Symptom Management in Advanced Illness
•
A
family
is a
of people who, in most
cases, live together. They share their money
and food and are supposed to take care of one
another.group
•
Its members are either
related (like
brother and sister) or legally bound to each
other, for example by
.marriagegenetically
T
y
p
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o
f
f
a
m
i
l
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•
nuclear
•
Extended
•
Blended
•
Single parent
•
Together, our families become the source
of our rich cultural heritage and spiritual
diversity.
•
Each family has strengths and qualities
that flow from individual members and
from the family as a unit. Our families
create neighborhoods, communities,
states, and nations.
is a complex, multidimensional, dynamic process
of providing safe, skilled, and individualized
care.
•
It responds to the physical, emotional, and
psychosocial needs of the woman and her
family.
C
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n
c
e
p
t
s
•
Birth is a celebration - a normal, healthy
process.
•
Pregnancy and birth are unique for each
woman.
•
The central objective of care for women,
babies, and families is to maximize the
probability of a healthy woman giving birth to
a healthy baby.
•
In family-centered maternity care, pregnancy
and birth are considered normal, healthy life
events.
•
family-centered maternity care may be carried
out in any birth setting:
home birth, birth
center , hospital birth or emergent birth
. In
short, family-centered maternity care respects
the family as a unit, the mind-body-spirit of
the family, and provides evidence-based care
accordingly.
T
h
e
G
o
a
l
The goal of family-centered maternity care
is to obtain the best possible healthy
outcome for all members of the family.
In addition to being the best way to care
for mothers and babies.
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Benefits of Family-Centered Care to
Families
•
Decreased anxiety
•
Accelerated recovery time
•
Reduced crying and restlessness
•
Decreased emotional distress with better coping
during procedures, hospitalization, post hospital
period, and recovery
•
Increased parent confidence and problem-solving
capacity
•
Improved mental health status of mothers, of
children with chronic illness
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•
Decision-making should be a collaborative
effort between the pregnant woman and her
healthcare providers
•
Education should reflect current, evidence-
based knowledge
•
Information should be shared freely between
the pregnant woman and each of her
healthcare providers
•
Mothers and babies should stay together
(rooming in).
P
r
i
n
c
i
p
l
e
s
•
The presence of supportive people during
labor and birth is beneficial to the mother and
family
•
Mothers are the preferred care providers for
their children
•
Freedom of movement is beneficial for the
laboring woman and should be encouraged
•
Routine interventions that are unsupported by
scientific evidence should be avoided
•
All members of the healthcare team should be
educated about physiologic birth and non-
pharmacologic methods of pain management
•
Skin-to-skin contact immediately after birth
and exclusive breastfeeding should be
standards of practice.
•
Pregnancy and childbirth as normal and
healthy processes
O
u
t
c
o
m
e
s
*FCMC results in greater satisfaction for all
involved.
*They will have participated in the decision-
making process which will increase their self-
confidence for families that are cared.
*They will have validated their learning with real
life experience.
*Healthcare providers that work within a family-
centered model will also experience greater
satisfaction
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Patients with advanced disease often present with multiple symptoms that require proper assessment and management. Understanding the underlying causes and following a systematic approach can help in palliating irreversible symptoms and reversing reversible ones. This includes using appropriate analgesics, such as opioids, for effective pain management. The WHO Analgesic Ladder is a useful guide in selecting the right opioid based on the type and severity of pain. Additionally, being aware of opioid adverse effects and toxicity is crucial in ensuring safe and effective treatment. Addressing specific symptoms, such as neuropathic pain and dyspnoea, may require a tailored approach combining pharmacological and non-pharmacological interventions.
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Presentation Transcript
Family-Centered Maternity Care (FCMC) . .
Definition of family A family is a group of people who, in most cases, live together. They share their money and food and are supposed to take care of one another. Its members are either genetically related (like brother and sister) or legally bound to each other, for example by marriage. In many cultures, the members of a family have the same or a similar surname.
Type of family nuclear Extended Blended Single parent
Together, our families become the source of our rich cultural heritage and spiritual diversity. Each family has strengths and qualities that flow from individual members and from the family as a unit. Our families create neighborhoods, states, and nations. communities,
Family-centered maternity care is a complex, multidimensional, dynamic process of providing safe, skilled, and individualized care. It responds to the physical, emotional, and psychosocial needs of the woman and her family.
Concepts Birth is a celebration - a normal, healthy process. Pregnancy and birth are unique for each woman. The central objective of care for women, babies, and families is to maximize the probability of a healthy woman giving birth to a healthy baby.
In family-centered maternity care, pregnancy and birth are considered normal, healthy life events. family-centered maternity care may be carried out in any birth setting: home birth, birth center , hospital birth or emergent birth. In short, family-centered maternity care respects the family as a unit, the mind-body-spirit of the family, and provides evidence-based care accordingly.
The Goal The goal of family-centered maternity care is to obtain the best possible healthy outcome for all members of the family. In addition to being the best way to care for mothers and babies.
Benefits of FCMC Increased client satisfaction Increased provider satisfaction Improved medical and developmental outcomes Reduced health care costs
Benefits of Family-Centered Care to Families Decreased anxiety Accelerated recovery time Reduced crying and restlessness Decreased emotional distress with better coping during procedures, hospitalization, post hospital period, and recovery Increased parent confidence and problem-solving capacity Improved mental health status of mothers, of children with chronic illness
There Are Common Themes of FCMC Decision-making should be a collaborative effort between the pregnant woman and her healthcare providers Education should reflect current, evidence- based knowledge Information should be shared freely between the pregnant woman and each of her healthcare providers Mothers and babies should stay together (rooming in).
Principles The presence of supportive people during labor and birth is beneficial to the mother and family Mothers are the preferred care providers for their children Freedom of movement is beneficial for the laboring woman and should be encouraged
Routine interventions that are unsupported by scientific evidence should be avoided All members of the healthcare team should be educated about physiologic birth and non- pharmacologic methods of pain management Skin-to-skin contact immediately after birth and exclusive breastfeeding standards of practice. Pregnancy and childbirth as normal and healthy processes should be
Personalized prenatal care Comprehensive perinatal education, with active input from the family Healthcare professionals assist the family in making decisions important to their care
Outcomes *FCMC results in greater satisfaction for all involved. *They will have participated in the decision- making process which will increase their self- confidence for families that are cared. *They will have validated their learning with real life experience. *Healthcare providers that work within a family- centered model will also experience greater satisfaction
Health is NOT only a physical condition Health also means the parents are imbued with confidence and competence as they transition into their new roles
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