By Sadler, Clair

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Who would you like to be there? Where would you like to be? What treatment would you consider acceptable? What do you think you would refuse? Would you plan the funeral? How would it feel to have these conversations? What may stop you? Many people are uncomfortable talking about the end of life. It can be a difficult thing to face and many people prefer to avoid the topic rather than upsetting the people that they care about. This can make it challenging to know when is the best time to talk about end of life care.

Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission. 1 (Continued) Title or team Role and information Speech and language ­therapist To provide consultation to patients, families and other care professionals regarding communication, cognition (thinking) and swallowing. To develop strategies to optimise c­ ommunication and swallowing functioning. To ensure the provision of adequate dietary intake and identification of those who may be at risk of poor nutrition.

He can get quite angry and irritable if Jackie mentions that things seem to be getting on top of him. Albert seems to be sleeping for long periods of the day and often takes an age to come to the door when his friends visit. What help do you think Albert might need? Can you think of any challenges in setting this up for Albert? When caring for someone in their own home, there are some important questions to ask: aa How is the person coping? And also those close to them? aa Do they live alone? aa Are they cared for by their partner?

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