1.1 Describe the difference between a daily care or support plan and an advance care plan

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Unit 380 Understand Advance Care Planning

1.1 Describe the difference between a daily care or support plan and an advance care plan

1.2 Explain the purpose of advance care planning

1.3 Identify the national, local and organisational agreed ways of working for advance care planning

1.4 Explain the legal position of advance care plan

1.5 Explain what is meant by mental capacity in relation to advance care planning

1.6 Explain what is meant by informed consent in relation to advance care planning

2.1 Explain when advance care planning may be introduced

2.10 Outline the principles of record keeping in advance care planning

2.11 Describe when details of the advance care plan can be shared with others

2.2 Outline who may be involved in the advance care planning process

2.3 Describe information an individual may need to enable them to make informed decisions

2.4 Explain what is involved in an `Advance Decision to Refuse Treatment`

2.5 Explain what is meant by a `Do Not Attempt Cardiopulmonary Resuscitation` (DNACPR)

2.6 Explain how the individual`s capacity to discuss advance care planning may influence their role in the process

2.7 Explain role of the care worker in the advance care planning process and sources of support available

2.8 Describe how personal beliefs and attitudes can affect participation in the advance care planning process

2.9 Identify how an advance care plan can change over time

3.1 Describe factors an individual may consider when creating their advance care plan

3.2 Explain the importance of respecting the individual`s values, beliefs and choices

3.3 Identify how the needs of others may need to be taken into account when planning advance care

3.4 Explain how to support an individual to exercise their right not to create an advance care plan

3.5 Outline actions to take when an individual is unable to participate in advance care planning

3.6 Explain how individual`s care or support plan may be affected by an advance care plan

4.1 identify safety concerns that may arise for an individual when using a technological aid

4.2 describe actions that can be taken to enhance safety of an individual when using a technological aid

4.3 explain how to report a safety concern about a technological aid

4.4 explain why it is important that technological aids are serviced and maintained in good working order

4.5 explain how to maintain confidentiality of information when using technological aids

Example Answer (Do Not Copy)

1.1 Describe the difference between a daily care or support plan and an advance care plan

A daily care or support plan and an advance care plan serve different purposes in managing an individual`s care, particularly in health and social care settings. Here`s a description of the key differences between the two:

Daily Care or Support Plan:

  • Purpose: A daily care or support plan is designed to outline the day-to-day care and support needs of an individual. It details the specific tasks, activities, and routines that need to be followed to meet the person`s current physical, emotional, and social needs.

  • Content: The plan typically includes information on personal care (e.g., bathing, dressing), meal preparation, medication management, mobility assistance, social activities, and other daily living tasks. It is tailored to the individual`s preferences and requirements and may also include guidance on how to manage any existing health conditions.

  • Time Frame: This plan is focused on the present and immediate future, covering daily or weekly routines. It is regularly reviewed and updated as the individual`s needs or circumstances change.

  • Flexibility: The daily care plan is generally flexible and adaptable to the individual`s changing needs, preferences, and situations.

  • Focus: The primary focus is on ensuring that the individual’s daily needs are met, promoting their independence, well-being, and quality of life.

Advance Care Plan:

  • Purpose: An advance care plan is a more forward-looking document that records an individual’s preferences and decisions about their future care, particularly in situations where they may no longer be able to communicate their wishes. It is often used to guide care at the end of life or in the event of a serious illness or sudden health deterioration.

  • Content: The plan may include decisions about life-sustaining treatments (e.g., resuscitation, artificial nutrition), preferred place of care, who should be involved in making decisions, and any spiritual or cultural considerations. It may also include a legally binding component known as an advance directive or living will.

  • Time Frame: The advance care plan is focused on future care needs, particularly in scenarios where the individual may lose the capacity to make or communicate decisions. It is usually created well in advance of any health crises and remains in place unless the individual decides to update it.

  • Flexibility: While the advance care plan can be reviewed and updated if the individual’s preferences change, it is generally more fixed than a daily care plan, especially if it includes legal instructions.

  • Focus: The main focus is on respecting the individual’s autonomy and ensuring that their wishes for future care are understood and followed, particularly in circumstances where they are unable to express them.

Summary:

  • Daily Care or Support Plan: Focuses on current, day-to-day needs and routines, ensuring the individual`s immediate well-being and independence.

  • Advance Care Plan: Focuses on future care preferences, particularly in scenarios where the individual may be unable to communicate, ensuring their wishes are respected in the long term.

1.2 Explain the purpose of advance care planning

The purpose of advance care planning is to ensure that an individual`s preferences, values, and wishes regarding their future health care and treatment are understood and respected, particularly in situations where they may no longer be able to communicate or make decisions for themselves. It is a proactive process that allows individuals to express their choices about the care they would like to receive (or not receive) in the event of serious illness, incapacitation, or at the end of life.

Key Purposes of Advance Care Planning:

  1. Respect for Autonomy:

    • Advance care planning honours an individual`s right to make decisions about their own body and health care. It ensures that their choices are respected, even if they lose the capacity to communicate or make decisions in the future.
  2. Guidance for Healthcare Providers:

    • It provides clear instructions to healthcare providers, helping them deliver care that aligns with the individual`s values and preferences. This guidance is particularly important in emergency situations or when difficult decisions need to be made.
  3. Reduction of Uncertainty:

    • Advance care planning reduces uncertainty and anxiety for both the individual and their loved ones. By making decisions in advance, the individual can clarify their wishes, reducing the burden on family members who might otherwise be faced with making difficult decisions without knowing what their loved one would have wanted.
  4. Improved Quality of Care:

    • When healthcare providers have a clear understanding of an individual`s preferences, they can tailor care to better meet their needs, improving the quality of care and enhancing the individual’s overall experience.
  5. Facilitation of Communication:

    • The process of advance care planning encourages open and honest discussions between the individual, their family, and healthcare providers. These conversations help ensure that everyone involved understands the individual`s wishes, which can lead to more coordinated and compassionate care.
  6. Prevention of Unwanted Treatments:

    • Advance care planning allows individuals to specify treatments they do not wish to receive, such as resuscitation, mechanical ventilation, or artificial nutrition. This can prevent the administration of unwanted or non-beneficial treatments that may prolong suffering or reduce quality of life.
  7. Legal and Ethical Clarity:

    • In some cases, advance care planning includes the creation of legally binding documents, such as an advance directive or living will. These documents provide legal clarity about the individual`s wishes, helping to ensure that their choices are respected in accordance with the law.
  8. Support for End-of-Life Care:

    • Advance care planning is particularly important for end-of-life care, as it allows individuals to express their preferences for how they wish to be cared for during their final days. This can include decisions about pain management, hospice care, and the preferred setting for end-of-life care, such as at home or in a hospital.

The purpose of advance care planning is to ensure that an individual`s healthcare preferences are known, respected, and followed, providing peace of mind for the individual and their loved ones, and guiding healthcare providers in delivering care that aligns with the individual’s values and wishes.


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