Week 10 - Caregiving End of Life Flashcards
Where are OTs most likely to encounter elder abuse?
Home settings
T/F: No universally accepted screening tool for elderly abuse
True.
There are tools however difficult to capture if abuse is occurring
Tools have low validity, can’t detect if real abuse is happening, not as reliable
Tools used more to collect info
Is this considered abuse?
“walk into house and patient and caregiver there, talking about ADL task and caregiver says don’t worry I am taking care of it, not letting pt talk”
Yes. Might be telling sign bc they aren’t letting pt talk for themselves
Abuse of an elder or a dependent adult” means …
(a) Physical abuse, neglect, financial abuse, abandonment, isolation, abduction, or other treatment with resulting physical harm or pain or mental suffering.
(b) The deprivation by a care custodian of goods or services that are necessary to avoid physical harm or mental suffering.
This program/service provides LTC residents with independent advocate, work at systematic level to make changes in policy
Ombudsman Program
This program focuses on individual in the community, does not make policy changes
Adult Protective Services
What are four goals of addressing abuse?
Address medical problems
Secure safety
Restore sense of control; victim empowerment
Identify and eliminate the cause
T/F: OT’s can report abuse, but supervisor fils out report and turns it in
False.
OTs are mandated reporting, report reasonable abuse, responsible for filling out report, turning it in. If happens while at work, you can go to supervisor and let them know but you are the one who is responsible for completing it, submit it yourself
T/F: When OA get older, they have a renewed interest in spirituality.
T
T/F: As person ages, fear of death decreases.
T. What does remain consistent is their fear of the dying process (fear of losing control)
Hospice or Palliative?
Active total care for those w/ illnesses which can‘t be cured (life threatening illness)
Palliative
Hospice or Palliative?
Typically at home but special facilities and care at nursing homes available
Hospice
Hospice or Palliative?
Can still seek cure for disease
Palliative
Hospice or Palliative?
Typically covered by regular insurance
Palliative
Hospice or Palliative?
Physical, psychological, emotional, and spiritual needs; typically no life-prolonging/curative tx; focus on comfort
Hospice
What is an OT’s role at this stage of life?
Maintaining quality and dignity Re-engagement in meaningful activity Social support Advocacy for patient Planning/preparing for death -adopt new and appropriate functions and roles and to maintain self esteem
These are Advance Directives…
Living will
Durable power of attorney
Do not resuscitate
Organ donation card
Traditional OT or OT now for regarding roles of OT in end of life care…?
Maximize functional independence
Traditional OT
Traditional OT or OT now for regarding roles of OT in end of life care…?
Help clients return to their activities, roles, and relationships
Traditional OT
Traditional OT or OT now for regarding roles of OT in end of life care…?
Engage clients in occupations that help affirm life and prepare for death
OT at end of Life
What would the team or you do as an intervention with Javier who has two weeks to live?
Collaborated with J to plan death, establish a DNR, contact daughter
Shaved his beard (he wanted to look right before he died)
Help write a farewell letter to family
Worked on safety issues with daughter
Burden of care
Games and activities with javier
Safety concern since cog. Not all there
