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Module 22 End of life care Revised1
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Objectives At the end of the module, the nurse aide will be able to: 1.State the concept of and criteria for hospice care 2.Describe the home care aide’s role in providing care to the dying patient 3.Discuss the home care aide’s role in working with the patient’s family 4.Understand how cultural diversity relates to end of life care 2Revised
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Module 22-A Hospice care 3Revised
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End of Life Care Hospice care 4Revised
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End of Life Care Hospice Statistics 5Revised
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End of Life Care Guidelines for Hospice admission depend on expected life span. Palliative care must be desired, over curative care. Progression of disease must be documented. 6Revised
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End of Life Care The top cancer diagnoses seen in Hospice are: o Prostate o Colorectal o Breast o Lung o Pancreatic 7Revised
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End of Life Care Non-cancer diagnoses are accounting for more and more patients in Hospice care. 8Revised
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Module 22-B The home care aide’s role in providing care to the dying patient 9Revised
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End of Life Care o Physical weakness/lack of energy o Increased sleep o Loss of appetite o Difficulty swallowing o Confusion 10 o Restlessness o Incontinence o Body temperature changes o Breathing changes o Increased energy Revised The dying process can include:
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End of Life Care Emotional support 11Revised
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End of Life Care Activity #1 – The Dying Patient’s Bill of Rights 12Revised
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End of Life Care The home care aide’s role… 13Revised
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End of Life Care Other skills that will be helpful 14Revised
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End of Life Care Handout #1 – Tips for communicating with seriously ill patients Handout #2 – Tips for talking with dying patients Handout #3 – Tips for what should you report 15Revised
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Module 22-C The home care aide’s role in working with the patient’s family 16Revised
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End of Life Care Grief Activity #2-Celebration of Life/Death 17Revised
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End of Life Care Dr. Elisabeth Kübler-Ross outlined five basic stages of grief. 1.Denial 2.Anger 3.Bargaining 4.Depression 5.Acceptance 18Revised
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End of Life Care The family will look to you for help Be sure to report any signs of care giver burnout to your supervisor 19Revised
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End of Life Care Handout #4 – Tips for what to do when a patient dies at home Handout #5 – Tips for providing emotional support to the family 20Revised
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Module 22-D Cultural diversity related to end of life care 21Revised
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End of Life Care What is culture? 22Revised
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End of Life Care Culture vs. ethnicity 23Revised
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End of Life Care Culture, religion, and spirituality 24Revised
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End of Life Care Why is it important to learn about culture, ethnicity, and/or religion? 25Revised
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End of Life Care What do you do when your beliefs are different than your patient’s? 26Revised
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End of Life Care Handout # 6 – Tips for respecting the patient and family cultural beliefs Optional Activity 27Revised
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Working with patients with terminal illnesses can be exhausting and draining, but it can also be rewarding and fulfilling. Please be aware that you are present during one of the most significant times in that patient’s life, and the family of the patient may also be going through a variety of emotions. Being sensitive, observant, and supportive will never be needed more than at this time. 28Revised
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