Receiving Palliative Care In Tulsa

By Richard Patterson


Palliative services are an integral part of the overall management of patients with chronic conditions. It is given to improve the life of persons that have been diagnosed with diseases without a known cure. The idea of this kind of treatment is to shift the focus from the illness to the whole individual. Patients wishing to receive palliative care in Tulsa need to understand a number of things in this kind of disease treatment.

Terminal illnesses are so called because they have no known cure. However, a number of interventions can be undertaken to minimize the side effects related to the illness. Such side effects could be physical, emotional, spiritual, social or psychological. This treatment can be provided either in the hospital or at home depending on the how severe the condition is. Patients may also have a say on where they deem best to receive the treatment.

One of the commonest groups of diseases that requires this kind of care is cancer. Most malignant metastatic cancers are incurable. It is only humane that patients that have been diagnosed with these kinds of cancers receive proper end of life care even in their last days of life. Traumatic brain injury, chronic liver failure and end stage HIV/AIDS may also be considered for palliative services.

Palliative services require considerable team effort. The multidisciplinary team will have a number of various specialists with training in their specific areas. They have to work together to achieve the same objective which is to meet the various needs of the patient. The number and type of specialists needed is determined by the type of illness being treated. For instance in case of sepsis, an infectious disease specialist may be needed and for cancers, an oncologist would be of great help.

Physical needs relate to the signs and symptoms of the illness. They include, for example, pain, vomiting, nausea, shortness of breath and loss of appetite among others. Everything possible should be done to get rid of these symptoms. When managing pain for instance, pain relievers should be given liberally regardless of whether there are any short term or long term effects such as addiction and physical dependence.

Physical needs are arguably the most pressing for a patient on palliation. They mainly include signs and symptoms related to the condition. The most common among these are pain, nausea, shortness of breath and vomiting. Every effort should be made to make the patient free of these symptoms. When managing pain, for instance, the strongest effective drug should be used regardless of whether or not It is addictive.

There is a need to clearly distinguish between palliation and a related condition, hospice care. The former is usually initiated once a diagnosis of a chronic illness is made. It can be started at any point along the continuum of care. Hospice care, on the other hand, comes at the very end. It is started in patients in whom the disease identified has no known cure.

Relatives or caregivers can easily be forgotten while addressing the needs of the patient. They too, are affected to a great extent. Psychological stress is quite common among these relatives and some of them also show various degrees of depression. While some relatives may find it easy to accept the inevitable, others struggle a lot and need to be counselled throughout.




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