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INTRODUCTION
The healthcare advancements in the last few decades have increased the life expectancy profoundly. On the other side, the
oadened geriatric population has led to more and more individuals spending their last years affected by como
idities, mostly multiple conditions. Many a time, people find their last days in strangely sounding intensive care units cared by unfamiliar faces. The desire of chronically ill patients is to reduce the burden of symptoms rather than cure the condition which is often disregarded. In this scenario, the article explores the roles and challenges of Clinical Nurse Specialists in providing adequate care and support to ailing individuals, their carers and healthcare as a whole.
CLINICAL NURSE SPECIALISTS (CNS)
According to the definition of World Health Organisation and Palliative care Australia, palliative care is person and family-centred care provided for a person with an active, progressive, advanced disease, who has little or no prospect of cure and who is expected to die, and for whom the primary treatment goal is to optimise the quality of life. It promotes equitable access to healthcare support to the needy i
espective of diagnosis.
Specialised palliative care involves consultation and clinical interventions by accredited and expertised health care practitioners to provide suitable palliative care. Clinical nurse specialists are introduced into the palliative care stream with the ideology to smoothen the last days of the increasing number of terminally ill patients and their families.
(Palliative care Australia, n. d.)
PROFESSIONAL ROLES OF CNS
Specialist palliative care framework include five domains (Canning, Yates & Rosenberg, 2005):
Therapeutic Relationships
This holistic approach develops an unspoken act of trust between the CNS, patient and family. It involves understanding the requirements of the individual patient rather than the mere delivery of care practices. The specialists are expected to promote optimal health in patients as well as the family members. This demands shared process of decision making with high regard for privacy and cultural background. Increased understanding of one’s condition, treatment procedures supported by notable nursing interventions empower patients and carers.
(Canning, Yates & Rosenberg, 2007)
Complex Supportive Care is a coordinated process to provide emotional, social and physical relief to the individuals and carers. It aims to treat symptoms with evidence-based approaches, modify treatment procedures according to the individual responses and administration of adequate palliative or pain management methods (Hui,...