Wednesday, January 16, 2019

Reflective account on End-Of-Life Essay

Last year 23 September 2012. I had a resident called Mrs X she was a 72year-old widowed living at , a Nursing Care Home. Shes non a unearthly type of person as she was Atheist. She has lived in the dental plate for the past twain years, and during that period I was assigned as her key worker. Mrs X had one(a) Son and 3 grand daughters they are all fix visitors to the home. She has deep been diagnosed with renal failure, and her living expectancy is only a couple of months without dialysis. In the past Mrs X has made it clear that when her duration comes she indigences to be commensurate to stay at Belmont House, and go quietly. She has stated that she does not indirect request any treatment that will prolong her life story. This means she has chosen not to accept dialysis. A planning meeting, involving Mrs X, her family and health and social care workers has taken enthrone, and a care and raise plan has been put in place to help Mrs X to live comfortably at Belmont H ouse.This has included a discussion, led by Mrs X, about her wishes. She has made it clear that she does not want any medical intervention to prolong her life, and this has been recorded in an asseverate care plan. Mrs Xs 3 granddaughters are corroboratory but her son Mark has difficulty accepting the decision, however he realised its her mums decision and to respect her mums wishes. As well as input from her GP, Mrs X will be receiving regular support from specialist shelters to manage her symptoms and keep her comfortable. Day-to- mean solar solar day m care and support will continue to be provided by the care workers. Mrs Xs granddaughters and Mark will spend time with their Mother each day. This was the inaugural time since I began working at the Palliative care building block that I had been closely involved with someone who is dying, and I was upset and restless about caring properly for Mrs X. My origination conductor was responsible for ensuring that I am properly t rained and supported so that Mrs Xs needs and the needs of her family are properly addressed.In our discussion with my derivation manager, I was chatted about my concerns, my feelings, and what I seen as the gaps in my expertise. Mrs X is becoming very tired, spending more time resting. Her skin is very finespun and the risk of skin insuredown has increased significantly. I was experienced and measure up care worker, but I and my colleagues need to be highly deft in managing Mrs Xs skin so that it does not break down causing her addition distress. I was given by an extra training in this area so I feel convinced(p) and able to take proper care of Mrs Xs skin. My line manager always works alongside with me on demonstrated wide skin care. This gave her opportunity to observe me, and to demonstrate best practice. She also talked to the nurse specialists, to find out if there are any particular creams or equipment that will benefit Mrs X, or if they have any other advice.My man ager given me also a day course for End of life and supporting great deal to live and die well instantly so I managed to share to Mrs X situation and condition and it works. One day she talked to me about her pass. She said when she was youth she had a puppy and 2years later the click was died. Shes devastated and dont know how to deal with it until a day she found out she has terminal ill. I found her one day she cried. I came to the situation of sadness and tearful however I unploughed in myself, and tried to control and showed my professional experience in dealing with it. I talked to her and cheered her up. I asked how was she spent time with her puppy? She smiled and said, lots of time she was enjoy with puppy walking to the fields together, when puppy was tired she undecided her tongue out and sit and very quiet. Shes smiled when shes intercourse all about her puppys story. So I came to the particular to ask her family. Shes quiet for a while, and then she said my fami ly on the dot came to visit me when I arrived here except my oldest granddaughter.They never visit me when I was at my home. I was interested to listen until she said, one day Im gone no one stay at my home except my oldest granddaughter. I was surprised which I known every time I saw her family came visited her they are smiled and very chatty to the provide. I went to the staff office and I recorded to the care plan and then I reported to my line manager the story. It was my day off when she passed away. My colleague texted me and I rushed to come and see her before the under taker take her away. I was devastated however I managed to talk to her family and offered their drinks and other basics they needs. Her family appreciated my time and hospitality.Until then, I was very aware and to look after well with the people dying. And also the relatives concerns and wishes. Sometimes, it wasnt easy to talk about end of life issues but its important to do. Now that weve put our affairs in order and talked about what we want, we can put that in a encase as it were, and get on with living one day at a time, cherishing each day together, as I know its going to endone day

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