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1773 results in Nursing

Page 70 of 89

  • 13 - Evidence-based nursing interventions: a good death and fostering pain relief

  • from Part 3 - End of life care
  • Wendy Moyle, Griffith University, Queensland, Deborah Parker, University of Queensland, Marguerite Bramble, Griffith University, Queensland
  • Book:
    Care of Older Adults
    Published online:
    06 August 2018
    Print publication:
    19 September 2014, pp 192-202

  • Summary

    Learning objectives

    After reading this chapter you will be able to:

  • Have an understanding of what constitutes a ‘good death’ for older people.

  • Understand the principles of evidence-based nursing in relation to pain assessment and management.

  • Understand specific issues in the assessment and management of pain for people with dementia.

  • Understand how to apply a strengths-based approach to pain assessment and management for older people.

    • Introduction

    In Chapter 10 we reviewed the history of palliative care with specific reference to developments in Australia and New Zealand. Chapter 11 focused on advance care planning, which is a critical aspect of providing a strengths-based palliative approach for older people. Chapter 12 specifically looked at some of the research regarding providing a palliative approach in residential aged care facilities (RACFs) and the evidence-based model within the Palliative Approach Toolkit. This chapter delves further into what makes a good death for older people and then specifically focuses on one common symptom that can influence whether a good death is possible – pain. Pain is one of the most common symptoms and always features in discussions with people who know they are dying, families supporting that person or staff providing the care. The phrase most associated with achieving a good death is that it is ‘pain free’. In the final section of the chapter we will examine specific issues in regard to pain management and people with dementia.

  • Foreword

  • Wendy Moyle, Griffith University, Queensland, Deborah Parker, University of Queensland, Marguerite Bramble, Griffith University, Queensland
  • Book:
    Care of Older Adults
    Published online:
    06 August 2018
    Print publication:
    19 September 2014, pp v-vi

  • Summary

    One of life’s truisms is that we will all experience ageing. Most of us won’t think about it until the effects of ageing give us either a gentle nudge or a hard wake-up call. Either way, when we are confronted with its effects, quite reasonably we won’t want it to define us. Rather the effects and changes of ageing will be woven into the fabric of what makes us unique as individuals.

    Unfortunately in the western world the term ‘ageing’ has evolved to have negative connotations in a way that devalues the worth of the individual’s contributions – past, present and future. Yet we know that the older person can be resilient, informed about their health issues and actively engaged in the decisions about their health and care requirements. As a health professional, adopting a strengths-based perspective means we can support the person and their family, acknowledging their strengths and resources rather than focusing on problems, vulnerabilities and potential deficits.

  • 2 - Rural health

  • Karen Francis, Charles Sturt University, Wagga Wagga, New South Wales, Ysanne Chapman, Central Queensland University, Carmel Davies, Charles Sturt University, Wagga Wagga, New South Wales
  • Book:
    Rural Nursing
    Published online:
    06 August 2018
    Print publication:
    22 August 2014, pp 18-33

  • Summary

    Learning objectives

    On completion of this chapter, the reader will be able to:

  • define ‘rurality’

  • describe rural and remote Australia as a place to live and work, highlighting recent changes in the economic, social and industrial fabric of rural and remote communities that impact on health

  • recognise the importance of rural and remote area nursing within the rural health workforce

  • identify the advantages and disadvantages of rural and remote area nursing and midwifery

  • create a resource bank of references and web links for readers to use in further exploring rural and remote area nursing in Australia.

    • Key words

  • Rurality, rural health, health workforce, rural nursing and midwifery, health status

    • Chapter overview

    This chapter contextualises ‘rurality’ as a criterion for classifying populations living in areas outside major cities. Differences in health status of rural compared to metropolitan communities are described, as is the composition of the health workforce. The chapter concludes with an overview of the rural nursing and midwifery workforce and the challenges these clinicians face in the delivery of care.

    Introduction

    Approximately 31% of the Australian population live outside major cities (e.g. capital cities or large regional centres with populations over 250 000). Only about 2% of this rural population live in what are considered to be ‘remote’ communities (Australian Institute of Health and Welfare [AIHW], 2012a). The percentage of the Australian population living in rural areas has declined considerably over the two centuries of white settlement. Much of this attrition has been caused by the merging of family farms (agribusiness) and young farmers leaving ‘the land’ to work and live in major centres (Smith, 2007). The economics of agriculture (e.g. the strong Australian dollar) and the increasing regulation of the industry have meant that the rural population has declined. Further, those still working in the agricultural sector represent an ageing workforce. This population decline and the ageing of the agricultural workforce have been a continuous feature of rural Australia and have occurred not only in livestock and grain industries but also in the fruit and vegetable industry (Smith, 2007; Sutherland, 2012).

Page 70 of 89