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Modeling recommendations on the applicability of palliative care services in home care services

Abstract

Oguz Ozyaral

The importance of hospice care is increasing day by day. The aim of the study is based on the preference of HOSPICE care as “Home Care Services”. Therefore, structuring palliative care within Home Care Services is to prepare management models. The association of Home Health Care and Home Care is part of Palliative Care as HOSPICE Services, conducted in the areas of home or institutional care. Many terminal cancer patients want to spend the last period of their lives at home. It should be possible to provide this service upon the request of the persons who meet hospital discharge criteria and who meet the criteria for receiving Palliative Care Service. The patient is referred to the Family Physician and / or Home Care Unit with epicrisis and care directives.In order to provide Palliative Care service to the patient, the appropriateness of the home and care conditions for the patient should be evaluated by the social worker and home care team and necessary arrangements should be made. Service provision is unique and different for each individual. therefore, the objectives, intensity, frequency of care; patient’s and family’s needs, values, disease progression and process may vary according to the way. Necessary home visits are made within the scope of Home Care Services. Patient and family-centered care is provided. Patients receiving treatment such as chemotherapy or dialysis can continue treatment.The process focuses on patient comfort and care, with or without curative intervention. PB, also known as comfort care, is usually made up of doctors, nurses and other trained health care professionals, and a team from which the patient will receive the first therapeutic intervention in an institution such as a facilitated hospital, nursing home, elderly care home or extended care. Palliative Care Programs are being prepared for the sustainability and effective implementation of these services to be provided to patients. In the structuring of home care of palliative treatment, doctors and nurses working primarily in the field of home care should specialize in this field. The PC and Home Care relationship models proposed in this study provide the ability of the patient to stay at home with the people whom he / she wants to be with, his / her personal belongings and pets. The patient tries to provide quality time with his family and relatives in the treatment and care processes.

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