A model that can be used for decision considerations is “A Model to Guide Hospice Palliative Care.” This model was formed to educate caregivers and provide a resource for them as they handle end of life patients (CHPCA, 2013). There are three foundational concepts defined by the framework; effective communication, effective group function, and the ability to facilitate change. There are six steps defined for the therapeutic encounter establishing hospice care:
1. Assessment – A comprehensive assessment is completed by an interprofessional team to determine what issues need to be taken care of and establish the goals and priorities of the patient and loved ones.
2. Information-sharing – The hospice team shares information …show more content…
Care delivery – Care is provided by both professional caregivers and loved ones. Loved ones receive the support they need in addition to supporting the patient. Access is always available to resources and care is delivered in safe manner in accordance with laws.
6. Confirmation – The therapeutic encounters each end with a group understanding of the plan of care and goals. Concerns have been addressed and individuals are satisfied with the situation (CHPCA, 2013). Looking at this dilemma through this framework provides perspective for both options for action. The model presents hospice palliative care as both person and family-centered. The family is considered an integral part of the process and their feelings and opinions are to be respected. This must be balanced with honoring values and putting the patient first. The model seeks to improve life and part of that is incorporating dying as a normal part of life. It seeks to address the psychological and spiritual needs of the patient and family. This can be interpreted as an obligation to help the patient and family cope with needs that lead to the decision to withhold information. It can also be interpreted to mean that the hospice team should respect individuals that may not want to know or benefit from knowing a prognosis (CHPCA,