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The disadvantages of palliative care in improving quality of life
The disadvantages of palliative care in improving quality of life
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End of Life
Health Science 3, Period 2
Jake Mouton Aggressive Treatment or Palliative Care? The 5-year survival rate is about 15% to 20%. The 10-year survival is about 10% to 15%. The outlook is better if the spread is only to distant parts of the skin or distant lymph nodes rather than to other organs, and if the blood level of lactate dehydrogenase (LDH) is normal.
Ipilimumab is a new drug used to prolong the life of patients with stage 4 melanoma. This can cause very severe side effects. It has never been shown to cure melanoma. "A small portion of melanomas have changes in the C-KIT gene. These melanomas might be helped by targeted drugs such as imatinib (Gleevec) and nilotinib (Tasigna), although, again, these drugs are not known to cure these melanomas."(Cancer,
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In all my time on earth I was very thankful to my friends and family. I have valued all my friends throughout the years. School has changed me, and made me realize that you don’t need many friends as long as they are good ones. We had a lot of good times and I will miss them dearly. To my family, I love you all. You guys always looked out for me and helped me during hard times while I was growing up. Thank you.
Summary
Summary
Completing this end of life project has greatly helped me prepare for inevitable; death. It helped me figure out the costs for a burial and cremation. It also helped me understand what a eulogy and obituary are. Planning your own funeral helps you be an empathetic, compassionate, person in the medical field because it helps me better understand what happens after you die and it also help make death seem very real. Death can happen at any time and I need to be prepared. If you are working in the medical field with a dying patient, you need to put yourself in their shoes to fully understand their situation and how to better help them prepare for death. If you do not do this you will not be good medical field
As we get older and delve into the real world, it is important to start thinking about end-of-life care and advance directives. Although it is something no one wants to imagine, there is an absolute necessity for living wills and a power of attorney. Learning about the Patient Self-Determination Act and the different legal basis in where you live is important because it will help people understand why advance care directives are so important. Although there are several barriers in implementing advance care directives, there are also several actions that healthcare professionals can take to overcome these obstacles. These are also important to know about, especially for someone going into the medical field.
Buddhists strongly disagree with the use of euthanasia. It is said that Buddha condemned any form of self-mortification. They believe that you should accept your suffering, as it is apart of life.
Hospice focuses on end of life care. When patients are facing terminal illness and have an expected life sentence of days to six months or less of life. Care can take place in different milieu including at home, hospice care center, hospital, and skilled nursing facility. Hospice provides patients and family the tool and resources of how to come to the acceptance of death. The goal of care is to help people who are dying have peace, comfort, and dignity. A team of health care providers and volunteers are responsible for providing care. A primary care doctor and a hospice doctor or medical director will patients care. The patient is allowed to decide who their primary doctor will be while receiving hospice care. It may be a primary care physician or a hospice physician. Nurses provide care at home by vising patient at home or in a hospital setting facility. Nurses are responsible for coordination of the hospice care team. Home health aides provide support for daily and routine care ( dressing, bathing, eating and etc). Spiritual counselors, Chaplains, priests, lay ministers or other spiritual counselors can provide spiritual care and guidance for the entire family. Social workers provide counseling and support. They can also provide referrals to other support systems. Pharmacists provide medication oversight and suggestions regarding the most effective
Preparing for Death A lack of preparation for our deaths is a serious problem whether it is because we don’t know the exact time or just don’t want to face death. In an article in Time magazine by John Cloud he writes “We will spend more time getting ready for two weeks away from work than we will for our last two weeks on earth” (Cloud,2000,p.60). We should prepare for our deaths to show our wishes concerning treatment and life support, as well as other aspects. We should make choices while we are still well, so that we are treated properly before we die.
Even though this is a celebration of a new beginning, we couldn't possibly move on without remembering the past. I don't know about everybody else, but even now, this still feels unreal. I have been waiting for this day since sixth grade, and it is strange that it is finally here. I have had so much fun these past 13 years with all of the friends that I have made. I want to thank everybody for all of the memories throughout the years. It was you guys that made school fun and interesting. From back in elementary school getting intense on the four square court or playing some tetherball, to the Friday night football games and volleyball matches, and the whole time enjoying every minute of it just because I was hanging out with my friends.
In BJ Millers TedTalk, “What Really Matters at the End of Life?” BJ Miller discusses on how we think on death and honor life. He speaks to the audience about how for the most people the scariest thing about death is not death itself, it is actually dying or suffering. The targeted audience is everyone in the world, because eventually everyone is going to die and everyone thinks about death. BJ 3 has big points in the article saying, Distinction between necessary and unnecessary suffering. Also by having a little ritual that helps with this shift in perspective. Another point is to lift and set our sights on well-being. We need to lift our sights, to set our sights on well-being, so that life and health and healthcare can become about making life more wonderful, rather than just less horrible.
