Assessement and care in end of life care
Section 1: Understanding the holistic approach to end of life care
1) Various needs that would be considered when planning an individuals end of life care;
a) The physical needs to be considered for a person needing end of life care are likely to be pain, nausea and vomiting, breathlessness and weakness/fatigue. Some people may also need help with mobility and personal care.
b) The emotional/pysychological needs to be considered for a person needing end of life care are anxiety, fear and depression as these are very common towards end of life and can change very quickly. Emphatic support, understanding and reassurance should be given. They will also need love and a sense of hope to help them adjust.
c) The social needs to be considered for a person needing end of life care are making sure they have the opportunity to draw comfort from others such as relatives, friends, pets and members of their local community.
d) Intellectual needs including recreational and occupational will be to ensure the person has the opportunity to be stimulated and occupied by continuing with hobbies, or starting new ones, being involved with others and spending time with people.
e) The spiritual needs of a person include ensuring they have a sense of belonging, identity and purpose, and feeling at peace.
f) The religious needs to be considered for a person needing end of life care may mean they feel the need to attend a place of worship, be visited by a faith leader, read holy books or just reconnect with with their faith or god.
g) The cultural needs of a person to be considered may be the type of food they request, music or reading material, they may have a preference for the way they are addressed or cared for and by whom they are cared for. Their cultural wishes should be respected as fully as possible.
h). Careful consideration should be given as to how a persons communication needs are met. Communication difficulties may be pre-existing or as a result of their illness and can affect hearing, sight and speech. The way in which information is communicated may need to be adapted.
2). Three ways in which the needs of others can be taken into account when planning holistic care are:
a). By assessing the needs of family members/informal carers alongside the assessment of the dying person. This includes their physical, emotional, psychological, financial and social needs as well as their ability to privde care, this assessment should be reviewed at regular intervals as needs change.
b). Giving the family/carers the opportunity to express any needs or concerms they may have and to be re-assessed either by the Local authority (social services) or by using the specific self-assessment questionaires.
c). By promoting genuine involvement , and being included in the initial assessment and throughout the care process, with the consent of the dying person, and by not being made to feel that they have only been invited to the meetings as a token gesture.
Section 2: Person-centred assessment and care planning.
1). It is important to ensure that the individual is at the centre of end of life care planning because the person needs to feel in control and not like they are losing their identity, and becoming labelled as a particular disease or illness. Care providers should look at the person as a unique individual with their own life history, if they are not they can...