End-of-Life
End-of-life (Palliative) care is about providing comfort, dignity and ease
during a person’s final days, weeks or months of life. Caregivers provide a broad range of supports to ease the end-of-life process for both clients and their loved ones.
End-of-Life Caregiving may include:
- Monitoring skin condition, apply lotion or cream and check for irritation on high risk areas
- Medication administration including butterfly port for palliative medications
- Mouth care, peri-care and other personal assistance
- Repositioning in bed or while seated
- Mobility support as tolerated
- Lifts & transfers as tolerated
- Bed care & bed bathing
- Providing emotional support
- Reassurance and gentle touch
- Monitoring for unexpected condition changes, pain or breathlessness and reporting for clinical follow-up
End-of-life services can evolve quickly
and take many shapes from daily hourly visits to daily live-in and then sometimes to 24 hour care.
A 2nd caregiver may be needed
for short periods to provide safe patient handling for turns, lifts and personal care. This is uncommon and usually due to frailty, obesity and/or delicate skin condition.
In many circumstances it is possible for someone to go through end-of-life in the comfort of their own home and have a 'good' death. Hospice or hospital are more suitable to provide End-of-Life care when there are:- Serious seizures
- Quickly fluctuating medication management needs
- Breathlessness & Agitation that are not able to be managed with medication
- High chances for serious bleeding (Can be manageable at home but generally not recommended and requires advance preparation for traumatic event)
Pro-tip: Skilled home care providers have nursing supervision and are able to administer palliative medications given by subq port.