I would like to say a special thank you to those of you that have traveled some distance to be here today. It is quite a humbling experience to realize that you have friends and family that care so much for you. And I do genuinely mean that....
Now I would like to take the time to thank everyone who has helped me get this far. First of all, thank you to all the teachers. None of us would be here without you always pushing our academic abilities to the fullest. Jessica Parker a.k.a. my partner in crime as Mr. Tri would refer to us. You made everyday coming to school worthwhile. Hillary Laswell, who would leave third period to go steal flowers from horticulture and give them to Mrs. Granillo with me. My brother Jeramie who always said, "If anyone is mean to you, I'll take care of it." My Mom, thank you for always believing in me and putting up with me when I was a real jerk.
Thank you for being some of the people I looked up to and being patient with me. Thank you for listening to my annoying jokes that were never really funny but you would laugh anyways. You both became my best friends growing up but it is time for me to go, I hope you cherish all our amazing memories because I sure did. Keep pushing yourselves and become amazing successful people I know you will be. You guys deserve it all and i'm sure you will accomplish everything you want and more, just don't give
I was very excited to take Death and Dying as a college level course. Firstly, because I have always had a huge interest in death, but it coincides with a fear surrounding it. I love the opportunity to write this paper because I can delve into my own experiences and beliefs around death and dying and perhaps really establish a clear personal perspective and how I can relate to others in a professional setting.
I want to say thank you to my friends, who stand with me when I was in the hardest moment of my high school life. I have learnt that people have their own personalities so if I fell uncomfortable to hang out with them, I should not try to make them love me anymore. Instead, I can meet new people and find real friends. Rain is not always fall because it will stop some day, and so do human’s life. Their life is like a hard weather day. It will have rain or storm but at the end, it will end and rainbow will appear in the sky. People said, “If there is a door closes in front of you, there will be other open to you”. My vivid moment it so hurt, but I have learnt from that. I will not be like now if I did not have a chance to face that problem in the pass.
To Mark, Dina, Alexa, mom, dad, my sisters, and all of my family and friends. As I sit here to share the experiences of my life I find myself in tears as I know that I will greatly miss all of you as our lives will continually change in the future. My girls will grow up and go off to college and start families of their own, family and friends will become busy with their own families and we may not see each other much as we expand our families with beautiful little babies, and saddened with the thoughts of those who will become God 's Angels. The one thing I want to share with you the most is should I pass before you, I want you to celebrate my life. Please do not become one of those families who only see each other at weddings and funerals,
Valedictorian Speech Good evening fellow graduates, teachers, family members, friends, and distinguished guests. It is a tremendous honor to be the valedictorian of our graduating class. My job is to somehow be the voice of the entire graduating class, and take five minutes to say a few words on behalf of all 539 of us. Like most valedictorians, writing this speech was not an easy task for me. Not because I did not have anything to say, but because I was overwhelmed by how much I wanted to share with you all on this day. Tonight, we have one common purpose, to celebrate. We are here to congratulate, to look towards what the future holds for us, to wish each other well, and to, most importantly look back on our time spent here. So, I would like to start by saying 'well done' to my fellow graduates, who have all worked hard during the past several years to reach this milestone. I would also like to express my sincere gratitude to the graduating class for selecting me to speak here tonight. Ever since the news broke, many people, some who've I've never really met before, have come up to me and have wished me well. Perhaps this speech would be incomplete if I don’t say something to the teachers. On the behalf of my entire class, I would like to thank all my teachers: thank you. Thank you for teaching us, for leading us, for building us up as adults. I know that we have not given back to you the respect you deserve. I know that we have not told you how much we appreciate you taking time out of your schedules to help us. And I know that we have not said thank you for giving us a wonderful education. So, I hope that as I say thanks, you can forget our shortcomings and remember us for who we are and not from the mistakes we have made. ...
When most think about death and the after life they suddenly become shaken. Is death painful? Is it scary? Is there like after death? Are we truly at peace? What happens to our soul? Those who believe that God is our creator they seem to be less frightened about the idea of death. Socrates on the other hand was never once frightened about the idea of death.
“One of the most important public policy debates today surrounds the issues of euthanasia and assisted suicide. The outcome of that debate will profoundly affect family relationships, interaction between doctors and patients, and concepts of basic ethical behavior. With so much at stake, more is needed than a duel of one-liners, slogans and sound bites.”