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History of Health Promotion

In: Science

Submitted By knareenie88
Words 5422
Pages 22
Enhancing end-of-life care (EoLC) is a core component of international governments’ health policies. Across the globe, nurses make significant contributions to EoLC and, at this delicate time, have the power to positively influence the health and wellbeing of those facing death. Indeed, health promotion is a core component of the nurse’s role. Originating in the UK, EoLC pathways have been adopted around the world.Their broad aim is to optimise the quality of the dying process, enabling people to ‘die well’ across care settings. This paper examines EoLC pathways in terms of promoting health and wellbeing in this discrete stage of the dying trajectory. Concepts of health and health promotion are described briefly and the idea of health-promoting palliative care and its association with a good death examined. The ensuing discussion relates to two EoLC documents. While acknowledging that much has been achieved it is argued that, despite the potential for promoting health and wellbeing, a professionally led, biomedical approach predominates, and in terms of promoting health and wellbeing at the end of life there is a pressing need for proactive advance care planning at an earlier point in the illness trajectory.
Key words: End-of-life care l Care pathways l Terminal care l Health promotion
Michael Allen is Staff Nurse, Chemotherapy Day Unit, Singleton Hospital, Abertawe Bro- Morgannwg University Hospital Board, Swansea, Wales; Tessa Watts is Senior Lecturer, Swansea University, Swansea, SA2 8PP, Wales
Correspondence to:
Tessa Watts
t.watts@swansea.ac.uk
End-of-life care (EoLC), a core component of palliative care, is concerned with pre- venting and easing suffering experienced by people facing death. As life draws to its close, the aim is to optimise the quality of living and dying and to facilitate effective family support and coping in bereavement. Thus, at...

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