Section 4
CASE STUDY 3 | MICHAEL (continued)
Possible responses using the AFIRM response may include:
cknowledge concerns “Michael you are having trouble remembering things?” ind out what is known “How do you think you are managing at home?” “How do you feel about getting the bus to work?” “Do you think you need more help from staff?”
A
F
mmediate concern addressed “Michael, people worry when there are changes in how they are. What change worries you the most?” espond to further questions “You have said that you are worried about having to leave your home. Lots of people stay in their homes and some people might need to move to somewhere where they can get the care they need.” eeting suggested “Would you like me to arrange a care plan meeting, who would you like with you to support you at the meeting?”
I
R
M
Additional resources
The National Clinical Programme in Palliative Care have developed two resources that will support understanding and development of roles and competencies in the delivery of palliative care: • The Palliative Care Competence Framework (70) • Role Delineation Framework (71).
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Facilitating discussions on future and end-of-life care with a person with dementia
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