The Department of Health’s 2008 End of Life Care Strategy, provides a comprehensive framework aimed at promoting high quality care for all adults approaching the end of life in all care settings in England. It sets out what adults reaching the end of their lives, and their carers can expect from the services provided to them and one of the key aims is to ensure as far as possible their needs and preferences for future care are met. The common factors include:
Being treated as an individual, with dignity and respect
Being without pain and other symptoms
Being in familiar surroundings
Being in the company of close friends and family
The national institute for Clinical Excellence (NICE) End of Life Care Quality Standard, emphasises these expectations. The key points are:
1. A diagnosis that is arrived at as quickly as possible, with information about prognosis and treatment options explained sensitively, appropriately and in a jargon-free way.
2. Information that is provided as and when it is needed, in a format that is appropriate to their needs and abilities.
3. Regular assessment and care planning that includes discussion about current and future care, is person-centred, and takes account of practical, physical, psychological, spiritual, social and religious needs and preferences.
4. Support for carers and family members including children, recognising the impact of bereavement upon them.
5. Care and support delivered seamlessly, by multidisciplinary teams working together to meet identified needs.
When an individual is at the end of life, usually you are aware due to the documentation that is present.(which is a legal requirement) In my job role I would read and acknowledge the rights and wishes of the individual, including any religious beliefs to ensure they are cared for according to their wishes.
Often times, people feel uncomfortable talking to and interacting with a person who is dying. This is at least partly