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The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Add any essential operating conditions that may be present with training and assessment depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts. |
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Aims of a palliative approach adapted from Guidelines for a Palliative Approach in Residential Aged Care (2004) is: | An approach linked to palliative care that is used by primary care services and practitioners to improve the quality of life for individuals with a life limiting illness, their caregivers and family The palliative approach incorporates a concern for the holistic needs of patients and carers that is reflected in assessment and in the primary treatment of pain and physical, psychological, social and spiritual problems Application of the palliative approach to the care of an individual patient is not delayed until the end stages of their illness Instead, it provides a focus on active comfort-focused care and a positive approach to reducing suffering and promoting understanding of loss and bereavement in the wider community Underlying the philosophy of a palliative approach is a positive and open attitude towards dying and death |
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Using a palliative approach includes: | Identifying the client, family and carer as the unit of careParticipating in a team approach to address the needs of client, families and carers ensuring a palliative approachSeeking advice from appropriate person e.g. supervisor or team leader or palliative care teamMaximising self care and self-determination for the clientAssisting in the psychological and spiritual aspects of care for the clientProviding support for clients, family and carer using a palliative approachRecognising symptoms of pain, discomfort and other symptomsRecognising the signs that death may be imminentPractice that reflects an understanding of the impact of a palliative approach in an organisationMaintaining the client's dignityUnderstanding the needs of clients approaching end-of-life |
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Sources of loss and grief may include: | Worker may have experienced a loss of their own and be grievingFrequency and number of deaths experiencedNeed to resolve some issues when a client diesDifferent responses to loss and grief of co-workers |
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Own emotional responses may include: | A range of emotions that may be demonstrated or displayed as a response to the process of loss and grief, for example:crying and feelings of sadnesspoor concentrationfear, anger, silence which may appear singularly or together and prolong the worker's own grief |
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Misconceptions relating to use of pain relieving medication may include: | All members of staff should feel confident to ask questions and seek clarification about analgesia, addition and drowsiness as well as when hearing any of the following statements:'pain relief should only be given for pain that is currently present''doctors and nurses are the best judge of a client's pain''clients should not receive pain relief until cause is determined''clients may become addicted''strong analgesics may shorten life''pain management alone is not palliative care''client may become too drowsy to communicate with family' |
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Advanced care directives are: | Sometimes called a 'living will' and describes one's future preferences for medical treatmentContains instructions that consent to, or refuse, the future use of specified medical treatmentsBecomes effective in situations where the patient no longer has capacity to make legal decisions |
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Advanced care directives may include: | Medical treatment preference, including those influenced by religious or other values and beliefsParticular conditions or states that the person would find unacceptable should these be the likely result of applying life-sustaining treatment, for example severe brain injury with no capacity to communicate or self careHow far treatment should go when the patient's condition is 'terminal', 'incurable' or 'irreversible' (depending on terminology used in specific forms)The wishes of someone without relatives to act as their 'person responsible' in the event they became incompetent or where there is no one that person would want to make such decisions on their behalfA nominated substitute decision-maker that the treating clinician may seek out to discuss treatment decisionsOther non-medical aspects of care that are important to the person during their dying phaseRelevant state and territory legislation or guidelines on advanced care directives |
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Legal implications of advanced care directives: | As per state and territory legislation or guidelines on advanced care directives |
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End-of-life ethical decisions may include: | Ongoing discussion with the client, family, doctor, guardian and organisation to ensure that the client's and/or family's wishes are up-to-date |
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Client's lifestyle choices may include: | Personal supports and relationshipsSocial activitiesEmotional supportsCultural and spiritual supportsSexuality and intimacy supports |
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Life limiting illness describes: | Illnesses where it is expected that death will be a direct consequence of the specified illness. This definition is inclusive of both a malignant and non-malignant illness Life limiting illnesses might be expected to shorten an individual's life expectancy (Standards for Providing Quality Palliative Care to all Australians, Palliative Care Australia, November 2005) |
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Strategies to promote comfort may include: | Regular observation, reporting and documentation of client's comfortProvision of pain relieving measures by appropriate member of staff (see state/territory legislation regarding pain-relieving medications and organisation protocols)Other measures to promote comfort and relieve pain - massage, relaxation, distraction, aromatherapy |
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Carers include: | Carers are usually family members who provide support to children or adults who have a disability, mental illness, chronic condition or who are frail aged Carers can be parents, partners, brothers, sisters, friends or children. Some carers are eligible for government benefits while others are employed or have a private income (Carers Australia, 2004) |
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Impact on carers may include: | Changing nature of carer's roleGrief due to multiple losses |
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Guardian refers to: | A person appointed to make personal and lifestyle decisions for an adult with an impaired capacityA guardian can make decisions about an adult's lifestyle and/or health careRole to be interpreted in line with individual state and territory legislation or guidelines on definition of guardian |
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Client: | May also refer to resident or patient throughout this document |
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Ethical issues may include: | Decisions regarding medical treatmentConflict that may occur in relation to personal values and decisions made by or for the client |
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