PIES

PIES

1. Physical needs

   • Pain Relief
     • Empowered with information
       • Given information about carers job roles and treatments and side effects of drugs.
     • Choice
       • See multi agency Kate also needs to take responsibility for her decision.
       • communication
         • There needed to be clear communication, in terms Kate could understand between professionals and Kate. She was not discriminated against because of her educational level. All multi agencies involved in Kate's care would need to communicate to be able to create the best care plan for Kate.
     • Right to be pain free
       • She has a right to be pain free, pain killers will stop the pain.
     • Multi agency
       • If a multi agency is used there are more options for pain relief, as Kate can contact different agencies for different pain relief. Kate will be involved in making the decision between various pain relief medications. She will be helped with this by the pharmacist, medical professionals and the cancer nurse who all have different knowledge and skills relating to medication. She may also want to be offered different options like massage, this can be offered by her local hospice or Marie Curie.

2. Social Needs

   • Future security of her family
     • Communication
       • Kate needs to communicate with carers so she can talk about where her children would go, and who they would stay with.
     • Multi Agency
       • The team involved: Palliative SW - Bereavement counselling for family Kinship SW - Resolved guardianship Housing officer - Transferred tenancy School - Meeting educational needs of children during this hard time
     • Confidentiality
       • Kate originally did not trust the Palliative care social worker (SW) the SW promised confidentiality Kate then agreed to see her, additional social needs were identified relating to the future security of her family which were then met by the Palliative SW contacting the correct agencies.
     • Choice
       • Kate can choose who will look after her child, and where the child will go once she has chosen the carer.
     • Anti-discriminatory practice
       • Kate needs to be told what will happen with her children no matter her educational level.
     • Rights
       • Kate's family has the right to be safe after Kate has passed away.

3. Emotional Needs

   • Say goodbye to her son in prison
     • Rights
       • Kate has the right to be able to see her son before she passes away
     • Multi Agency
       • The prison governor must allow for her Son to be able to leave the prison to see Kate before she passes away. Kate's SW's would have been the people who set up this meeting.
     • Choice
       • Kate had the choice to see her son. This was very important to Kate.
     • Communication
       • Kate's SW would need to communicate with the prison governor to allow her son to visit her before Kate passes away

4. Intellectual Needs

   • Information on treatments and medication
     • Responsibilities
       • Kate has the responsibility of whether she takes her medication or not. This also leads to risks (See rights). Kate also has the responsibility to listen to what the professionals are saying about her medication and treatment.
     • Multi Agency
       • Kate can go to either a pharmacist or a hospice for different variety of medications and treatment. Pharmacists can give Kate medication to deal with her illness, while Marie Curie can offer things like massages for treatment
     • Anti-discriminatory Practice
       • Kate needs to be told every step of her treatment and medication in detail, no matter her education level
     • Communication
       • Kate's oncology team would need to explain to Kate about all the medication she is receiving. Kate's nurse specialist would need to speak to Kate about all the treatment she would receive. 
     • Rights
       • Kate has the right to take risks, this includes the medication she takes or does not take. She had made an advanced decision document