Reflective account on End-Of-Life Essay

Last year 23 September 2012. I had a resident cal take Mrs X she was a 72year-old widowed living at , a Nursing Care Home. Shes not a religious casing of person as she was Atheist. She has lived in the home for the ancient two years, and during that judgment of conviction I was assigned as her key worker. Mrs X had One word of honor and 3 grand daughters they are entirely regular ascertainors to the home. She has recently been diagnosed with renal failure, and her life expectancy is only a couple of months without dialysis. In the past Mrs X has made it clear that when her quantify comes she wants to be able-bodied to substantiation at Belmont House, and go quietly. She has stated that she does not want either treatment that ordain prolong her life. This means she has chosen not to strike dialysis. A planning meeting, involving Mrs X, her family and health and social sell workers has taken place, and a superintend and stick out plan has been put in place to serve Mrs X to live comfortably at Belmont House.This has included a discussion, led by Mrs X, or so her wishes. She has made it clear that she does not want e genuinely medical intervention to prolong her life, and this has been recorded in an advance care plan. Mrs Xs 3 granddaughters are supportive so far her son sea gull has difficulty accepting the decision, however he gain its her mums decision and to respect her mums wishes. As salutary as input from her GP, Mrs X ordain be receiving regular support from specialist nurses to manage her symptoms and keep her comfortable. Day-to-day care and support will continue to be provided by the care workers. Mrs Xs granddaughters and Mark will spend time with their Mother each day. This was the first time since I began working at the Palliative care unit that I had been closely involved with someone who is dying, and I was upset and anxious or so caring properly for Mrs X. My line autobus was responsible for ensuring that I am properly tr ained and supported so that Mrs Xs of necessity and the needs of her family are properly addressed.In our discussion with my line manager, I was chatted about my concerns, my feelings, and what I seen as the gaps in my expertise. Mrs X is becoming very tired, spending more time resting. Her flake off is very fragile and the run a risk of skin break checkmate has increased significantly. I was experienced and qualified care worker, only when I and my colleagues need to be highly skilled in managing Mrs Xs skin so that it does not break down causing her addition distress. I was devoted by an additional facts of life in this area so I feel confident and able to take proper care of Mrs Xs skin. My line manager always works alongside with me on demonstrated good skin care. This gave her opportunity to observe me, and to demonstrate best practice. She in addition talked to the nurse specialists, to reveal out if there are any particular creams or equipment that will benefit Mrs X, or if they have any other advice.My manager given me also a day course for End of life and backup people to live and die well instantly so I managed to share to Mrs X situation and condition and it works. One day she talked to me about her pass. She said when she was youth she had a puppy and 2years later the dog was died. Shes devastated and dont know how to deal with it until a day she set out she has terminal ill. I found her one day she cried. I came to the situation of sadness and tearful however I kept in myself, and tried to control and showed my professional experience in dealing with it. I talked to her and cheered her up. I collected how was she spent time with her puppy? She smiled and said, lots of time she was wassail with puppy walking to the fields together, when puppy was tired she open her spitting out and sit and very quiet. Shes smiled when shes telling all about her puppys story. So I came to the point to ask her family. Shes quiet for a while, and then she said my family just came to visit me when I arrived here barely my oldest granddaughter.They never visit me when I was at my home. I was interested to listen until she said, one day Im gone no one stay at my home except my oldest granddaughter. I was surprised which I known every time I saw her family came visited her they are smiled and very chatty to the staff. I went to the staff routine and I recorded to the care plan and then I report to my line manager the story. It was my day off when she passed away. My colleague texted me and I locomote to come and see her before the under taker take her away. I was devastated however I managed to talk to her family and offered their drinks and other basics they needs. Her family appreciated my time and hospitality.Until then, I was very aware and to look after well with the people dying. And also the relatives concerns and wishes. Sometimes, it wasnt easy to talk about end of life issues but its important to do. Now that weve put our a ffairs in mark and talked about what we want, we can put that in a box as it were, and get on with living one day at a time, cherishing each day together, as I know its difference to endone day