Palliative and end-of-life care focuses on improving quality of life for patients with serious illness through comprehensive symptom management and psychosocial support, regardless of prognosis. This holistic approach addresses physical symptoms (pain, nausea, dyspnea), psychological distress, spiritual concerns, and practical issues. Key principles: patient-centered care; open communication about prognosis and goals; shared decision-making; and support for families. Palliative care can begin at diagnosis alongside curative treatment, while hospice care is for those with limited prognosis (typically <6 months). Nurses assess and manage symptoms, facilitate advance care planning, provide emotional support, and coordinate care. Ethical considerations include respecting autonomy, balancing benefits and burdens, and ensuring comfort. Communication skills are essential for discussing difficult topics. Bereavement support continues after death. Documentation should reflect patient preferences, symptom management, and family conferences. This care affirms life while acknowledging dying as normal process.

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Zambia

• loveness Phiri – 801 pts

• Visual Pathway Lesions
• Positive and Negative Symptoms
• Hallucinations and Delusions
• Antipsychotic Medications
• Emergency: Environmental Emergencies