UNDERSTANDING

Palliative

Care

09.2024

Activities of

 

daily living

Definitions:


Oral thrush: A fungal infection of the mouth. It's not contagious and is usually successfully treated with antifungal medication. It's also called oral candidosis (or candiasis) because it's caused by a group of yeasts called Candida

Denture stomatitis: pertains to a number of pathological symptoms in the oral cavity caused by wearing acrylic dentures. Etiological factors include: mucosal trauma, fungal infection and accumulation of denture plaque.
Introduction:
"In palliative care, the little things truly matter. From helping someone with daily activities to offering a warm meal, each gesture provides not just care but comfort, ensuring dignity and a better quality of life."

Developing a daily care plan is vital for the comfort and well-being of the patient. It’s also important to ensure that both the patient and their family feel comfortable and involved in the plan.

Morning Care:
Morning care is crucial because it sets the tone for the patient’s comfort throughout the day. Here’s a suggested routine:
*Assist with hygiene: Help the patient to the bathroom if they are able. Otherwise, bring a bedpan, urinal bottle, water, and a bowl for washing their face and brushing their teeth.
*Prepare the environment: Clean the bedside table to make space for breakfast.
*Bathing and dressing: After breakfast, assist the patient with bathing, washing, and dressing.
*Tidy up: Change the bed linen, clean the room, and ensure the space is tidy and comfortable.

Evening Care:
Evening care is important for relaxation and ensuring a restful night’s sleep.
*Night time hygiene: Ask the patient if they need assistance with the bathroom, a urinal bottle, or a bedpan. Help them wash their face and brush their teeth.
*Bed preparation: Straighten the linens, pillows, and blankets to ensure the patient is comfortable and safe.
*Tidy surroundings: Ensure the space around the bed is clutter-free to avoid any tripping hazards during the night.

Remember to incorporate recreational activities during morning and evening care, as they can provide mental stimulation and comfort for your patient.

Oral Care:
Oral care is an essential part of daily care, as it helps prevent infections like oral thrush.
Brushing teeth: Teeth should be brushed twice a day with a soft toothbrush, ensuring all surfaces are cleaned, even where teeth are missing. Flossing and tongue cleaning: Daily flossing helps clean between teeth, and cleaning the tongue reduces bacteria in the mouth.
Denture care: Dentures should be cleaned daily with a soft brush and a denture cleanser. Avoid sleeping with dentures to prevent conditions like denture stomatitis or oral thrush.
Patients should seek immediate dental attention if they notice any signs of oral issues, such as whitish patches, redness, or discomfort.

Helping a Person Eat:
Here are some helpful tips for assisting someone with eating during palliative care:
• Offer 6 to 8 small meals and snacks throughout the day.
• Ensure meals and snacks are easy to eat and drink.
• Choose high-energy, high-protein foods to make each bite count.
• Include nourishing fluids, especially if food intake is low.
• Encourage asking for help with eating if needed.
• Eat when hunger strikes, rather than waiting for scheduled meal times.
• Ensure medications are taken on time to manage symptoms like pain or nausea.
• Serve meals in a comfortable, pleasant environment.
• Avoid strong cooking smells if they cause nausea.
• Offer soft or blended foods like soups, dips, mashed vegetables, and creamy desserts for easy consumption.

Conclusion: Each of these aspects of care plays a vital role in ensuring the comfort and dignity of a person receiving palliative care. By addressing both physical and emotional needs, caregivers can provide the best possible support for their loved ones.

"Caregiving in palliative care is a journey of support, love, and respect. Every moment spent in the service of someone in need is a profound act of kindness."