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Palliative & End of Life Care Practical Guidelines
Current Trends <ul><li>In 2010 the Baby Boomers will reach age 65.  </li></ul><ul><li>The old will outnumber the young for...
The Future <ul><li>The Focus of Palliative Care </li></ul><ul><ul><li>Prevention of symptoms </li></ul></ul><ul><ul><li>Co...
The Dying Process <ul><li>Freedom from Pain </li></ul><ul><li>Being at Peace </li></ul><ul><li>Presence of Family </li></u...
Care At End-of-Life <ul><li>Medications </li></ul><ul><li>Dehydration </li></ul><ul><li>Asthenia (Weakness) </li></ul><ul>...
Care At The Time of Death <ul><li>Gentle Guidance of Family Members </li></ul><ul><li>Listening to Stories </li></ul><ul><...
Care of the Bereaved   <ul><li>Accept the reality of the loss </li></ul><ul><li>Work through the pain of grief </li></ul><...
Advance Care Planning <ul><li>A Process </li></ul><ul><ul><li>Communication </li></ul></ul><ul><ul><li>Clarification of Va...
The most painful sight we ever confront is that of beauty yielding to impermanence. ~~Arthur Frank, At the Will of the Bod...
Ethical Issues <ul><li>Patient Self-Determination </li></ul><ul><li>Relationships </li></ul><ul><li>Decision Making </li><...
Care of the Spirit <ul><li>Growth & Fulfillment </li></ul><ul><li>Finding Meaning </li></ul><ul><li>Forgiveness </li></ul>...
 
 
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Palliative & End of Life Care

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Transcript of "Palliative & End of Life Care"

  1. 1. Palliative & End of Life Care Practical Guidelines
  2. 2. Current Trends <ul><li>In 2010 the Baby Boomers will reach age 65. </li></ul><ul><li>The old will outnumber the young for the 1 st time in history. </li></ul>
  3. 3. The Future <ul><li>The Focus of Palliative Care </li></ul><ul><ul><li>Prevention of symptoms </li></ul></ul><ul><ul><li>Coordinating care services </li></ul></ul><ul><ul><li>Reducing unnecessary tests & medications </li></ul></ul><ul><ul><li>Ongoing Conversations with patient & family </li></ul></ul><ul><ul><ul><li>Allow Natural Death (AND) </li></ul></ul></ul><ul><ul><li>Support the patient to “Live Until They Die” </li></ul></ul>
  4. 4. The Dying Process <ul><li>Freedom from Pain </li></ul><ul><li>Being at Peace </li></ul><ul><li>Presence of Family </li></ul><ul><li>Being Aware </li></ul><ul><li>Honored Choices </li></ul>
  5. 5. Care At End-of-Life <ul><li>Medications </li></ul><ul><li>Dehydration </li></ul><ul><li>Asthenia (Weakness) </li></ul><ul><li>Pain </li></ul><ul><li>Variable Awareness </li></ul><ul><li>Circulatory Changes </li></ul><ul><li>Urine Output & Food Interest Reduced </li></ul><ul><li>Breathing Patterns </li></ul><ul><li>Nearing Death Awareness </li></ul><ul><li>Inability to Close Eyes </li></ul><ul><li>Changes in Sensory Perception </li></ul>
  6. 6. Care At The Time of Death <ul><li>Gentle Guidance of Family Members </li></ul><ul><li>Listening to Stories </li></ul><ul><li>Facilitating Rituals </li></ul><ul><li>Participation as Desired </li></ul><ul><li>Solitude </li></ul>
  7. 7. Care of the Bereaved <ul><li>Accept the reality of the loss </li></ul><ul><li>Work through the pain of grief </li></ul><ul><li>Adjust to the new environment </li></ul><ul><li>Discover an emotional place for the loved one </li></ul><ul><li>Go on Living </li></ul>
  8. 8. Advance Care Planning <ul><li>A Process </li></ul><ul><ul><li>Communication </li></ul></ul><ul><ul><li>Clarification of Values </li></ul></ul><ul><ul><li>Discussion of Goals </li></ul></ul><ul><li>Advanced Directives </li></ul><ul><ul><li>Surrogates </li></ul></ul><ul><li>End-of-Life Decisions </li></ul>
  9. 9. The most painful sight we ever confront is that of beauty yielding to impermanence. ~~Arthur Frank, At the Will of the Body: Reflections on Illness
  10. 10. Ethical Issues <ul><li>Patient Self-Determination </li></ul><ul><li>Relationships </li></ul><ul><li>Decision Making </li></ul><ul><li>Benefits & Burdens </li></ul>
  11. 11. Care of the Spirit <ul><li>Growth & Fulfillment </li></ul><ul><li>Finding Meaning </li></ul><ul><li>Forgiveness </li></ul><ul><li>Acceptance </li></ul><ul><li>Going Beyond Oneself & Circumstance </li></ul>
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