Unit 81 Support Individuals at the End of Life
1 Understand the requirements of legislation and agreed ways of working to protect the rights of individuals at the end of life. 1.1 Outline legal requirements and agreed ways of working designed to protect the rights of individuals in end of life care.
Caring for patients at the end of life is a challenging task that requires not only the consideration of the patient as a whole but also an understanding of the family, social, legal, economic, and institutional circumstances that surround patient care.
A legal requirement of end of life care is that the wishes of the individual, including whether CPR should be attempted, as well as their wishes how they are cared for after death are
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Sometimes the person returns to a previous stage. Death is emotional and it is natural to experience emotions. It would also have a psychological affect on an individual as knowing you’re going to die may be frightening. 2.4 Explain how beliefs, religion and culture of individuals and key people may influence end of life care
Depending on the individual’s background and religious beliefs, they may wish to be cared for in a specific way, for example CK is Sikh, and therefore her religious beliefs forbid CPR. Her wish is to stay at home and be nursed. After her death she will be treated to a traditional Sikh funeral. The key people in her life are her family who are also Sikh, therefore their beliefs and wishes are the same.
2.3 Explain why key people may have a definitive role in an individual’s end of life care.
Depending on a person’s physical and mental state, will depend on whether they are able to complete their end of life care planning. If an individual is unable to plan their end of life care then key people like next of kin, friends or social worker will plan their end of life care, using background information about the individual, trying at best to keep to their religious beliefs and wishes. 2.4 Explain why support for an individual health and wellbeing may not always relate to their terminal condition
Every individual at some point needs support. For example: an individual has terminal cancer, she also has a hearing
1.1 - Outline legal requirements and agreed ways of working designed to protect the rights of individuals in end of life care.
Helping professionals such as doctors, nurses, hospital managers, mental health professionals, relatives or ethicists may become involved in the process of assisting a terminally-ill patient with regards to end-of-life decisions. Helping professionals can best respond to client’s issues of end-of-life decisions through active listening and an empathic position (Duba & Magenta, 2008). Understanding the patient wholeheartedly should be practiced and considered as a significant aspect of the professional fiduciary relationship. He or she must be competent to assist dying patient from making the best end-of-life choices. Also, professional helpers must comply to the governing law and ethical guidelines to safeguard the patient from potential dangers
As individuals access the end of their lives, people and their families commonly face many decisions that consist a lot of choices ranging from simple and complex issues. People that die have to make choices about family involvement in caregiving and making decisions. End of life choices have a major impact on the quality of life and dying. The end of life cost medical arrangements are challenging for ill individuals and for people who care about them. Decisions should ideally be done in terms of the relief of values and suffering and beliefs of people dying and their families.
Todays taking care of patients is increasing, especially, those who their life are close to the end. So, we should concern about the last stage of their life and how we could make their wishes come true.
role of the family? These are some questions that require policy formulation to state clearly end-of-life decisions in the ICU.
Moving from curative to palliative care is frequently challenging for patients, families and healthcare providers. End of life consideration can be seen as a failure of medical providers, or as patients giving up. Nurses’ role in this move is to provide assistance, instruct and advocate for patients, and support reflection on the meaning of end of life. Physicians face challenges in distinguishing when end of life starts, avoiding impaired communication in care teams and feelings of remorse.
When a person nears the end of life significant care is generally required. Picturing an elderly person it is easy to recognize that he or she may be frail, weak and suffering from mental decline. But in a world crippled with terminal diseases such as cancer, dementia and neurological disorders, general old age becomes even more complicated in terms of providing care. Despite that various healthcare systems are prevalent around the globe (hospitals, nursing homes, hospice centers, etc.) the bulk of the care giving often falls on the patient’s closest family members. Spouses, children and sometimes parents are not only faced with the emotions of losing their loved one, but they also face significant changes to their personal lives and
End of life care does not culminate at death but continues even after death. Bereavement care helps the family cope with grief and other issues. This should begin before patient’s death. Families and caregivers who are at high risk for bereavement are identified and are prepared for patient’s death. In bereavement phase care givers with
When treatment is no longer effective therapy, most of the patients and their families are not desired that avoids the aggressive intervention. They are the last days, weeks, months, which are consumed in harmony with close friends and family at home in a familiar environment, preferably, it can be passed without pain. In rare cases, patients and their families may require a larger opinion may differ, or unnecessary treatment. However, in most cases, patients, and family members are aligned, end-of-life care may be managed in a way that the sensible heat and impact (Balaban, 2000).
This paper will focus on the importance of communication between health care professionals and the patient/family during end of life and how this seemingly basic necessity is a quality requiring much more development within the educational realm.
The obligation of nations is to provide a greater provision when it comes to end-of-life care (Gott and Ingleton, 2011). Apparently, deterioration of health or even death can occur regardless of age limits (Burge et al., 2008). Therefore, anyone with life-threatening illnesses, such as, cancer and other non-malignant diseases; which includes, Chronic Obstructive Pulmonary Disease (COPD) and End-Stage Renal Failure (ESRF), should receive services from the palliative care (Lloyd-Williams, 2008). In a way, it is part of supportive care, whereby it aims to improve the quality of life for patients and their families to cope with related issues (Emanuel and Librach, 2011). Furthermore, it also provides any form of medical care or treatment in reducing the severity of those suffering from the disease symptoms (Surhone et al., 2010).
There are many considerations to be made when it comes to dying and end of life decision making. These considerations are affected by a variety of issues. The issues to be discussed in this paper or the impacts of religion, spirituality, culture and socialization and it is effects. Along with that lifespan and how the different stages of life reflect different unique approaches. Following, my perspective on family and larger social systems and how I feel the system is lacking in this department. Then lastly, the complications that may arise in regards to legal and ethical issues. The purpose of this paper is to reflect on the dying and end of life decision making process from my own perspective using the resources of my experiences and outside
The key finding of this review suggest that quality end of life is multifaceted. Dying well is associated with ensuring that the autonomy of the patient is respected, that the healthcare team has clear and concise communication to avoid miscommunications and along with flexibility of care.
Nurses play a key role in end of life care. The quality of nursing care in hospice has changed over the years due to nurses advocating to change practices. Today, hospice care focuses on comfort instead of the cure. The nurse’s responsibility is to protect the patient from burdensome interventions while providing comfort. The nurse’s role extends to family support and spiritual needs. Precise documentation is an integral component of communication within the nursing care team. End of life care (EOLC) includes the decision- making process, nursing care for patient and the family, pain and symptom management, saying goodbye, and support of the healthcare team members in taking care of the dying patient and the family after
Everyone in the world will come to a point in their life that they are approaching death. Some people never see death coming. Every day people are involved in car accidents and never would have thought they wouldn’t make it through the day. However, as people approach old age they start to realize when their bodies are not what they used to be. As people approach the end of their lives different tasks and decisions need to be addressed with their loved ones and family members. Some decisions that have to be made could involve subjects of spiritual, legal, medical, or ethical nature. Some examples include, one wanting to have a priest present in the final days of their lives, or writing out advance directives such as a will. One could also