Principles of Health Care Administration Rutgers. The State University of New Jersey New Brunswick/Piscataway Health & Medical Question

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Introduction:
When developing an end-of-life care plan, it is essential to consider the four dimensions of care: physical, psychological, social, and existential. This paper will guide students on how to create a professional, concise, evidence-based plan using a theoretical model/framework as guidance. The plan should include appropriate assessments and evidence-based client-driven interventions, with a rationale for each dimension of end-of-life care. Additionally, students are required to provide a list of resources available to clients for addressing each dimension of end-of-life care.

Answer:
To guide the selection of assessments and interventions for end-of-life care, the theoretical model/framework I recommend is the Model of Human Occupation (MOHO). MOHO posits that an individual’s well-being and engagement in meaningful occupations are influenced by their volition, habituation, and performance capacity. This model provides a comprehensive understanding of the client’s occupational functioning and helps identify appropriate assessments and interventions.

For the physical dimension of end-of-life care, the MOHO screening tool can be utilized to assess the client’s physical abilities and limitations. Additionally, the Assessment of Motor and Process Skills (AMPS) can be used to evaluate the client’s performance in daily activities. Based on these assessments, interventions should focus on prioritizing resources and resources to daily living. Compensatory strategies such as home modifications and assistive technologies can enhance the client’s independence and quality of life. Education on relaxation techniques, transfers, and lifestyle changes can help manage symptoms and improve comfort. Fatigue management techniques should also be included to address the client’s declining mobility and endurance.

For the psychological dimension, the MOHO framework suggests using the Volitional Questionnaire to assess the client’s motivation and values at the end of life. The Occupational Self-Assessment can be employed to understand the client’s perception of their occupational competence and self-worth. Interventions should prioritize addressing fear, worry, anxiety, depression, and the loss of identity and self-worth. This can be done through therapeutic conversations, supportive counseling, and mindfulness techniques. Connecting the client with mental health professionals can provide additional support and therapy if necessary.

Regarding the social dimension, the Model of Human Circumstances Assessment and Rating Scale can be utilized to evaluate the client’s social roles, networks, and communication abilities. Additionally, the Canadian Occupational Performance Measure (COPM) can assess the client’s performance and satisfaction with social activities. Interventions should aim to address the loss of social roles and networks, limited communication, and marginalization issues. Encouraging social participation, facilitating connections with support groups or community programs, and addressing communication barriers can enhance the client’s social well-being.

For the existential dimension, the Individual Prioritized Problems Assessment (IPPA) can be employed to understand the client’s existential concerns and life crisis awareness. Through this assessment, interventions can focus on exploring opportunities for meaningful occupations, such as engaging in life review, reminiscence therapy, or legacy-building activities. Positioning techniques for optimal pain control should also be incorporated to address the existential distress associated with end-of-life care.

In conclusion, by using the Model of Human Occupation as a theoretical model/framework, the selection of assessments and interventions for end-of-life care can be guided effectively. This approach ensures a holistic and client-centered plan that addresses the physical, psychological, social, and existential dimensions of end-of-life care. By using appropriate assessments and evidence-based interventions, healthcare professionals can provide optimal support and improve the quality of life for patients in their end-of-life journey.