Question 1: Do conversations or discussions about these issues occur in practice? Does the varying terminology (including 'end of life' versus 'terminal') cause misunderstandings or conflict in your workplace that impacts on care outcomes? What are the issues in this? Do different stakeholders see things in different ways and does this effect care? Post your thoughts below, discussing their relevance to what is happening in your workplace. A palliative approach When symptoms of a life limiting illness require effective symptom management to improve the individual’s quality of life (improvement of level of comfort and function and addressing psychological, spiritual and social needs. Specialist palliative service provision When specialist intervention is required for assessment and treatment of complex symptoms and provision of information, advice and/or assistance on complex issues (e.g. ethical dilemmas, family issues or psychological or existential distress). This does not replace a palliative approach but augments it with specific input as required. End-of-life (EOL) care When death is imminent (the final days or weeks of life). The focus becomes that of physical, emotional and spiritual comfort and family support. Question 2: Choose an area of interest from COPD, Heart Failure or Dementia. The COPDx Plan (accessed 11/07/2017) Quality Dementia Care National Strategies to Address Dementia (accessed 11/07/2017) Heart Failure Guidelines Guidelines for the prevention, detection and management of chronic heart failure in Australia (updated October 2011): (scroll down the page to the documents – accessed 11/07/2017) Using the guidelines/documents and from your own reading, answer the following questions. Use the numbered questions below to frame your answer (approximately 500 words): 1. What constitutes possible intervention from specialist palliative care for this disease? 2. Are there any specific requirements to provide a palliative approach in this disease opposed to generalised care? What should this involve in terms of approach and care? 3. Who can provide palliative care for this disease? 4. Where should this care be delivered? 5. Is there any mention of family/carer care or involvement for this disease? 6. What are your thoughts on the information that has been provided, is there anything lacking? What especially peaked your interest

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