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End of Life Care Psychological Impact

Learning objectives. To understand the emotional impact of stroke and death for patients and carers and how to helpTo understand the impact end of life care can have upon the professional . The impact of loss. FeelingsCognitionsBehavioursPhysical sensations. Share your experiences and ideas

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End of Life Care Psychological Impact

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    1. End of Life Care Psychological Impact Dr Kristina Stockdale Juhlberg Clinical Psychologist Clinical Psychology - Stroke Service City Hospital

    2. Learning objectives To understand the emotional impact of stroke and death for patients and carers and how to help To understand the impact end of life care can have upon the professional

    3. The impact of loss Feelings Cognitions Behaviours Physical sensations

    4. Share your experiences and ideas Discuss in small groups: How can you better help and support your patients and their families to cope with loss and/or bereavement?

    5. Some ideas of things we can all do Listen Be patient Provide support and encouragement Try to see things from the patient’s/family’s perspective Allow the expression of emotions Have an awareness of local services, so that you can signpost for further/additional support Remember that it’s sometimes small things that matter most!

    6. The importance of looking after staff Working with patients at the end of their lives is difficult Wanting to ‘make people better’ Little or no training on emotional impact of work Raises issues of own mortality Death a ‘taboo’ in our culture Raises own loss issues Systems that support staff will result in better patient care

    7. Share your experiences and ideas Discuss in small groups: How can you better support and help your colleagues cope with the end of life care and/or death of a patient? How can you better help yourself cope with the end of life care and/or death of a patient?

    8. Helpful ways of coping (for the organisation) System to recognise that these situations will impact on staff Allowing time to grieve Supporting clinical supervision Encourage case reviews/debriefing Facilitate peer support Rituals Managers knowing their staff well Recognise specific issues for isolated staff Good communication

    9. To take away with you Based on the things you have learnt and discussed today, think of one thing you would like to do differently from now on Write down your idea to remind yourself (you don’t have to share it with anyone unless you want to!)

    10. Some helpful resources Cruse: http://www.crusebereavementcare.org.uk/ Death and dying leaflet: http://media.open2.net/death/death_booklet.pdf Dealing with loss: http://www.nhs.uk/Livewell/emotionalhealth/Pages/Dealingwithloss.aspx Bereavement booklet: http://www.gp-training.net/pal/mentalhealth/pdf/bereavement.pdf Griefnet: http://www.griefnet.org/

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