The Faculty Practice involves Nursing Community Nursing Practice of Nursing Instructors in order to Home Visiting Process in Collaboration with a Multidisciplinary Team. : Study of Care for a Bedridden Elderly Person and Palliative Care at Home

Abstract

           Expert training within the Faculty Practice for community nursing instructors is a comprehensive initiative involving home visits with a multidisciplinary team. The cornerstone of this approach is the utilization of family-centered care emphasizing empowerment to foster collaboration among patients, families, and other stakeholders. This methodology aimed to deliver appropriate care, thereby achieving positive outcomes for both patients and their families.

          Case Study: caring for a Bedridden Elderly Person and Providing Palliative Care at Home in Bueng Yitho Municipality, Thanyaburi District, Pathum Thani Province. The patient in this case study is facing deteriorating health conditions, multiple co-morbidities, a progressive disease that does not respond to treatment, and heightened stress. The family is actively involved with the objective of providing comprehensive care to ensure the best possible quality of life for the patient. The assessment of patients and families using IN-HOMESSS serves as an effective tool for communication within the multidisciplinary team. Incorporating a family meeting, a Whole Person approach, EPEC's 9 Dimensions of Whole Patient Assessment for Palliative Care, Palliative Care outcome scale Caregiver; POS-C. Empowers families to actively participate in their care decisions.

       The results showed improvement by patient POS-C score decreased from 20 to 13. In Palliative Care Outcome Scale for Caregiver: POS-C. This positive shift extends to the effective management of physical and mental problems, as well as various distressing symptoms, aligning with the consistent care provided to terminally ill patients at home. Furthermore, this approach directly addresses family stress through empowerment. According to Gibson's concept, caregivers' stress levels decreased from 7 to 4 points in the stress assessment ST5 and seen at the burden of caring for patients at home (Zarit Burden) decreased by 10 points. These outcomes reflect the success of the comprehensive and collaborative care model implemented in the Faculty     Practice.

       Conclusion: Appropriate tools for evaluating and managing care for terminally ill elderly receiving palliative care at home resulting in good results for patient and families reduce suffering from disturbing symptoms. Community participation in managing mental, social, and economic issue reduces caregiver stress.