A practical guide to end of life care by Sadler, Clair

By Sadler, Clair

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After these assessments, the local authority may agree to pay either in full or partially for the care and support needed. Social care services may be provided by ‘independent providers’ – firms or charities who specialise in providing social care services. Social care services can take many forms and you can get help from them while you live at home, out and about in the community, or even in a new place of residence such as a care home. In the community, in the person’s home, this could include help with personal care such as helping a person to wash and dress, go to the toilet, prepare and eat simple meals, help with cleaning and shopping.

Find out the referral criteria for both services. Care for a person in their own home Albert has dementia Albert has dementia. He often forgets to eat and worryingly leaves food in the fridge for days until it is inedible. He has ‘mates’ and his niece Jackie. Jackie visits as often as she can, but has her own young family. For most of the time, Albert is home alone. The house is dishevelled and so is Albert. He often forgets to dress or wash or even drink. He can get quite angry and irritable if Jackie mentions that things seem to be getting on top of him.

People with cancer are more likely to follow this trajectory. During this time they may have a period of wellness as a result of treatment. Over time, their physical ability will deteriorate and they commonly experience fatigue, weight loss, pain and other symptoms. The final decline is likely to be a slow deterioration in their mobility and ability to care for themselves. This decline may continue steadily until death. The second trajectory is commonly seen in long-term conditions, such as chronic heart failure and chronic obstructive pulmonary disease.

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