Chapter 1 – Understanding Dying and
a
Palliative Approach
1. One key message in the text is that the principles of palliative
care can be integrated into care early in the dying process. Is
this a new concept for you? What are the benefits of the
palliative approach? Do you already follow some of these
principles?
• This is a new concept for me. The benefits of the
palliative approach are it will help you understand
the needs of a dying person and their family.
Providing palliative and end-of-life care means
supporting the dying person, their family and their
community.
2. A. Identify two key changes in the way that people die
differently now than they did 100 years ago.
1. The development of hygienic methods, medications,
treatments, and rehabilitation therapies has extended the
human life span and the dying process.
2. People way of living is different from 100 years ago, now
there is a lot of chemical and substances that our body
intake from our food and medications compared to 100n
years ago.
B. Considering the aging population and changes to the way
people die, what are two challenges in providing care for dying
people now.
• The two challenges in providing care for dying people
now are First, they have the right to refuse to the care
regardless how much they need it. Second, family
members are involved in providing care for dying people.
3. Review the stories of different patterns of decline in Chapter
1 of the text. Complete the table below.
Pattern Impacts on the person Impacts on the Ways that you as a
of family PSW can support
decline the person and the
family
Steady 1. They may feel 1. challenging 1. provide person-
decline too fast 2. adjust new centered, holistic
2. They may feel no normal every week care.
time to prepare 2. Listen, ask-reflect
, and respond.
Stuttering 1. Challenging 1. Can feel 1. Collaborate
decline 2. Adjustment and fear ambiguous with the team.
2. challenging Share
observations,
discuss needs,
and advocate
when necessary
2. Observe
without
judgement.
Record
observation
Slow decline 3. natural death 3. cannot • collaborate
4. will not see with team,
experience declining discuss needs
challenging slowly and advocate
health crisis 4. may when
think necessary.
person is • Provide
close to holistic care.
death
Sudden 3. no time to 3. Forced 3. Comfort
death say goodbye to make 4. Support
4. unexpected death decision
s
4. Unprepare
d and
struggle
3. Using the text, define the following terms:
• Dementia- are life limiting illnesses that affect a
person’s memory, thinking. Behaviour, and ability to
perform everyday activities.
• End of Life- The last days and weeks of life.
• Holistic Care- Care that considers all aspects of a person’s
being. As well as attending to physical needs, holistic care
considers the psychological, emotional, spiritual, cultural and
social needs of a person and recognizes that the person is part
of the social, environmental and cultural setting of their family
and community.
• Hospice- A residential or day service facility, a visiting
program, an inpatient unit, or a home care service providing
holistic care by a team of people from a various discipline to a
person and their family when the person is expected to die within
six months. Care extends beyond the person’s death to bereaved.
• Palliative Care- Holistic, person-centered, supportive care
available to person with a life-limiting illness, and their
family, to manage physical, emotional, spiritual, and
, psychosocial symptoms associated with a life- limiting illness
and dying. Such care maybe provided at the same time as
acute curative treatments and is beneficial for people from
early in the disease process through death and bereavement.
• Palliative approach to care- An approach that integrates
principles, practices and philosophy of palliative care into the
care of a person with any life-limiting illness, and their family,
early in the disease process, across all settings. And is provided
by all members of the team.
3. List the principles of palliative care in your own words.
• Considers the dying person and family-as
determined by the dying person-to the unit care.
• May positively influence the course of illness
but does not intend to speed or delay death.
5. Acknowledges multiple cultural understandings of
dying and death.
6. Support a person to live as fully as possible until
death by helping manage all symptoms and sources
of distress.
7. Communicate with the person and family and other
members of the team.
6. Circle the best definition: A palliative approach is:
•
B. The integration of palliative care principles, practices, and philosophy
into care for people with life-limiting illnesses, early in the disease process,
across all settings.
