Tuesday, October 11, 2011

Palliative home care; shameful lack of care plans

hoarding is a difficult mental health issue
Yes, home care works for many, especially if you are used to delegating, supervising employees, and understand the basics of personal care. That leaves out many of us.

many do not have the wherewithal to take control

fecal-stained mattress

For those, unfamiliar with ADLS, living in poverty, it is a different story.
For those unable to navigate those treacherous waters around and access to a doctor, we may hit a snag. Many physicians are unavailable in the wee hours. For this reason, a family member is wise to have a Pain Management Kit on hand, with standing orders. Some of us may want to be given doctor's orders to delegate medications to a family member.

Many of our seniors are of the stoic generation, where pain is a normal part of living. This is not the case in end-of-life care.

The care plan should be specific. No one should be in pain at 2 a.m., when no one is on hand to administer morphine to a frail, palliative senior in pain. And why wouldn't someone have pain in end-of-life care? Shameful that our doctors do not understand pain management in end-of-life care.

A nurse, through the LHINs ad CCAC, can be called to do pain assessment and pain management. The care plan should have this plan in mind.

1 comment:

nat said...

Makes my heart ache to see such neglect for elderly alone at home. Even workers coming in cannot totally care for these clients. LTC is not always the right solution but better than being in pain, middle of the night, being alone. Keep on airing the story. It is a shameful story. Once upon a time, these frail thin patients were contributing to our society. Now, their usefulness is over? Shame!