Unit 3 assessment 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 …show more content…
2). a). Interviews - Are usually conducted face to face in an informal and coversational manner to put the person at ease and to gain more detailed information. b). Self-assessment - These questionaires are usually given out prior to an interview for the person to fill out themselves. c). Consult familiea/friends and advocates - This is used to gain more information as they can offer a wealth of information and can help to make them feel useful. d). Draw on previous assessments - These can be useful if the person has already had previous use of health and social care services. e). Use an appropriate assessment tool - These are tools set in place including questions scales, checklists and other means of obtaining information that together provide a consistent comprehensive approach which a persons range of needs for support and care can be explored. 3). A range of tools available that are used to assess a persons holistic needs are: Concerns checklist - This is used to register a persons main concerns and covers three 'domains' - illness, pyschological issues and practical concerns. Liverpool Care Pathway - This deals with an initial holistic assessment,
(a) There are typically six assessment methods that we can chose to employ within your role. These are listed below along with examples of when and how they could be implemented:
Signs and symptoms of a patient nearing the end of life include a decline in appetite, reduction in consciousness and increased agitation, altered respiratory effort, reduced communication, reduced mobility and social withdrawal (Kitchener, 2017). Ideally, anticipatory care should be organised before this stage to help put in place an individualised care plan that takes in to account the patient’s wishes and best interests. Part of this discussion should include decisions such as whether hospital admission would be correct or if resuscitation would be appropriate (Macmillan Cancer Support, 2018). These Advanced Decisions to Reuse Treatment (ADRT) are legally binding documents if they meet the requirements of the Mental Capacity Act
f) Underpinning knowledge questions can be sampled effectively as the Awarding Organisation will provide the answers which can be checked and a total can be calculated and compared with what the assessor has marked
You must provide answers to each question that allow your assessor to properly assess what work duties you are doing or what role you have within your work. It expected that you will need approximately 300 words per question. The more detail you provide the less likely your account will be sent back for more clarification.
Secondly, the patient should be capable of making and communicating health care decisions for him or herself. Thirdly, the patient must be diagnosed with a terminal illness that will lead to death within six months. Interested patients must also provide the request for termination in writing to the physician. In addition, physicians are expected to inform patients to alternative means of care including hospice care and other medications. Only after precautions evaluation, the laws then permit patients to make the ultimate life ending decision.
Key people could be family, doctors, carers, religious leaders etc. Each may own distinctive role to play in order for the choices and preferences of the individual to be respected and carried out. [ Every person’s end-of-life trajectory is different and needs differ in intensity and quality over time. End-of-life care must adapt to the varying and changing needs of the individual over time and that it cannot be limited to certain settings or services. The provision of good
▪ phonemic awareness /oral language: The student is scoring very well in phonemic awareness/oral language. He was able to get 10 out of 10 in sounding out words. He was also able to identify and say almost the entire alphabet.
1.1 - Outline legal requirements and agreed ways of working designed to protect the rights of individuals in end of life care.
It is necessary to involve the individual in the plan of care and support. Encourage the individual to make choices. This includes their needs, their culture, their means of communication, their likes and dislikes, wishes and feelings, advance directives, beliefs and values, involvement of their family and other professionals. This should be considered and documented. Also, there must be evaluation in assessing effectiveness in the plan of care.
Before you start working on this part of your assessment, carry out some planning by answering the following questions.
Please note that this assessment document has 9 pages and is made up of 4 Parts.
4. Assess the relevant areas competence-and of missing knowledge, skills, experience, or expertise-in regard to the relevant aspects of the situation.
A. Explain how your own perceptions about quality of life and health problems might affect your care for a dying patient with a lingering illness such as cancer.
4.4 explain how assessment arrangements can be adapted to meet the needs of individual learners
6. Explain how you prepare the required resources needed to assess your candidate’s knowledge and prepare and maintain conditions that support the effective assessment of your candidate’s knowledge and understanding.I always prepare my resources needed prior to assessing. I ensure I have the standards I need, any worksheets or handouts needed, Planning forms, feedback forms and addition support handouts. I also take care of the learners portfolio keeping this locked up in a cupboard.I ensure that the environment is easy to work in and somewhere the learner can write or take notes. I try to avoid any distractions that may affect the learning.This evidence will be referenced to Unit 303 Assessment