5. People are holistic beings, which means that they have
• A. Physical, emotional and psychosocial needs
8. A. True
B. True
C. True
D. True
• What can be learned when HCP asks the “Surprise Question”?
a. It can help you remain aware of the reality that the people you
are caring for are also dying. It can gather information about
changes in the person’s health that suggest the person in higher
risk of dying next year.
, • The Interdisciplinary Team (IDT) is designed with the purpose of
supporting the health and well-being of participants in a
collaborative, structured, and person-centered way. An IDT brings
together providers from various specialties with diverse knowledge to
respond to the participant’s physical and clinical.
• Multiple health care providers from different professional
backgrounds work together and with patients/clients, families,
caregivers and communities to deliver comprehensive health
services across care settings. Effective teamwork is a critical
enabler of safe, high-quality care and supports a patient’s
ongoing relationship with their primary care provider (a family
physician or nurse practitioner) The journey to transition to
quality, team-based care with patients and providers as equal
partners means sharing and accessing resources, events and
opportunities to support everyone along the way.
8. The palliative approach principle in Tom’s text are: Considers
the dying person and family- determined by the dying person – to
the unit care. May positively influence illness but doles not intend
to speed or delay death. Is holistic, person-centered care to help
manage all symptoms and sources of distress-physical,
psychological, spiritual and social.
9. To access a specialty palliative care provider when the team is
unable to manage symptoms is to talk to nurse or to the physician
where the client can get a palliative care provider or specialist. PSW or
a family member can provide a palliative care.
10. Addressing the following barriers to accessing and receiving
palliative care can open the doors to better quality of life for the
dying person and family.
11. Review the palliative competencies identifies for PSWs where you
work, and develop a learning plan to achieve those competencies.
Discuss ways that PSWs can participate in team meetings and
collaborate in the development of the care plans.
12. A. What is a palliative approach to care?
An approach that integrates the principles, practices and philosophy of
palliative care into the care of a person with any life-limiting illness and
their family early in the disease process, across all setting, and is
provided by all members of the team.
B. What is palliative care?
Holistic, person-centered, supportive care available to a person with a
life-limiting illness, and their family, to manage physical, emotional.
a
Palliative Approach
1. One key message in the text is that the principles of palliative
care can be integrated into care early in the dying process. Is
this a new concept for you? What are the benefits of the
palliative approach? Do you already follow some of these
principles?
• This is a new concept for me. The benefits of the
palliative approach are it will help you understand
the needs of a dying person and their family.
Providing palliative and end-of-life care means
supporting the dying person, their family and their
community.
2. A. Identify two key changes in the way that people die
differently now than they did 100 years ago.
1. The development of hygienic methods, medications,
treatments, and rehabilitation therapies has extended the
human life span and the dying process.
2. People way of living is different from 100 years ago, now
there is a lot of chemical and substances that our body
intake from our food and medications compared to 100n
years ago.
B. Considering the aging population and changes to the way
people die, what are two challenges in providing care for dying
people now.
• The two challenges in providing care for dying people
now are First, they have the right to refuse to the care
regardless how much they need it. Second, family
members are involved in providing care for dying people.
3. Review the stories of different patterns of decline in Chapter
1 of the text. Complete the table below.
Pattern Impacts on the person Impacts on the Ways that you as a
of family PSW can support
decline the person and the
family
Steady 1. They may feel 1. challenging 1. provide person-
decline too fast 2. adjust new centered, holistic
2. They may feel no normal every week care.
time to prepare 2. Listen, ask-reflect
, and respond.
Stuttering 1. Challenging 1. Can feel 1. Collaborate
decline 2. Adjustment and fear ambiguous with the team.
2. challenging Share
observations,
discuss needs,
and advocate
when necessary
2. Observe
without
judgement.
Record
observation
Slow decline 3. natural death 3. cannot • collaborate
4. will not see with team,
experience declining discuss needs
challenging slowly and advocate
health crisis 4. may when
think necessary.
person is • Provide
close to holistic care.
death
Sudden 3. no time to 3. Forced 3. Comfort
death say goodbye to make 4. Support
4. unexpected death decision
s
4. Unprepare
d and
struggle
3. Using the text, define the following terms:
• Dementia- are life limiting illnesses that affect a
person’s memory, thinking. Behaviour, and ability to
perform everyday activities.
