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description= 1 post published by Tara Nipe during September 2017;
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september 2017 there are still battles to be fought about me background to the blog there are still battles to be fought a periodic blog on matters health union social justice and the occasional random rant search monthly archives september 2017 dear palliative care nurses 16 saturday sep 2017 posted by tara nipe in uncategorized leave a comment i take pride in the calibre of nursing i provide i m good at what i do thanks to a combination of aptitude experience education compassion intellect and reflective practice so i understand why many palliative care nurses are upset offended angered and otherwise unhappy about the voluntary assisted dying movement in general and go gentle s stop the horror film in particular it seems to say that palliative care isn t good enough that too many people suffer at the end of life that patients and families can t trust their expertise and that their expert skilled informed care isn t valued or valuable i m sorry that this is how the push for vad is perceived it s not the belief held by anyone i ve communicated with without exception their position is the same as mine quality palliative care is the best more effective most appropriate intervention for the overwhelming majority of dying patients we need to improve access to and funding for palliative care and there are a small number of cases industry estimates vary from 2 4 of patients where symptom management is ineffective or inadequate despite the best interventions available these are the patients for whom another option is appropriate acknowledging that there is still room for improvement is part of reflective professionalism and best practice responding to first hand experiences of colleagues and family members with that wasn t good palliative care is defensive and unhelpful it means their experience is dismissed along with a learning opportunity often that s right there were gaps in care or in knowledge or prescribing or in anticipating how rapidly the patient s dying trajectory would escalate and sometimes the person received the very best care possible but their intractable nausea terminal dyspnoea restlessness and agitation seizures neurological pain or distress couldn t be resolved that happens it really does not often but not never transplanted organs reject antibiotics don t succeed wounds don t heal surgery is unsuccessful hypertension doesn t resolve asthma doesn t respond intubation isn t enough labile bgl s don t stabilise dic runs rampant hbo is ineffective chemotherapy fails autoimmune diseases rampage hiv progresses the flu kills mostly we win the battle if not the war we never win the war eventually all our patients die but whatever our specialty we re never effective all of the time we re just not and that s as true for those who midwife death as it is for those who work to defeat it acknowledging that doesn t invalidate our work our value our effectiveness our professionalism or the difference we make it just means that we still have room for better i hope we ll one day have no need for voluntary assisted dying that nobody will suffer and that all anticipated deaths are gentle we re not there yet and it s cruel to deny peace to those we can t help enough search recent posts it s not only icu under pressure the problem with let it rip we need to give up on herd immunity how many aged care deaths before the government acts is a fifo workforce the answer for covid quarantine archives january 2022 october 2021 february 2021 november 2019 september 2019 november 2018 october 2018 march 2018 november 2017 october 2017 september 2017 august 2017 july 2017 june 2017 september 2016 august 2016 july 2016 march 2016 january 2016 april 2015 february 2015 november 2014 september 2014 august 2014 may 2014 march 2014 february 2014 december 2013 october 2013 september 2013 august 2013 july 2013 april 2013 march 2013 february 2013 january 2013 december 2012 november 2012 october 2012 september 2012 august 2012 july 2012 june 2012 may 2012 april 2012 march 2012 february 2012 january 2012 december 2011 categories aged care australian politics clinical nursing education social justice uncategorized voluntary assisted dying meta create account log in entries feed comments feed wordpress com create a free website or blog at wordpress com subscribe subscribed there are still battles to be fought join 63 other subscribers sign me up already have a wordpress com account log in now privacy there are still battles to be fought subscribe subscribed sign up log in report this content view site in reader manage subscriptions collapse this bar design a site like this with wordpress com get started
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