Implementing Palliative Care Techniques Assignment

Added on - 22 Jul 2020

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CHALLENGESOFAGEING SPRING2017
Table of ContentsINTRODUCTION...........................................................................................................................1Three issues that hinder the provision of palliative care for older people having end stagedementia...........................................................................................................................................1Critical analyse on one of the issues identified................................................................................3Recommendation............................................................................................................................6Conclusion......................................................................................................................................6REFERENCES................................................................................................................................8
INTRODUCTIONEvery Australian expects to die with some nobility and should have control over theconditions like to be present with choice of people they want and at the place of their wish at theend moment of life. This particular report includes the discussion on three major issues thatcreate obstruction in providing palliative care to the patients suffering from end stage dementiathat are: lack of resources, lack of communications and lack of training. Further it emphasizesmore on given issue of lack in communication and recommendations are provided on the basis oflearning to improve the personal and overall working standards.Three issues that hinder the provision of palliative care for older peoplehaving end stage dementiaDementia is failure of brain from working, although it a slow process. Palliative care is aspecial type of care given to patients of dementia with the goal to improve the standards of lifefor both patient and their family. This care is a different type of approach from the other presentmedical care strategy. It is a type of perspective that aims in improving the patients' life qualityalong with their families that are facing problems related to the life threatening disease. Itincludes the providing relief to the sufferer by identifying the disease at earlier stages andaccordingly providing them with treatment to get relief from pain, also the other physical andpsychological problems. More that 413,106 people in Australia are living with dementia out ofwhich 55% (228,238) are females and 45% (184,868) are males. By the coming 2025 the rate ofpeople with dementia is expected to increase up to 536,164 (Australian statistics,2017).There are several residential heath care facilities in Australia that provide palliative careto the people dealing with end stage dementia. But there are certain issues that hamper thedelivery of family focused palliative care to the older people that are living the life with endstage dementia in residential aged care facilities. The three major issues are: Lack of resources inresidential aged care facilities, lack of training of health workers and lack of communication.Resources plays a major role in proper working of any concerned organisation. Similarlythe resources are requires in residential aged care facilities in Australia to keep up with all therequirements for patients safety and proper treatment. But these care facilities are facing problemrelated to the lack of resource which includes the deficiency in funding, insufficiency of time andshortage of working staff. Such problem poses the barrier in providing proper services to thepatients.Deficiency in funds will lead to shortages in proper medicines and required1
technologies to treat acute problems of dementia that directly had its impact on the health ofpatients (Carter, Levetown & Friebert 2013).Insufficiency of time also plays a major role intreatment, specially in the critical conditions that may also obstruct the involvement of family orpatients in decision making and causes damage to whole care process. Lack of time is the majorbarrier in providing the productive care to the old people with dementia and this start creatingdepression which worsen the situation of the patients who are in last stage of this serous disease.Adequate working staff in care centres is of keen requirement to come up with the needs ofpatients. According to the experience, the workers in care centres are assigned with their duties.There is necessity of senior consultant who see the patients at certain time to keep a watch ontheir progress over disease along with the assistant staff for daily administering of treatment andhealth requirement of the patients (Miller & Boeve, 2016).Second major issue that hinders provision of palliative care to older people with dementiais the lack of training and the education to the both new and the existing working staff. Existingworking staff needs training to skill up the technique and working standards. It is very importantfor the new joined working staff to get through a basic or a primary level training for theparticular specialization. This training mainly includes the understanding the concepts ofapplying the palliative care approach to the patients and to enhance the ability of recognising thesign of forthcoming death.Dementia is the irreversible syndrome which is identified by the lossof mental function that primarily includes the loss of memory, change in the personality,problems in doing the daily life activities and disorientation (Groot &et.al. 2016, pp.13-23).Thisdisease is incurable and a number of patients die every year in Australia (Langa 2015, p.34).This disease many effects the older people which requires the need of palliative care or end tolife care.Lack of such training is a threat to the patients itself, as the worker lack the properknowledge and skills sets that are required to treat the patients with end stage dementia. The laststage of this disease causes the complete decline in the working of brain (Kasper 2015, pp.217-228).At this stage the patients are more vulnerable to many other infections and pneumonia, sonurses and care worker require training preventing such infections from happening (Mitchell2015, pp.2533-2540). This includes the strategies and technique to provide exercise to patientsand manage to read the sign of pains.As person at this stage is unable to speak or interpret aboutwhat they are facing, training is given to read the symptoms through their body language andexpression (van der Steen &et.al. 2014, pp.197-209).Without training no one can understand2
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