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I HAVE TTACHED QUESTIONS AND GRAPHS BELOW

I HAVE TTACHED QUESTIONS AND GRAPHS BELOW HOW HEY WHERE GIVEN TO ME THANKYOU HOPE YOU CAN HELP ME 1a: What is the aim of a palliative approach to individual planning? 1B: What is the difference in individual planning when the client is in palliative care and when they have a condition suitable for curative care? 1C: How does the approach to palliative care differ when it comes to children and young people? 1D: What emotional impact can a diagnosis of a life threatening or limiting illness have on a person? 2: Holistic care is an important part of the palliative approach. Describe in your own words what holistic care is. 3. Provide at least three (3) examples of areas you may need to address over the palliative journey in the following key areas of holistic care. Physical needs Psychological needs Social needs Spiritual needs Cultural needs How would you apply the principles and aims of a palliative approach to maximise the person’s quality of life and comfort when developing a care plan? Why should family members, carers and/or significant others be included in the care planning process? Why is it important to consult the person, family members, carers and/or significant others to identify and share information regarding current and changing needs and preferences? 3: A: How can you provide a supportive environment for the person, family, carer and/or significant others to freely discuss spiritual and cultural issues in an open and non-judgemental way? List at least six ways (6). B: How do you show respect for the roles of the person and carer in planning, delivering care and decision making? C:What are possible issues that may arise that are outside the scope of your own role and who would you refer these too? D: What communication techniques would you use to show empathy and to provide emotional support to the person, families carers and/or significant others? 4: A: What is your role in assisting with the documentation of advance care plan directives in line with the person’s preferences and organisation procedures? B: How do you ensure advance care directives are communicated and understood by relevant parties in accordance with privacy, confidentiality and disclosure requirements? C: What do you do to actively support the ethical end-of- life decisions of the person and carer, in line with your organisation’s policies and care plan directives? Give three (3) examples. 1. 2. 3. D: What are some of the ongoing decisions, preferences, needs and issues you may be required to identify and document in the end-of-life care plan in consultation with your supervisor or appropriate team member? E: In the below table list five (5) effects of grief on carers and how you would provide support. The support can be interchangeable and applied across several effects of grief. Effects of grief on carers How I would provide support             5: A: One of the aims of a palliative approach is to maximise relief and comfort. Pain management is therefore one of the most important aspects of care for a person with a life-threatening condition. Input from your supervisor and other members of the palliative care team will assist in identifying issues and providing solutions for ongoing care for the person. List at least six (6) strategies that could be documented following collaboration with your supervisor and/or other health professionals in the care plan to maximise comfort. 1 2 3 4 5 6      B: List three (3) observations a support worker can make of the person to assess whether they are experiencing pain that requires relief. 1.       2.       3.       C: When would you report this to your supervisor? Why?       D: In the role of supporting someone at end of life, it is the support workers responsibility to ensure information is provided to staff, individuals and family members/carers about the use of pain-relieving medication and other treatments. Concerns can arise from misconceptions. The table below lists some of the common misconceptions. Write the appropriate reply you can provide in consultation with supervisor and/or other health professionals to these in the table. Name:       Common ideas and attitudes medication Reply Common ideas and attitudes Opioids Reply Pain relief should only be given for pain that is present       There is a limit to the length of time a person can use morphine       Doctors and nurses are the best judge of a person’s pain       If the person uses an opioid now, it will be ineffective when they really need it       Strong analgesics may shorten a person’s life       The person may become addicted to pain relief       Pain management alone is not palliative care       Morphine is only used when death is imminent       E: Write and submit an example of how you would document your observations and the ineffectiveness of any pain relieving measures provided in the scenario below (Remember to write date, time and sign). Dora Gregson is a 78 year old resident with cancer that has spread to her bones. You have gone to assist her to sit up for visitors but she cried out when you touched her right leg and even when you gently adjusted her pillow. You reported this verbally to the RN and made her as comfortable as possible with a sheepskin under her legs. Pain relief was given by the RN at 9:30 am. You returned at 10:15 am with a ripple mattress to add more comfort but again Dora cries out and her face grimaces when you touch her. Infinity Aged Care Clinical Record No:       Surname:       Given Names:       Infinity Aged Care Progress Notes D.O.B:       Room No:       Doctor:       Date & Time All entries must be signed and designation recorded                                                 F: How do you meet the nutrition and hydration requirements of a person during a palliative approach? 6: A: When preparing an end-of-life plan always be sure to take into account the person’s current wishes. People nearing death may place a greater significance on their spiritual, religious and cultural values and may change their wishes accordingly. List six (6) cultural, religious and spiritual preferences that may need to be incorporated in the person’s end-of life care plan. 1.       2.       3.       4.       5.       6.       B: Identify three (3) ways to maintain the person’s dignity: During end-of-life care 1.       2.       3.       Following death 1.       2.       3.       C: What signs might you notice that could identify that death is imminent? D:What team member would you report to if you observe signs of death/deterioration? E: How can you create a supportive environment for the person, carers, family and/or significant others involved in end-of-life care? F: How do you ensure that all decisions are reviewed regularly and communicated to staff and updated on care plan? G: How can you prepare the person, family, other staff and self for any distressing end-of life events within your responsibilities?

 
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