Perspektif Keperawatan Paliatif

PALLIATIVE CARE
IN NURSING
Komang Yogi Triana
LEARNING OUTCOME
 Mahasiswa mampu memahami konsep perawatan paliatif
 Mahasiswa mampu menjelaskan peran perawat dalam
perawatan pasien paliatif untuk segala kelompok usia
 Mahasiswa mampu mencari artikel penelitian dan
melakukan analisis artikel penelitian tentang perawatan
paliatif
 Mahasiswa mampu merumuskan tinjauan literatur tentang
perawatan paliatif
PERAWATAN PALIATIF
• Perawatan paliatif  suatu pendekatan perawatan khusus yang diberikan
kepada pasien dengan penyakit serius atau life-threatening illness untuk
optimalisasi kualitas kehidupan pasien serta keluarga
• Mengantisipasi, merawat, dan mencegah penderitaan  penyakit fisik,
psikososial, emosional, dan kebutuhan spiritual pasien yang sakit parah
• Perawatan dimulai sejak awal ditegakkannya diagnosis medis penyakit
• Melibatkan multi disiplin ilmu dalam tim perawatan  dokter, perawat,
apoteker, ahli gizi, pekerja sosial, pemuka agama, guru spiritual 
Collaborative team
• Keluarga memegang peranan penting dalam perawatan
PERAWATAN PALIATIF
1. Provides relief from pain and other distressing symptoms;
2. Affirms life and regards dying as a normal process;
3. Intends neither to hasten or postpone death;
4. Integrates the psychological and spiritual aspects of patient care;
5. Offers a support system to help patients live as actively as possible until death;
6. Offers a support system to help the family cope during the patients illness and in their
own bereavement;
7. Uses a team approach to address the needs of patients and their families, including
bereavement counselling, if indicated;
8. Will enhance quality of life, and may also positively influence the course of illness;
9. If applicable early in the course of illness, in conjunction with other therapies that are
intended to prolong life, such as chemotherapy or radiation therapy, and includes those
investigations needed to better understand and manage distressing clinical complications.
PALLIATIVE CARE IN CHILDREN
• Palliative care for children is the active total care of the child's body, mind and
spirit, and also involves giving support to the family.
• It begins when illness is diagnosed, and continues regardless of whether or not
a child receives treatment directed at the disease.
• Health providers must evaluate and alleviate a child's physical, psychological,
and social distress.
• Effective palliative care requires a broad multidisciplinary approach that
includes the family and makes use of available community resources; it can
be successfully implemented even if resources are limited.
• It can be provided in tertiary care facilities, in community health centres and
even in children's homes.
PERAWAT PALIATIF
• Palliative care nurses work in varied settings including : patients’
homes, residential hospices, clinics, long-term and skilled care
facilities, and acute in-patient facilities.
• Palliative care should adapt accordingly to meet the physical,
emotional, social, and spiritual needs of the patient and their
families
KETERAMPILAN DAN PERAN
PERAWAT PALIATIF
• COMMUNICATION
• COMPASSION
• HUMAN VULNERABALITY
• CASE MANAGER
• CARE GIVER
References
1. World Health Organization. (2020). WHO definition of palliative care. Available at
https://www.who.int/cancer/palliative/definition/en/
2. Schroeder, K., & Lorenz, K. (2018). Nursing and the future of palliative care. Asia-
Pacific journal of oncology nursing, 5(1), 4.
3. Sijabat, M., Dahlia, D., & Waluyo, A. (2019). Experiences of palliative care nurses in
providing home-based care for patient with advanced cancer. Enfermeria clinica, 29,
413-417.
ANY QUESTION...??
TUGAS KELOMPOK
• Bentuklah kelompok yang terdiri dari 5-6 orang dalam 1 kelompok
• Carilah 5 artikel keperawatan tentang “Perawatan Paliatif” lalu
lakukan telaah literatur tentang perawatan paliatif dari artikel”
penelitian tersebut (artikel yang dicari dapat berupa studi kasus
maupun penelitian)  sub topik yang ingin dibahas bebas
• Jumlah halaman telaah literatur minimal 5 halaman maksimal 10
halaman (termasuk dapus)
• Tugas dikumpulkan paling lambat pada tanggal 25 Agustus 2020.

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PALLIATIVE CARE

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