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     Palliative care is the treatment of the healthcare service users who are suffering from life-limiting illness. Palliative care is focused to promote relaxation and active life to the healthcare service users. It is about the identification of the serious disease and providing life support to the families. This essay deals with the palliative care of the consumers who suffer serious illness and giving them support through specialised care. The major goal is to improve the quality of both the care users and the family of the healthcare service user. The specialised care is provided by a specialised team which includes the healthcare service providers and other specialists who take special care in special circumstances. This essay deals how healthcare service providers manage their social beliefs, ideals, and ethics in treating consumers with life-limiting diseases.
    Holistic end of life care is identified mainly on age basis as different age groups require different treatment on the basis of the vulnerability of their disease at the end of their life cycle. The main role of the health care provider is to take care of the patients in context to the vulnerability of the disease. As stated by McCourt et al. (2013), identifying the life-threatening disease cure and providing ailment time is an essential outlook for the nurse. For instance, a service user suffering from cancer will require different ailment than a user suffering from liver failure in context to their age. At the time of offering support for an active end of life system care providers needs to know about the medication and non - pharmaceutical care, which provide support to the health care user based on their needs. As commented by Carter et al. (2013), to promote support to the family in coming up with the healthcare user's illness is vital for the nurse. Quality and cure will only be provided when the healthcare provider is aware of the healthcare service user’s pain and the physical aspects such as aching, body pain, nausea or other abnormalities in the body which in turn will comfort the healthcare user’s psychology.
     Spiritual belief can help the healthcare user and their families to cope up with the disease and death. In indulging in the palliative care for children the nurse needs to know the best methods to treat pain to the child suffering from a life-threatening disease (Gamondi et al. 2013). The holistic approach is necessary for dealing patients towards the end of life cycle for the comfort and importance for improved central care and also for the development of sociological, psychological, spiritual and cultural needs. As stated by Gamondi et al. (2013), the leadership and teamwork of the healthcare service providers are important in the holistic arena for life end support as the proper effort by the team will result in the quality and effective treatment to the healthcare user. As stated by Slocum-Gori et al. (2013), planning is essential so that the deterioration of the healthcare service user can be understood at the initial stage to provide maximum benefits for sustaining the life. As commented by Oishi and Oishi (2014), parts of the holistic care development assessment can be done by the nurse on the basis of their determination of physical, behavioural and social development stages. As commented by Hussain et al. (2013), this theory is applicable for all age-related groups as subjective identification is done through this assessment. Thus, the healthcare service provider is acquired to play a pivotal role in sharing their spiritual beliefs as it is an important framework to control outcomes. As stated by Pratt & Wood (2015), it is important for them to provide support to the healthcare service user in context to their spiritual needs.
    I think an environment of care and affection is impactful to the healthcare service users with a life-threatening disease and as well as their families. I think information and education are required for the healthcare service providers. For example, if a consumer requires saline which with a different composition due to the consumer’s needs and the healthcare service provider put the normal saline. This will be chaotic for the consumer as well as the healthcare service provider.  As stated by Browning (2013), personal values usually hold an immense importance as spiritual care usually begins with the encouragement of the healthcare service user so that active life is maintained through the end of the life. For example, if a healthcare service provider is not responding to the care users needs, the value of palliative care becomes void. As commented by Van Mechelen et al. (2013), the personal beliefs and values of the healthcare service providers are essential as it is directly related to the healthcare service user. In certain cases, in spite of the order of the super authority, as a palliative care, I may refuse to apply certain medicine or dose of morphine to the consumer. As a palliative service provider, my prime interest is to consider the betterment of the consumer till death. Hence in such cases, I may try to support the service user even if the service provider refused on the case. The care providers need to gain knowledge regarding religions and cultures, which is extensively important. For example, a Christian will have values of that of Bible and a Hindu of the Bhagavad Gita. As stated by Cipolletta and Oprandi (2014), their spiritual values will be different to each other. In my opinion, communication is the most quality factor as it enhances the relationship between the healthcare service user and their families. For dealing with young healthcare service users, the level of understanding should be inferred in a way that is understood by the young age group. As commented by Epiphaniou et al. (2014), for the older care users, they will be in denial stage for the occurrence of death. For example, a child will explicate his or her concerns regarding the health and its deterioration but for old care users, they are in denial of any issue regarding their health. According to me, the healthcare service providers need to look more at the older care users as they can't really focus on their problem arena themselves. As stated by Evans et al. (2013), the communication with family and friends forms a pivotal strength to the health care service user. I think the end of life care is an important part of the palliative care of the healthcare service users who are at the end of life as it gives them the additional moral support. Hence, the healthcare service providers should be able to support all age group health care service users as long it is required. 
    This essay unfolds the duties of the healthcare service provider in relation to the holistic end of life care and shows the appropriate way to the service providers. This can help to care providers to provide appropriate service to the care users of various age groups on the basis of their healthcare needs. A palliative approach succumbed to age is required as different age groups need different treatment styles relating to pain, tolerance, anxiety, stress etc. Palliative care needs to mainly cover the individualistic needs of the service users and their family.