End of Life and Dementia Care
Credit Value : 2
This unit must be assessed in accordance with Skills for Care and Development's QCF Assessment Principles.
Learning Outcome 1 : Understand considerations for individuals with dementia at end of life
Assessment Criteria
1.1.
Outline in what ways dementia can be a terminal illness
Dementia is brain atrophy. It’s a degenerative disease, which is progressive, and for the time being, incurable condition.
Dementia is a terminal illness; and patients with advanced dementia suffer from distressing symptoms, just like people with other terminal decease, such as cancer.
Studies show that advanced dementia patients are often not recognised as being at …show more content…
The earlier the planning takes place, the more chance they have to establish their most desired future arrangements. Care staff should know about 'advance decisions to refuse treatment' and 'Lasting Powers of Attorney' in order to follow the individual preferences of a person who has stepped into a later stage of dementia.(
Learning Outcome 2 : Understand how to support individuals with dementia affected by pain and distress at end of life
Assessment Criteria
2.1.
Explain why pain in individuals with dementia is often poorly recognised and undertreated
The reasons why individuals with dementia often receive poor pain relief are: • The person with dementia might have lost the ability to communicate that they are in pain.5 Their vocabulary is limited, or they cannot speak at all. Their Non-verbal communication may also be limited. • They may have psychological reasons. They may be depressed, or have paranoia, which prevents them to communicate with those around. Sometimes a person with dementia refuses help or medication because of their confusion which is a characteristic of their condition.( • Carers often do not recognise when a person is in pain. They may think that some signs, like calling out for help repeatedly, are caused by the dementia rather than the pain they feel. • In some cases pain is recognised but the person with dementia will not get help because some carers cannot or does not want to give pain relief. This happens when