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Communication (Honesty and Clarity (NEED FOR EFFECTIVE AND APPROPRIATE…
Communication
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Honesty and Clarity
To meet the phsycial and psychological needs of patients and their family members, first need identified and discussed with the patient and their relatives before communication allows design of care.
The aim is for people approaching the end of life to feel satisfied with their level of physical comfort and feel psychologically supported; carers and family members also should feel their loved one had appropriate support as well as they themselves feel their needs have been met
NEED FOR EFFECTIVE AND APPROPRIATE COMMUNICATION AT A LEVEL WHICH MEETS EVERYONES NEEDS
HEALTH LITERACY IS A GOOD PHRASE TO USE. Clarity of communication rather than confusing and causing anxiety and stress.
Death is now seen as a failure of medical intervention; perhaps why so many people feel abandoned when care is change to palliative or end of life care; Dying is not a medical event but instead a natural and social situation.
NEED TO COMMUNICATE PROGNOSIS AND POTENTIAL OUTCOMES AS WELL AS DECISIONS FOR HEALTHCARE CHOICES TO CHANGE THE ATTITUDE TOWARDS DEATH
Openness about death allows discussion and acceptance, in turn improving the quality of life left
IMPROVING SYMPTOMS SUCH AS DEPRESSION BUT ALSO IMPROVING OPENNESS TO COMMUNICATE
discuss DEATH WISHES AT THE END OF LIFE BEFORE A PERSON IS TERMINAL (FORWARD PLANNING WITHOUT CAUSE SO TO SPEAK)
1 in 20 strokes occur to people already within hospital therefore there should be specialists on high-risk wards (or specialisties, i.e. cardiology). High level of awarenes and training to deal with stroke
this is more to focus on rapid intervention and minimising damage (ergo reducing death by stroke) rather than the terminal care needs of stroke patients
Patients need to be informed of what their health status is; stroke patients this deterioration in health is difficult
Informed decision-making
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Stroke is sudden and and debilitating and so people will have little time to plan and adjsut to condition and repercussions.
Where palliative and end of life care needs to step up and be able to provide basic but high quality generalised palliative care to stroke patients whilst deciphering THROUGH COMMUNICATION WTH THE PATIENT AND THEIR FAMILY MEMBERS what their wishes are and what their NEEDS ARE THAT NEED MET (IE SYMPTOM MANAGEMET AND LOCATION)
Communication issues; stroke can effect the ability for patients to detail how and what they want to proceed; when and how much 'power' do family members have?