PIES

PIES

1. Pain relief - Physical need

   • Choice
     • Kate was given the choice of pain relief
     • Information/ Understand
     • Anti - discriminatory practice - CVB principles
   • Rights
     • Not be in pain
     • Right to advance decision
       • A advance decision is when a individual makes a decision and as their rights all service providers should work to meet the advance decision. Kates advance decision was that she wanted to die in the hospice. Kate decided that she wanted to die in the hospice becuase she did not want her children and grandson to see her die. 
     • Right to choose
   • Multi Agency Approach
     • Pharmacist - support on the side effects and how the body uses the drug
     • Onconoligst - prescribes
     • specialist nurse - support Kate to be independent
     • O.T - adapting activities to reduce pain
   • Independence
     • Pain relief allowed Kate to stay at home - because Kate had no pain - her preference
   • Holistic Approach
     • Massages
     • Reflexalogy
     • Stress management
     • Signing
     • Indian head massages
   • Conclusion

2. To trust local authority social workers - emotional need

   • Choice
     • Choice of who would be involved in her care
   • Rights
     • To choose who was involved in her care
   • Multi discplinary
     • Multi agency was needed to resolve housing and guardianship
     • Pallaitive care social worker needed to gain trust
     • Give information on the multi agency teams (roles) - to develop multi agency working
   • Independence
     • Through trust Kate was able to be cared for at home
   • Confidentiality
     • Keep Kates information confidential - develop trust which resulted in multi agency working and person centred planning
   • Communication
     • Pallaitive care social workers involved to gain Kates trust
     • Gave Kate the correct information
   • Conclusion
     • Development of relationship with the Pallative Care social Workers, this resulted in Kate having her person centred planning

3. Guardianship - Social need

   • Rights and choices
     • Responsabilities
       • Kates choice to put her daughter to be kinship of the 13year old nephew
         • Full family assesment 
     • Kates choice to allow her children to still live in their house when she was gone - this would give the older daughter responsability
     • Kates children could've gone to a care home
   • Conclusion
     • EMPOWERMENT - Kate was empowered by being given information also access to resources e.g local authority solicitor COMMUNICATION - Excellent communication was needed to support Kate to make choices - and all team members needed to communicate well ANTI - DISCRIMINATORY - Ensured that Kate had the same rights as everyone elseAll this ensured that Kates family could stay together after her death
   • Multi agency
     • The multi agency team worked together to ensure Kates social needs were met. The teams that were involved in Kates end of life care were  - Pallative Care Social Workers - Local Authority (solicitor) - Nurse Specialist (cancer unit) - Kinship Social Workers 
     • Pallative care social workers and kinship social workers work together
       • legal team

4. Information on treatment - Intellectual need

   • Rights and Choice
     • Kate had the right to know about the treatment she would be receiving.
     • Kate had the right to refuse the treatment
   • Excellent Communication
     • This was needed from all the professional team members that helped Kate
     • Professional bodies would need excellent communication to give information and advice (if required) about the treatment and about the side effect that may arise
   • Confidentiality
     • Professional team members should not discuss Kates personal and treatment information with other individuals that are not involved in Kates end of life care
   • Multi Agency (Teams)
     • Pallative care social workers - Helped Kate while she was receiving her treatment
     • Doctors and Nurses - Helped to deliver the correct treatment and pain relief when needed
   • Conclusion