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reflection essay on end of life care
reflection on end of life care
reflection on end of life care
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The purpose of this essay is to analyse various theories on ageing, death, dying, and end of life issues from different perspectives such as: biophysiological theories, psychosocial theories; and taking in consideration the cultural, historical, and religious implications around the aforementioned life stages. One will also discuss important issues relevant to social work practice such as dignity, autonomy, and their relationship with the concept of a successful ageing and a good death. One considers these areas important since they upheld anti-discriminatory practice and may perhaps promote the development of personalised care pathways, as well as fair and justifiable social policies.
Furthermore, one will attempt to demonstrate the importance of understanding the life course development in context of health and social care by using a case scenario provided.
Theories concerned with ageing are constructed in an attempt to objectively satisfy the inquiries that arise after studying ageing and to provide evidence based clarifications. In the context of this essay, they allow troubleshooting regarding issues around the type of support would be expected to be needed by Betty and her son. Bengtson et al, (1999) accepts the potential pragmatism of the theories nevertheless he argues that they can be generalised and unimaginative. The controversy regarding theorising ageing becomes especially relevant when they are applied in isolation failing to address that “the science and positivism are severely limiting… for understanding aspects of ageing.” Bengtson et al (1999)
In an attempt to define ageing one must take in consideration the biophysiological together with the psychosocial aspects; these two aspects are intertwined.
Ageing is ...
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...pment of a Holistic Model of Spirituality. .
SÍTAR, M.E., YANAR, K., AYDIN, S. and ÇAKATAY, U., CURRENT ASPECTS OF AGEING THEORIES AND CLASSIFICATION ACCORDING TO MECHANISMS. .
SMALL, N., Living Well until You Die. .
THOMAS, K. and LOBO, B., 2011. Advance care planning in end of life care. Oxford: Oxford University Press.
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WATTS, J.H., 2010. Death, dying and bereavement:issues for practice. Edinburgh: Dunedin Academic Press.
WEISMAN, D., 172. On dying and denying: A psychiatric study of terminality (Gerontology series). 1 edn. Behavioral Publications;.
WHITMAN, L., Lesbian, gay, bisexual and transgender ageing: biographical approaches for inclusive care. .
WIESEL, I., Can Ageing Improve Neighbourhoods? Revisiting Neighbourhood Life-Cycle Theory. .
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Death comes to all in the end, shrouded in mystery, occasionally bringing with it pain, and while some may welcome its finality, others may fight it with every ounce of their strength. Humans have throughout the centuries created death rituals to bring them peace and healing after the death of a loved one.
Death is an enigmatic phenomenon that mankind dances with. Experienced by everyone at some point or another, death weaves its way through our lives and presents to us the reality of its finality and the truth of the unknown. Consequently, death results in the natural need to mourn the loss of people passed on. For most aging adults, death becomes a more conspicuous matter to address than in earlier years. Some cope better than others with the inevitable nature of death, seeing it as the necessary conclusion to a long life, while others deny its approach and attempt to delay its occurrences as long as possible.
Hospice focuses on end of life care. When patients are facing terminal illness and have an expected life sentence of days to six months or less of life. Care can take place in different milieu including at home, hospice care center, hospital, and skilled nursing facility. Hospice provides patients and family the tool and resources of how to come to the acceptance of death. The goal of care is to help people who are dying have peace, comfort, and dignity. A team of health care providers and volunteers are responsible for providing care. A primary care doctor and a hospice doctor or medical director will patients care. The patient is allowed to decide who their primary doctor will be while receiving hospice care. It may be a primary care physician or a hospice physician. Nurses provide care at home by vising patient at home or in a hospital setting facility. Nurses are responsible for coordination of the hospice care team. Home health aides provide support for daily and routine care ( dressing, bathing, eating and etc). Spiritual counselors, Chaplains, priests, lay ministers or other spiritual counselors can provide spiritual care and guidance for the entire family. Social workers provide counseling and support. They can also provide referrals to other support systems. Pharmacists provide medication oversight and suggestions regarding the most effective
Aging is an inevitable process where we as living beings grow old. Aging has some benefits and may bring some problems too. There is a great variety of researches done with different purposes which provide us with some information and statistics.
As a product of life history, the ageing of the body during middle adulthood is undeniable. Psychologically, realising one’s own ageing is challenging (Lachman, 2001). Fading youthfulness, decline in physical functioning, changing careers and other dramatic alterations in life often cause anxiety and depression as they are expected to adjust their perception of age. This occurred when they are making a way through the previous occupational lifestyle as it is challenging to adjust their mentality. However, by re-evaluating their life, individuals usually see the chance of personal growth and are able to maturely encountering these challenges (Rayner, 2005).
