Evaluation of Palliative Care in Residential Aged Care

Running head: RACF
0
Palliative care
student
5/25/2019

RACF
1
Table of Contents
Evaluation of the palliative care in the residential aged care.......................................................................2
Advanced care directives in residential aged care....................................................................................3
Legal and ethical consideration of ACD in residential aged care............................................................5
Legal issues.........................................................................................................................................5
Ethical issues.......................................................................................................................................6
Strategies to improve the provision of palliative care in RACs...............................................................8
Cultural humanity................................................................................................................................8
Education and provision for the professions, aged person and their family.........................................8
Developing palliative approach policy................................................................................................9
Palliative care service delivery model...............................................................................................10
Conclusion.................................................................................................................................................11
References.................................................................................................................................................12

RACF
2
Evaluation of palliative care in the residential aged care
Palliative care is the strategy that improves the superiority of the life of the diseased
person and their relatives experiencing the problems linked to the life-frightening diseases, by
the avoidances and release of patient’s suffering by the means of initial identifications and
faultless valuation and management of pain and other, physical, psychological and spiritual
issues (Dumanovsky, et al., 2016). This particular care is provided by the specialized nurse and
physicians and other experts who work collaboratively with the patients and other clinicians to
deliver an additional layer of upkeep. It is well appropriate to provide at any stage of life and can
be provided with any other type of curative treatment. It can be provided in the type of disorder
and at any stage. The palliative care teams are specialized in managing the people suffering
from symptoms and distress of serious diseases like cancer, COHF, COPD, kidney disorders,
Alzheimer’s , and ALS ( Kelley, & Morrison, 2015). The palliative type of care provides relief
from pain, depression, breathing issues, weakness, constipation, vomiting, loss of appetite,
sleeplessness, anxiety and other type of symptoms that might be causing distress. Palliative care
affirms life and respects dying as usual process. It incorporates the mental and spiritual facets of
patient upkeep which offers a provisioning system to help the patient live as healthy as
imaginable till death. It also offers provision system to deal with the requirements of the diseased
person and their relatives to cope with the situations throughout the patient's disease and in their
own grief. It helps in improving the communication between the diseased person and health care
providers (Dumanovsky et al., 2016).
Palliative care can also be beneficial in aged care to provide them wend of life care and
enhance their quality of life. It has been identified that the chronically sick, aging populace is

RACF
3
increasing; it has been identified that the populations of people over the age of eighty-five will
reach nine million by 2030. These people will require a continuum of upkeep that involves the
end stages of terminal illness (Broad, et al., 2015). It is estimated that nearly 23 per cent of
people dies at their home; approximately 24 per cent expired in nursing homes. In the year of
1989, just 1 per cent people died at their home and nearly 18 per cent spent their end of life days
at a nursing home. With nearly half (47 per cent) of the people with the terminal sickness dying
at house or in the nursing homes currently, therefore there is a growing requirement of palliative
care in these health care settings. There is an increased number of hospitals nursing homes
adopting this approach in order to provide optimum care to the older patient and they show a
high number of positive results. Palliative actually improves the coordination’s of care with the
health care workers and the other team members to make plans for older people at nursing
homes, hospitals, and at their own home (Fitch, Fliedner, & O’Connor, 2015).
ACD in residential-aged-care
Advanced care directives (ACD) are the lawful form or consent that permits individuals
over the age of eighteen years to note their desired wishes, choices and directions for their future
wellbeing carefulness, end of life, all the living provisions, and individual troubles. ACD also
allows them to employ one or additional supernumerary decision-makers to sort these choices in
their behalf what they are not capable to do themselves (Street, Ottmann, Johnstone, Considine,
& Livingston, 2015). It is an essential step forward to plan the future health upkeep, favoured
living arrangements and other separate matter. It basically replaces the present continuing
powers of protection, clinical attorney powers and the anticipatory directions with the lone
advanced care directives form. it help the patient to have peace of mind that the people care for
the patient will know that what they actually want when they are unable to make their individual