatening illness. These problems include physical, psychological, social and spiritual suffering of patients, and caregivers. Palliative care includes: early identification and impeccable assessment and treatment of t h e aforementioned problems; improves quality of life, promotes dignity and comfort, and may also positively influence the course of illness; provides accompaniment for the patient and family throughout the course of illness; I t integrate s complement prevention, early diagnosis and treatment of serious or life-limiting health problems

6. Importance of communication in palliative care Good communication particularly in palliative care medicine must take into consideration feelings and emotions associated with the content of the conversation. some of the importances includee. It Influence subsequent treatment decisions Ensures patients adhere to treatment and make sure they understand the diagnosis and prognosis Helps form supportive system that ensures that patients live actively as possible until death Ensures that family members and close friends make the most of the time left with the patients H e l p s t o create a sense of trust and openness for the patient Good communication reduce the provision of unwanted, inapprooriate or unnecessary interventions enhance the quality of care provided also improving patient and family satisfaction. In summary, good communication in palliative care medicine adopts a modern, patient- centered, biopsychosocial-spiritual framework, and focuses on eliciting patient concerns, identifying their agenda, providing complete information, but doing so in a way that allows patients and families to digest what they a r e t o l d .

7. Barriers to effective communication Some of the most challenging discussions in palliative care are regarding end-of-life issues include talking about prognosis, preference and priorities, as well as hopes Despite strong argument for opening and expediting end-of-life care discussions, for many people living with life threatening illness, these conversations do not occur due to the following reasons: 1. prognostic uncertainty 2. fear of causing distress i.e. anticipating potential impact of the end-of-life discussions on patients and those close to them 3. navigating patient readiness 4. feeling unprepared

8. Communication with health professionals C onsultation and support from colleagues directly correlated with comfort level in discussing death and dying with a child’s family H aving a consultation team and dedicated unit for palliative care, provides better medical care. I mportance of all team members participating gives a better understanding of the illness. Helps in effective symptom control

9. Communication with the politicians The absence of government oversight of and support for palliative care initiation and dissemination has resulted in variable quality and access . The presence of palliative care in a community depends not on population need, but rather on accidents of geography, the availability of effective clinical aspect and the presence of an academic teaching hospital . [Morrison RS, 2015] Communication with politicians to ensure national , regional, and local private-sector investments have established the foundational capabilities for success, including quality measurement, training curricula, scalable advance care planning initiatives, model development and testing, and a growing body of evidence. Policy can broaden the focus of palliative care for the seriously ill beyond health systems and into homes and communities, where patients prefer to be and where care has been demonstrated to be of high quality and lower cost . Advice the government to formulate national strategy could address existing gaps in access, workforce training, accountability, financing , and the knowledge base. The goal would be to rebalance medical care, moving from its traditional exclusive focus on disease treatment to include whole-person and family care informed by palliative care principles.

10. Communication with the public Communication with public or public involvement within palliative care research can help to develop patient-focused research questions ,aid recruitment to studies , and support dissemination of findings to a wider community when conducting a research

11. References World Health Organization. WHO definition of Palliative Care. 2015 retrieved march 2021. http://wwwhoint/cancer/palliative/definitions/en/ Royal College of Nursing. Defining nursing. London: Royal College of Nursing, 2014. https://www.rcn.org.uk/professional-development/publications/pub-004768 . Brumley R, Enguidanos , Jamison P, etal . 2007. increased satisfaction with care and lower cos: results of a randomized trial of in-home palliative care