Sample five wishes workbook: https://www.fivewishes.org/five-wishes-sample.pdf
Students will write a professional, concise, evidenced-based paper addressing the components listed
below (3 pages maximum, not including cover page and references). Proper grammar, spelling, and APA
format are required.
Please make sure to:
▪ Identify a theoretical model/framework to guide your selection of assessments and
interventions and provide the rationale for your selection.
▪ The plan should identify an appropriate assessment and evidence-based client-driven
interventions based on the information provided by your client.
▪ Provide a rationale for your selection of assessment and interventions for each
dimension of end-of-life care.
▪ Students are to provide a list of resources available to clients addressing the four
dimensions of the end of life care: physical, psychological, social, and existential.
This paper is for you to take the information your client expressed in your interview. Based on your
discussion, you are to select a theoretical model to guide how you develop an end-of-life plan.
Consider what assessments may be beneficial to provide more information to set up a holistic plan.
Provide rationale and evidence for your intervention selections. This will not be provided to the
patient. I want you to create a plan as if you were “treating” your client.
Images of the workbook completed with the client have been attached.
Additional information:
Four Dimensions to be considered for end of life care
▪ Physical- control of symptoms- pain, fatigue, declining mobility, endurance, loss of daily
routines and activities
▪ The largest area of loss reported is ADL and leisure activities
▪ Psychological- fear, worry, anxiety, depression, and loss of identity and self-worth
▪ Social- loss of social roles and networks, limited communication with others, and
handling marginalization issues
▪ Existential- life crisis and the awareness of the end of life
Assessment- these are suggestions- you are not limited to these assessments
▪ Model of Human Occupation assessments
▪ MOHO screening tool
▪ Model of Human Circumstances Assessment and Rating Scale
▪ Occupational Self-Assessment
▪ The Volitional Questionnaire
▪ Assessment of Motor and Process skills (AMPS)
▪ Canadian Occupational Performance Measure (COPM)
▪ Individual Prioritized Problems Assessment (IPPA)
▪ https://www.researchgate.net/publication/
235641330_IPPA_Individually_Prioritised_Problem_Assessment/link/
56682d6e08aea62726f1890d/download
▪ Activities of Daily Living Interview
Intervention- these are suggestions- you are not limited to these categories
You must provide evidence and rationale specific to end of life
▪ Prioritizing resources and resources to daily living
▪ Compensatory strategies- home modifications and assistive technologies
▪ Education- relaxation techniques, transfers, and lifestyle changes
▪ Managing fatigue
▪ Providing leisure opportunities
▪ Explore opportunities for meaningful occupations
▪ Positioning for pain control
Expert Solution Preview
Introduction:
When developing an end-of-life care plan, it is essential to consider the four dimensions of care: physical, psychological, social, and existential. This paper will guide students on how to create a professional, concise, evidence-based plan using a theoretical model/framework as guidance. The plan should include appropriate assessments and evidence-based client-driven interventions, with a rationale for each dimension of end-of-life care. Additionally, students are required to provide a list of resources available to clients for addressing each dimension of end-of-life care.
Answer:
To guide the selection of assessments and interventions for end-of-life care, the theoretical model/framework I recommend is the Model of Human Occupation (MOHO). MOHO posits that an individual’s well-being and engagement in meaningful occupations are influenced by their volition, habituation, and performance capacity. This model provides a comprehensive understanding of the client’s occupational functioning and helps identify appropriate assessments and interventions.
For the physical dimension of end-of-life care, the MOHO screening tool can be utilized to assess the client’s physical abilities and limitations. Additionally, the Assessment of Motor and Process Skills (AMPS) can be used to evaluate the client’s performance in daily activities. Based on these assessments, interventions should focus on prioritizing resources and resources to daily living. Compensatory strategies such as home modifications and assistive technologies can enhance the client’s independence and quality of life. Education on relaxation techniques, transfers, and lifestyle changes can help manage symptoms and improve comfort. Fatigue management techniques should also be included to address the client’s declining mobility and endurance.
For the psychological dimension, the MOHO framework suggests using the Volitional Questionnaire to assess the client’s motivation and values at the end of life. The Occupational Self-Assessment can be employed to understand the client’s perception of their occupational competence and self-worth. Interventions should prioritize addressing fear, worry, anxiety, depression, and the loss of identity and self-worth. This can be done through therapeutic conversations, supportive counseling, and mindfulness techniques. Connecting the client with mental health professionals can provide additional support and therapy if necessary.
Regarding the social dimension, the Model of Human Circumstances Assessment and Rating Scale can be utilized to evaluate the client’s social roles, networks, and communication abilities. Additionally, the Canadian Occupational Performance Measure (COPM) can assess the client’s performance and satisfaction with social activities. Interventions should aim to address the loss of social roles and networks, limited communication, and marginalization issues. Encouraging social participation, facilitating connections with support groups or community programs, and addressing communication barriers can enhance the client’s social well-being.
For the existential dimension, the Individual Prioritized Problems Assessment (IPPA) can be employed to understand the client’s existential concerns and life crisis awareness. Through this assessment, interventions can focus on exploring opportunities for meaningful occupations, such as engaging in life review, reminiscence therapy, or legacy-building activities. Positioning techniques for optimal pain control should also be incorporated to address the existential distress associated with end-of-life care.
In conclusion, by using the Model of Human Occupation as a theoretical model/framework, the selection of assessments and interventions for end-of-life care can be guided effectively. This approach ensures a holistic and client-centered plan that addresses the physical, psychological, social, and existential dimensions of end-of-life care. By using appropriate assessments and evidence-based interventions, healthcare professionals can provide optimal support and improve the quality of life for patients in their end-of-life journey.
