Palliative Care and Its Role at the End of Life


Palliative care that most healthcare professionals show to families is to help relieve suffering and assess aspects of psychosocial symptoms experienced during death. Merely because death normally approaches some patients and happens to be very intense, there is a need for more aggressive palliative care to ensure comfort (Green et al., 2018). The comfort is mainly to the patient’s family, ensuring that they feel not neglected but utmost comfort provided to each member of the family even after the loss of their loved one. Among the stages of life, death is often treated as a regular part of these transitions but sometimes can be revered as an illness. The worst consequence is that most people die in hospital beds alone with no one to have them, giving them the comfort and satisfaction of being loved (Green et al., 2018). Palatine care has common goals that need to be achieved in any setting. These include anticipation, prevention, and the act of diagnosing and managing the treatment of the various symptoms associated with the end of life.

Dissemination of palliative care is to improve the life of patients and their families or loved ones. Showing love should be in constant reprimand even without consideration of the diagnosis that has been made. There should be intensified aspects of symptom management with more than adequate psychosocial support. The patients need to understand their type of illness and the survival rates fully, and sometimes even the approximated periods in which they are to live. Offering palatine care also ensures that healthcare professionals determine the best treatment in terms of medical care. In addition to the care, the patient’s goals align with those of the healthcare team.

Models for Palatine Care

Various models can be used in this scenario to help patients and their families be comfortable during very bad times. There is a traditional kind of treatment and a dichotomous fashion that solely focuses on curative and sometimes aggressive kinds of treatment (Crooms & Gelfman, 2020). These forms initiate the dependence on comfort if other factors fail. In other scenarios, there can be the inclusion of palatine medicine to ensure that there is a cover-up when all the other measures have failed; hence, treatment remains the last option. This palatine medication relieves suffering at all stages of the disease and not only one point, which is death. There is no limitation to comfort-based care that connects only to the end of life.

Total Pain Concept in Palatine Care

The main goal of providing palatine care to patients and their families is alleviating suffering. Hence, the primary identifiers that healthcare professionals need to rely solely on to ensure that they deal with the correct symptoms. These professionals should ensure that they know how to deal with pain and suffering in the last moments of these patients. The act of recognizing pain and suffering should hence be the first thing they deal with to ease the patient’s and their family’s life so that they can handle grief at any given moment when their loved one departs. An umbrella term describes what these patients go through concerning pain, and in most cases, it is considered total pain. The point of having or experiencing the derivatives of total pain allows one to know that there is an incorporation of the patient’s social, physical, sometimes psychosocial, and even spiritual pain. The entire process remains very key in providing health care in terms of diagnosing and assessing the type of pain and suffering these people go through.

Experiencing total pain requires the knowledge of assessment of the four components that define that kind of pain. These four aspects will catch these healthcare professionals’ attention and hence become incorporated into the word pain itself. The first component relates to the physical problems diagnosed for treatment. The next component relates to anxiety and depression levels that trigger anger that sets in at the end of life. These symptoms require keen intervention before moving to any other step since they might serve as triggers of the denial stage (Crooms & Gelfman, 2020). Healthcare professionals should assess these symptoms of total pain to ensure maximum recovery. The other component includes noting the interpersonal problems that the family members and the dying patient might develop. The last component involves not accepting that the stage is imminent and that there is no way around it.

Management of Common Symptoms

There is an incorporation of physical torture, spiritual disbelief, and psychosocial suffrage, which altogether combine to worsen the conditions of progress toward a successful transition in life. The doctors and the nurses ought to relieve any burden from the family members and help them prepare for their loss without any denial. The symptoms associated with depression hence require immediate intervention to help make sure that they do not aggravate into more severe conditions. The management has to be thorough in the provision of healthcare services by whatever means to help make sure that the family and the patients deal with the stress levels.

The virtual process of fast-approaching death creates the need for more care since family tolerance decreases, and they can no longer hold it to see that they will lose their loved one. Interventions should hence take imminence regarding the four components associated with total pain (Green et al., 2018). Some factors that require the utmost intervention from the healthcare team include assessment of physical pain, dyspnea, feelings of a death rattle, and restlessness. Psychosocial and bereavement support should also be needed to manage the symptoms entirely. The transition should be very peaceful and help the family cope with losing their loved ones. The art of saying goodbye needs to be embraced without compromise among these members to ensure that they are keen enough to support their dying loved one.


The main role encompassing palatine care related to the end of life becomes the relief of suffering. The kind of relief in this process refers to both the patients who are suffering and also their families. There needs to be comprehensive support that incorporates all the possible consequences that might act as a trigger to increasing their pain. The progress of death brings about mixed reactions and a decreased strength to handle the stress. Comfort measures need to intensify at these last stages and ensure that the patients and their families are under constant monitoring to avoid worsening health cases (Green et al., 2018). Palliative care from health care professionals hence creates the need to monitor and assess the health conditions of the patients and help support bereavement through the trying times of loss. The aspect of death needs a keen intervention to ensure that every member feels support and removes the emptiness that might result in suicidal thoughts among the family members.


Crooms, R. C., & Gelfman, L. P. (2020). Palliative care and end-of-life considerations for the frail patient. Anesthesia and analgesia, 130(6), 1504.

Green, A., Jerzmanowska, N., Green, M., & Lobb, E. A. (2018). ‘Death is difficult in any language: a qualitative study of palliative care professionals’ experiences when providing end-of-life care to patients from culturally and linguistically diverse backgrounds. Palliative medicine, 32(8), 1419-1427.

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