• End of Life- The last days and weeks of life.
• Holistic Care- Care that considers all aspects of a person’s
being. As well as attending to physical needs, holistic care
considers the psychological, emotional, spiritual, cultural and
social needs of a person and recognizes that the person is part
of the social, environmental and cultural setting of their family
and community.
• Hospice- A residential or day service facility, a visiting
program, an inpatient unit, or a home care service providing
holistic care by a team of people from a various discipline to a
person and their family when the person is expected to die within
six months. Care extends beyond the person’s death to bereaved.
• Palliative Care- Holistic, person-centered, supportive care
available to person with a life-limiting illness, and their
family, to manage physical, emotional, spiritual, and
, psychosocial symptoms associated with a life- limiting illness
and dying. Such care maybe provided at the same time as
acute curative treatments and is beneficial for people from
early in the disease process through death and bereavement.
• Palliative approach to care- An approach that integrates
principles, practices and philosophy of palliative care into the
care of a person with any life-limiting illness, and their family,
early in the disease process, across all settings. And is provided
by all members of the team.
3. List the principles of palliative care in your own words.
• Considers the dying person and family-as
determined by the dying person-to the unit care.
• May positively influence the course of illness
but does not intend to speed or delay death.
5. Acknowledges multiple cultural understandings of
dying and death.
6. Support a person to live as fully as possible until
death by helping manage all symptoms and sources
of distress.
7. Communicate with the person and family and other
members of the team.
6. Circle the best definition: A palliative approach is:
•
B. The integration of palliative care principles, practices, and philosophy
into care for people with life-limiting illnesses, early in the disease process,
across all settings.
5. People are holistic beings, which means that they have
• A. Physical, emotional and psychosocial needs
8. A. True
B. True
C. True
D. True
• What can be learned when HCP asks the “Surprise Question”?
a. It can help you remain aware of the reality that the people you
are caring for are also dying. It can gather information about
changes in the person’s health that suggest the person in higher
risk of dying next year.
, • The Interdisciplinary Team (IDT) is designed with the purpose of
supporting the health and well-being of participants in a
collaborative, structured, and person-centered way. An IDT brings
together providers from various specialties with diverse knowledge to
respond to the participant’s physical and clinical.
• Multiple health care providers from different professional
backgrounds work together and with patients/clients, families,
caregivers and communities to deliver comprehensive health
services across care settings. Effective teamwork is a critical
enabler of safe, high-quality care and supports a patient’s
ongoing relationship with their primary care provider (a family
physician or nurse practitioner) The journey to transition to
quality, team-based care with patients and providers as equal
partners means sharing and accessing resources, events and
opportunities to support everyone along the way.
8. The palliative approach principle in Tom’s text are: Considers
the dying person and family- determined by the dying person – to
the unit care. May positively influence illness but doles not intend
to speed or delay death. Is holistic, person-centered care to help
manage all symptoms and sources of distress-physical,
psychological, spiritual and social.
9. To access a specialty palliative care provider when the team is
unable to manage symptoms is to talk to nurse or to the physician
where the client can get a palliative care provider or specialist. PSW or
a family member can provide a palliative care.
10. Addressing the following barriers to accessing and receiving
palliative care can open the doors to better quality of life for the
dying person and family.
11. Review the palliative competencies identifies for PSWs where you
work, and develop a learning plan to achieve those competencies.
Discuss ways that PSWs can participate in team meetings and
collaborate in the development of the care plans.
12. A. What is a palliative approach to care?
An approach that integrates the principles, practices and philosophy of
palliative care into the care of a person with any life-limiting illness and
their family early in the disease process, across all setting, and is
provided by all members of the team.
B. What is palliative care?
Holistic, person-centered, supportive care available to a person with a
life-limiting illness, and their family, to manage physical, emotional.
