A practical guide to end of life care by Sadler, Clair

By Sadler, Clair

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Here are some of those people who may be available to support and provide help: aa Core community staff – General practitioner (GP). If the person is being cared for in their usual place of residence, their GP will remain responsible for their care. The core community staff also includes the district nursing team (own home and residential care), and the community matron. aa Specialist community staff – Community speech and language therapist, community occupational therapist, community physiotherapist, community dietician, domiciliary opticians, dentists, chiropodists.

The decision made should be reviewed frequently considering both the illness and the wishes of the person which may change. aa It is different from ACP but may be part of it. aa DNACPR decisions apply only to resuscitate if the heart stops – not to any other interventions such as infection requiring ­antibiotics. aa aa aa aa Those responsible for the person’s care should ensure that a DNACPR form is clearly written and available for everyone involved in the care. 86] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC.

The pattern of change in the way illness affects a person is sometimes called an illness trajectory. Three different trajectories of dying help us to understand the patterns of deterioration we might see: 1. 2. 3. The first trajectory is represented by short period of illness with a fairly predictable deterioration in health over weeks, months or years. People with cancer are more likely to follow this trajectory. During this time they may have a period of wellness as a result of treatment. Over time, their physical ability will deteriorate and they commonly experience fatigue, weight loss, pain and other symptoms.

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