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By Sadler, Clair

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Aa They may say that they are seeing people who have already died. 86] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission. 38 Karen Cook and Beverly Clayton aa They may say that they are dying. aa They may feel that they have ‘unfinished business’ to settle. aa Their skin integrity may be compromised, leaving them at risk of pressure-related wounds and poor wound healing. aa They may experience swelling in their feet and ankles – this would be a new problem for this person.

GP, ­district nurse, while others may be available through social care teams, community healthcare or specialist services such as hospice teams. 1 illustrates how complex care services can be, with lots of different teams, with the GP central to care and support. 1 Who might be involved in supporting end of life care ­people? Title or team Role and information Physiotherapist Assess an individual to understand how physical problems may impact on their ability to lead as independent life as they are able; to determine if they can offer support to help reverse any physical issues or assess for the need for adaptation, for instance, through specialist equipment.

Department of Health 2008) There is no official document that everyone uses to record an advance care plan but there should be a policy recognised as the correct way in your organisation. It should include a document which is accessible to the person who is dying, their family and everyone else involved in their care. 86] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission. 26 LIZ REED What are the challenges to advance care planning?

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