**C. Home care:**


**261**

*Holistic/Palliative Management of Patient's Health Care and Home Situation in a Depressed…*

All care providers: Multidisciplinary, this is hope to address physical, psychological, social and spiritual needs of both the patient and the family identifying other specialist. The approach to care takes cognizance of the fact that the economic depression affects the type of care the less privileged members of the population attained. This may affect proper access to good health care services and as such provision of home care will be beneficial to them where they will be taken care of in

Nurses should strive to always make the most of the short time they have with each patient. As nurses, we need to promote a patient's psychological and emotional well-being in order to facilitate physical healing, especially in a poor economic situation. When we do this, our relationship with the patient alters and develops into something more encouraging than it was before. This contributes to better patient outcomes and can heighten the happiness and perseverance in our work as nurses.

There are many easy ways to develop relationships with patients and encourage a

By doing this, informal caregivers would emulate and continue home care.

• Assist the patient to see themselves as someone who merits self-esteem

Holistic nursing is the concept of caring for a person as a whole. The purpose is to return the patient as a whole to as close to normal as possible even when receiving care at home. Holistic nursing highlights on the nurses considering the link between minds, body, emotion, spirit, social, cultural, environmental and past relationships in order to return the patient to a whole. This however has not always been likely to attain. The idea of caring for the whole person, not just their physical body, is one that dates back to Florence Nightingale. Florence Nightingale devotedness was to care for those who could not care for themselves. Florence Nightingale herself advocated holistic care by recognising the importance of environment touch, light,

There is a direct relationship between economy and health and by implication of nursing profession. The present economic depression places an enormous threat

sound psychological, emotional and spiritual environment.

• Ask how a patient is feeling and honestly care

• Educate patients on the significance of self-care

scents, music and silent reflection in treatment process.

• Ask the patient how you can decrease their anxiety or pain

• Learn the patient's name and use it

• Make good, strong eye contact

• Smile and laugh when suitable

• Use relaxing touch

• Maintain their self-worth

*DOI: http://dx.doi.org/10.5772/intechopen.92736*

**D. Approach to care:**

their familiar environment.

**8. Summary/conclusion**

*Holistic/Palliative Management of Patient's Health Care and Home Situation in a Depressed… DOI: http://dx.doi.org/10.5772/intechopen.92736*

## **D. Approach to care:**

*Suggestions for Addressing Clinical and Non-Clinical Issues in Palliative Care*

inadequate training/discharge planning and lack of follow-up [33].

1.Staff: Palliative care physician and nurse to be identified

2.Terminally ill patients identified after diagnosis is confirmed

sion on advance care planning according to their willingness

1.In-patient care: access to palliative care for symptom management

6.Telephone follow-up: Routine by the nurse after each visit

the patient is admitted to other unit of the hospital.

4.Symptom assessment in clinic: Routine assessment during every visit by the

5.Psychosocial assessment in clinic: Routine assessment and discussion of goal with patient and family, support system, psychosocial distress and discus-

7.On-call service: 24 hours on-call service to be clarify during first visit after

2.In-patient staff training for nurses: identification of nurses, physician and family caregivers for continued education and training in palliative and home care

3.Palliative care in-patient follow-up: follow-up by palliative care team when

1.Community care contact health centre service: health centre closer to the patient will be identified for care continuation and this would be reassessed

2.Communication with the family and community health centre: this should

health care facilities, the phases being addressed are:

3.Visit: To plan routine visit as necessary

diagnosis has been established.

**A.** Outpatient clinics

**B.** Hospital service

**C.** Home care service

**D.** Approach to care

**A. Outpatient clinics:**

nurse and physician

**B. Hospital service:**

**C. Home care:**

at each visit.

be done routinely.

adequate care, especially to elderly and terminally ill patients. The main focus of nursing care as observed is curative approach without taking into consideration effective communication between them and patients/families the truth about diagnosis/prognosis of the disease, lack of patient and family readiness as a result of

Specifically, since there are no functional palliative care programmes in most

**260**

All care providers: Multidisciplinary, this is hope to address physical, psychological, social and spiritual needs of both the patient and the family identifying other specialist. The approach to care takes cognizance of the fact that the economic depression affects the type of care the less privileged members of the population attained. This may affect proper access to good health care services and as such provision of home care will be beneficial to them where they will be taken care of in their familiar environment.
