Any palliative home care within the last 12 months of life is regarded as end of life care; but it is recognised that some people will benefit from palliative home care before this time. This includes people whose death is imminent (expected within a few hours or days) and those with:
Advanced, progressive, incurable conditions
General frailty and coexisting conditions that mean they are expected to die within 12 months
Existing conditions if they are at risk of dying from a sudden acute crisis in their condition
Life-threatening acute conditions caused by sudden catastrophic events.
As palliative home care specialists, 24/7 Live in Care has always offered to our self-employed carers specific training and qualifications relating to end of life care; and in our contracts with NHS Continuing Care provided our carers with the opportunity to acquire substantial practical experience.
Not only the physical and emotional needs of service users must be met as they die; but also their spiritual or religious beliefs should be recognised. Their wishes should be respected, as well as their comfort and well-being attended to.
Our living in carers will work in in partnership with relatives, community nurses and other professionals to enable people to have a “good death”, in the comfort of their chosen place.
Basically palliative home care is defined as the care a person receives when they are living with a terminal illness where a cure is no longer possible. This type of care aims to treat or manage pain and other physical symptoms.
It is applicable when a person has a complex illness, needing their symptoms controlled.
The person may also have an advanced, progressive condition; and might receive palliative home care alongside treatments such as chemotherapy or radiotherapy.
Palliative home care includes caring for people who are nearing the end of life. This is called end of life care and regards the dying process as a norm. However, it doesn’t quicken or postpone death; but on the contrary combines psychological and spiritual aspects of care.
Our live in carers are taught to help people live as actively as possible until death and to help the family cope.
With our care planning we consider the person as a whole, including their overall sense of wellbeing. By looking at their spiritual or religious needs as well as intellectual, emotional and physical needs, our palliative home care achieves the best quality of life for clients and their families, even if that life is likely to be short.
Palliative Home Care isn’t only given once people are thought to be dying; much of it also helps earlier on, alongside other treatments.
End of Life Care
End of life care is generally defined as for someone in their last year of life, but this timeframe is obviously often difficult to predict.
Care at the end of life is likely to be better if someone’s wishes are known in advance, especially if the conversations can take place before these decisions are actually needed.
For example, if someone’s health deteriorates, do they think they would prefer to go to a care home or have 24 hour attention with a live-in carer? Who would they wish to have with them at the end of life; and where do they want to be cared for?
Having these advanced wishes recorded can help families and staff faces with a crisis situation, especially, if this arises when the people who know the person best are not available.
Issues for relatives
Knowing that you are likely to lose someone you care about can be very heart-rending; and we have found that relatives feel a whole range of conflicting emotions.
If you find it difficult to cope before or after a death, talk to someone you feel comfortable in discussing the situation with.
If you need more help, contact your GP for referral to bereavement services for emotional support.
For any question regarding our Palliative Home Care & End of Life Care services you can contact 247 Live in Care advisers on 0800 955 8845 or by email (email@example.com)