End of Life Care

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Workbook 2 Assessment and Care Planning in End of Life Care Q1: Complete the following table, describing the needs you would have to consider when planning the different aspects of end of life care for an individual Planning for| Description of the needs that should be considered| Physical needs (health and well-being)| Some physical needs are essential in order to sustain life and remain healthy; other physical needs contribute to comfort and satisfaction. The physical needs essential for health are oxygen, water, food, protection and sleep. Some of these link to maslow’s hierarchy of needs which explains that if our basic needs are not addressed then we cannot progress further, when a person feels in good health they feel well. Other needs could be environmental (noise, lighting, warmth etc,) non-medical interventions (massages etc), equipment and aids (to ensure independence to fulfil life) and alternative therapies (to support and enhance well being)| Emotional/psychological needs | These relate to an individual’s need to feel loved, to be accepted and to belong. They will need to be monitored for any form of depression which could lead to refusal of treatment. | Social needs | The social needs involve relationships, companionship and interaction with others. There are different types of social need – physical, spiritual, intellectual, emotional and recreational. There is the need to feel important to other people; that people approve and the feeling of acceptance as part of a group. Contact with remote family members and the healing of broken relationships or putting bad situations right can sometimes become important.| Intellectual needs | These needs should not be forgotten, these link closely to emotional, social, cultural and communication needs and often form the basis of how a service user may react to their life-limiting illness. These needs being met may result in the service user dealing with the subject of death and dying in a more positive way| Religious needs | Religion often involves a set of organised rituals and practices, which an individual will follow and practice. They follow this system of faith and it is important to them, it could aid their acceptance of their forthcoming death and aid their emotional and psychological well being| Cultural needs | These refer more to beliefs and values. They are passed on from one generation to another and the service user will need to feel that their particular customs, language and beliefs will be respected thus aiding their emotional and psychological needs| Spiritual needs | Spiritual needs refer to the part of the person that is concerned with ultimate ends and looking for the meaning of existence. It involves searching for answers to questions and comes into focus at times of emotional stress, illness, loss, bereavement and death. Spiritual needs are highly individualised and can change, these will aid their emotional and psychological needs| Communication needs | Everyone has different communication needs depending on various factors, this need to be considered when planning a service user’s end of life care. Every service user is different and communication needs to be user-specific. Things like translation services may be necessary for users who do not speak fluent English|

Q2: When planning holistic care for an individual, describe how you would take into account the needs of others Undertaking a holistic needs assessment is not an end in itself. It is a means of ensuring that the person’s concerns or problems are in the first place identified so that attempts can be made to address them. It supports the broader aim of ensuring personalised care that reflects an individual’s health and care needs. An assessment should always result in a care, or action plan. Holistic health incorporates the physical, mental, emotional and spiritual needs of the individual, family and community. Things become holistic when all...
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