Care of People with Terminal Illnesses for Midwifery Federation

Question: Discuss about theCare of People with Terminal Illnesses for Midwifery Federation. Answer: The Australian Nursing and Midwifery Federation (ANMF) has several policies, professional conduct and code of ethics which guides nurses and midwifes in their operations. Care of patients with terminal illnesses is one of the policies. The policy focuses on the attention and the help that a nurse should provide to a person with a terminal illness in respect to existing legal and ethical codes of conduct (Braun, et al 2016). The main aim of this paper is to focus on the policy regarding to care of people with mental illness laying emphasis on the role of the nurse and how the policy affects health and wellbeing of the patients. It is always traumatizing for a patient to know that he or she has been diagnosed with a terminal illness. As a matter of fact, it elicits mixed reactions among different people. There are also other instances where even diseases that are curable worsen and get to a point of no further treatment. Such are the patients who require end of life care and treatment. The nurses have several roles to attend to accord the patient the help he/she needs. To begin with, it is the role of the nurse to provide care and treatment with a holistic approach. The nurse acts as a link and a health advocate between the patient and their family and sees to it that the patient is not only accorded relevant medical treatment but also the emotional and psychological support. According to Aldridge, et al (2016) the nurse is also expected to provide information relevant in helping the patient to make end of life decisions. However, the existing laws and ethics clearly indicate that the nurse should not engage in euthanasia or any activity that can be interpreted as assisted suicide. A nurse should always ensure that people die a natural death in the most dignified way.it is therefore the role of the nurse to provide relevant palliative care to relieve the patient of pain and other symptoms of infection. The palliative care should also involve providing psychosocial support towards the end of life. Finally, the nurses and other caregivers are charged with the responsibility of communicating to other care givers on the wishes of the patient and other related information about the patient. For patients with a documented advance care directive, the nurse should adhere to the directives and also let other health workers know about the directive. For the case of children and neonates, the nurse is required to consult the family letting them know the available choices of treatment and their preferred course of action (MacArtney, et al (2016). How the policy helps the health and well-being of the patients The policy has been essential in safeguarding the health and well beings who have a terminal illness or those requiring end of life care. Patients have been able to receive the necessary medical and psychosocial support from nurses. The people have also had the chance of deciding the path of treatment from existing available options and the right not to be treated if it deems fit for them. The decision not to receive treatment may arise from a patient due to future uncertainties, fear or pain of their health condition. The patients are also able to receive palliative care that not only alleviates pain and suffering but also improves the quality of life they live. Pratt, Wood, (2015) explains that people who receive palliative care live longer and more fulfilling lives even when faced with a terminal condition. The policy has continued to benefit people since the health care providers are able to assess a patients condition in time, analyze personal needs and recommend the necessary action in time before the situation gets out of hand. The policy has also helped patients to have their privacy maintained which helps to maintain their self-esteem. In addition, Wiener, et al (2015) explains that the nurses also consider a persons beliefs, culture and social expectations so that they offer treatment and care in the best interests of the patient. The patients are also able to receive help and counselling in regard to medicines that may alter their moods, depression, pain and anxiety. When a patient is helped by a nurse, he or she is able to make the best decisions that ensure efficient use of resources. Nutritional advice to the patient also plays a vital role in the patients overall health by reducing the side effects of medications and by lengthening the life and the quality of life thereof (LoPresti, Dement, Gold, (2016). Possible effects if the policy was not there The various challenges that people with terminal and life threatening illnesses would face if the policy on care and support was not there are unthinkable. These challenges range from untold pain, misery and suffering. Lack of information on the best choices of treatment would be a disadvantage to the people requiring palliative care. The outcome of lack of palliative care would be increased deaths, re- admissions and social stigma, low self-esteem which results from the patient being despised and neglected. The neglect could also turn out into stress, depression and even suicides. Tamura, et al (2018) argues that without the policy people with terminal and life threatening illnesses would continually be seen as a liability, with the policy however, they are seen as normal people who require love, care and support from their loved ones. Mistreatment of people with these life threatening conditions leads to stigma. Stigma leads to more effects such as isolation and neglect and increased thoughts of suicide and self-harm. Conclusion The care of patients with terminal illnesses policy clearly defines the role of nurses and healthcare providers in providing the necessary help to improve the health and wellbeing of the patient. The policy has been beneficial to patients in a number of ways. Most importantly, the nurse is compelled to provide medication that suits the best interests of the patient. The policy has also helped to improve quality of life of the patient. Lastly, it is clear to say that without the policy the end of life care would not be easy to realize. 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