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38536 results in Cambridge Textbooks

Page 1541 of 1927

  • 12 - A strengths-based palliative approach for the frail older adult living in residential aged care

  • from Part 3 - End of life care
  • Wendy Moyle, Griffith University, Queensland, Deborah Parker, University of Queensland, Marguerite Bramble, Griffith University, Queensland
  • Book:
    Care of Older Adults
    Published online:
    06 August 2018
    Print publication:
    19 September 2014, pp 179-191

  • Summary

    Learning objectives

    After reading this chapter you will be able to:

  • Have an understanding of a palliative approach in residential aged care.

  • Understand the key features of an evidence-based palliative approach in residential aged care.

  • Understand how to apply a strengths-based approach to a palliative approach for people living in residential aged care.

  • Understand specific issues in providing a palliative approach for people with dementia.

    • Introduction

    This chapter extends some of the issues introduced to you in Chapter 10 which identified a model of palliative care that has been developed specifically for Australian residential aged care facilities (RACFs). This comprehensive evidence-based model of a palliative approach in residential aged care is encapsulated in an evidence translation product known as the Palliative Approach Toolkit (Parker, Hughes & Tuckett, 2011). Before we explore this model of care we will briefly review some of the research and issues specific to providing a palliative approach in RACFs. The final section of the chapter will identify some specific issues for people with dementia in RACF and some programs that have been developed to address these.

  • 13 - Evidence-based nursing interventions: a good death and fostering pain relief

  • from Part 3 - End of life care
  • Wendy Moyle, Griffith University, Queensland, Deborah Parker, University of Queensland, Marguerite Bramble, Griffith University, Queensland
  • Book:
    Care of Older Adults
    Published online:
    06 August 2018
    Print publication:
    19 September 2014, pp 192-202

  • Summary

    Learning objectives

    After reading this chapter you will be able to:

  • Have an understanding of what constitutes a ‘good death’ for older people.

  • Understand the principles of evidence-based nursing in relation to pain assessment and management.

  • Understand specific issues in the assessment and management of pain for people with dementia.

  • Understand how to apply a strengths-based approach to pain assessment and management for older people.

    • Introduction

    In Chapter 10 we reviewed the history of palliative care with specific reference to developments in Australia and New Zealand. Chapter 11 focused on advance care planning, which is a critical aspect of providing a strengths-based palliative approach for older people. Chapter 12 specifically looked at some of the research regarding providing a palliative approach in residential aged care facilities (RACFs) and the evidence-based model within the Palliative Approach Toolkit. This chapter delves further into what makes a good death for older people and then specifically focuses on one common symptom that can influence whether a good death is possible – pain. Pain is one of the most common symptoms and always features in discussions with people who know they are dying, families supporting that person or staff providing the care. The phrase most associated with achieving a good death is that it is ‘pain free’. In the final section of the chapter we will examine specific issues in regard to pain management and people with dementia.

  • Foreword

  • Wendy Moyle, Griffith University, Queensland, Deborah Parker, University of Queensland, Marguerite Bramble, Griffith University, Queensland
  • Book:
    Care of Older Adults
    Published online:
    06 August 2018
    Print publication:
    19 September 2014, pp v-vi

  • Summary

    One of life’s truisms is that we will all experience ageing. Most of us won’t think about it until the effects of ageing give us either a gentle nudge or a hard wake-up call. Either way, when we are confronted with its effects, quite reasonably we won’t want it to define us. Rather the effects and changes of ageing will be woven into the fabric of what makes us unique as individuals.

    Unfortunately in the western world the term ‘ageing’ has evolved to have negative connotations in a way that devalues the worth of the individual’s contributions – past, present and future. Yet we know that the older person can be resilient, informed about their health issues and actively engaged in the decisions about their health and care requirements. As a health professional, adopting a strengths-based perspective means we can support the person and their family, acknowledging their strengths and resources rather than focusing on problems, vulnerabilities and potential deficits.

Page 1541 of 1927