In order to illustrate the predominance of medical explanations, a definition of the medicalisation thesis will be given and illustrated by the case of the treatment of terminally ill patients. The medicalisation of death and dying will be highlighted by a review of sociological literature from both feminist and non-feminist perspectives. The limits of medicalisation will be provided as a rationale for the resistance of the medifcal model. Finally, the ways in which individuals negotiate and resist the medicalisation of death will be discussed including the rise of pro-euthanasia groups, increasing use of complementary medicine, and the popularity of the hospice movement.
Aging and old age for a long time presented as dominated by negative traits and states such as sickness, depression and isolation. The aging process is not simply senescence most people over the age of 65 are not Senile, bedridden, isolated, or suicidal (Aldwin & Levenson, 1994). This change in perspective led the investigation of the other side of the coin. Ageing is seen as health, maturity and personal Royal growth, self-acceptance, happiness, generatively, coping and acceptance of age-related constraints (Birren & Fisher, 1995). Psychological und...
There are a number of benefits to be found from thinking about ageing as a lifelong process and not just one that affects older people. This essay will define some of these benefits whilst backing up this reasoning with reference to the K118 material. It will then explain briefly which experiences I have had personally which have led me to responding to the question in this manner.
Human beings age and they have since the beginning of time, but it remains an unsolved mystery. This enigma has remained in the dark until the recent innovations technologies have shed some light on this elusive topic; cells are the key to figuring out why humans age. Aging seems to be a relatively simple process, but the more it is studied, it is evident that it is rather complex. There are a myriad of factors that contribute to aging, but none of them can single handedly answer the question of why humans age. This age long question is at the forefront of medical research. As a result, discoveries are frequently made, which contribute to the ever growing pool of knowledge. Perhaps in time, by researching this topic, the human lifespan will lengthen and the diseases that often plague the elderly can be prevented or subdued to a greater extent. Furthermore, human aging is proven to be closely linked with illnesses such as cancer, which is why so many world class scientists are pursuing this topic. Interestingly enough, there is no universal theory that is widely accepted by the scientific community; however, there are many theories that credibly explain the science behind aging. Aging is a subject that should be studied because it directly benefits many lives, and has tangible results.
Hebert, K., Moore, H., & Rooney, J. (2011). The Nurse Advocate in End-of-Life Care. The Ochsner Journal, 11(4), 325–329.
Overall the need for a better based end of life care strategy is warranted globally. More of a focus should be given on care and high quality service for patients. As of now too much decision lies with the healthcare professionals and this can lead to faulty decision making because the health care providers are doing what they believe is in our best interest. In reality the patient or ourselves only have the true idea how we would like our final days to be carried out. By developing and carrying out an end of care plan we can take the decision making out of the family and doctors and place it on the patient. By all counts the need for change is apparent within the healthcare industry in regards to end of life care. By considering this unique change a great deal of improvement can be derived from this decision making process.
Ageing is a continuing life cycle, it is an ongoing developmental event that brings certain changes in one’s own psychological and physical state. It is a time in one's own life where an elderly individual reminisce and reflect, to bask and live on previous accomplishments and begin to finish his life cycle. There is a significant amount of adjusting that requires an elderly individual to be flexible and develop new coping skills to adapt in the changes that are common in their new life. (Dhara & Jogsan, 2013).
Aging and being old was dominated by negative characteristics and conditions such as illness, depression, and isolation for a long time (Eibach, Mock, & Courtney, 2010). At first glance the terms “success” and “aging” seem to be in conflict to each other. When asking people about aging, their answers have many facets that are also found in psychological definitions: successful aging is seen as health, maturity and personal growth, self-acceptance, happiness, generativity, coping, and acceptance of age-related limitations. In the psychological sense successful aging is also often seen as the absence of age-associated characteristics (Strawbridge, Wallhagen, & Cohen, 2002). It seems that successful aging means is not aging.
The subject of death and dying is a common occurrence in the health care field. There are many factors involved in the care of a dying patient and various phases the patient, loved ones and even the healthcare professional may go through. There are many controversies in health care related to death, however much of it roots from peoples’ attitudes towards it. Everyone handles death differently; each person has a right to their own opinions and coping mechanisms. Health care professionals are very important during death related situations; as they are a great source of support for a patient and their loved ones. It is essential that health care professionals give ethical, legal and honest care to their patients, regardless of the situation.