Fears and Anxieties
How do we know when to die?
It is very difficult to differentiate between someone that has depression, says that they want to die, but doesn’t really mean this, and someone that is now ready to accept life is no longer an option for them.
Good Holistic Kindness in Care skills differentiates the variations in emotional reactions and to demonstrate an understanding and approach that prevents unnecessary pain, sadness and loneliness. It especially focuses on how to deliver a good death for people and their families, when that time has come at the end of life.
The Foundation looks to develop management and staff’s holistic judgements and skills in watching, measuring and sympathetically taking charge of physical and emotions changes in the people in their care, and looks to synchronise staff’s actions to increase early interventions for pain management mechanism, other than medication.
It looks to help all staff understand that people’s fear, distress, isolation, and frustrations will follow if they at not able to express their feelings, concerns and their pain and for people in care to be encouraged to voice their concerns; given emotional and spiritual as well as physical support and, at the end of their lives, have a dignified and peaceful death.
The Foundation encourages management and staff to recognise and understand the importance of empathy and time for those that suffer from complex health conditions particularly at the end of their life.
It urges management and staff to apply the tools and aids of new and innovative alternative therapies, rather than rely on long-term medications, which might mask other underlying health problem and advocates the timely intervention of effective pain management at end of life.
In the main staff rarely voice their own views and opinions and tend to expect their management to provide all the answers to improved ways of connecting, communicating and working, and they require significant encouragement to put forward their views and ideas for shaping the full potential of all care services.
In the same way, people in care have little opportunities for privacy in their lives, or say and involvement in the design and lifestyles in the support they receive.
At most times it is extremely difficult for people to be able to express their thoughts views and opinions, it is impossible if they have any complaints when being bullied and intimidated by management, staff or other residents.
People invariably find they have no one to turn that wishes to intervene at any level in health and social care chain of authority, and end up at the mercy of the current climate’s financial market forces and on the human scrapheap.
Neither management and staff, nor people and their families have any consistent specialist help or welfare from internal systems for mentoring, counselling or outside befriending, welfare and advocacy agencies to turn and confide in, if they have any concerns within the nursing and care services.
The Foundation therefore has an essential dual role in the care, as the trusted confidant for all, management staff and residents, to raise and promote their voices, concerns and the issues, internally, locally and nationally that they feel unhappy about, and to help find the fresh ideas, solutions that are practical, workable, and considered suitable for all involved.
The Foundation volunteers are the special conduit that explores, sign posts and connects the care, particularly care homes, to most local community service facilities, especially therapies, specialist nursing services for sensory deprivation, speech and physiotherapy, welfare and connections to charities and organisations that are all vital for resident’s welfare and self-value.
Good care is where management and staff truly understand the value of and their responsibility for the protection, trust, confidentiality and security of the people in their care, and ensure that people have access to real, confidential advocacy, with honesty and integrity in their individual care, and in the controls over their financial and other interests, (especially, if they have no immediate family that visit or to act on their behalf).
A demonstration of good care is when where what really stands out is that people, particularly those living dementia, and the families, and management and staff teams, are all happy, confident enough and encouraged, to voice their own personal view, needs and ideas.