CVB and Holistic Care

Annotations:

• Care Base Value (CVB) The care value base is to promote care of the clients, and acting in their best interest to improve their quality of life. It's a set of principles that should be followed, such as promoting effective communication, anti-discriminatory practice, and rights of the individual. Also protecting a person from abuse in any health and social care setting. Providing individualised care, and maintaining confidentiality are also some of the principles of CVB. 
• Holistic Care Holistic care is when every aspect of the individual is treated and helped. Sometimes only a patients physical side is treated, but with holistic care not only the physical is looked after, but so is their emotional, intellectual, and social needs. This type of care respects that everyone needs individualised care and that every ones situation is different.

1. Legal

   Annotations:

   • The legal side such as guardianship and tenancy of homes won't be able to be carried out by health care professionals, but by people such as housing officers, and kinship social workers. Health care professionals can help suggest clients to go seek professional legal help, and help hem through the process. This is where the team will branch out.
   1. Transferring home tenancy to daughter

      Annotations:

      • Transferring home tenancy can be very important for those with terminal illness who want to make sure everything is in place for when they die.  In this case study Kate would like the tenancy to be given to her daughter Louise. This can not be done by the palliative care social worker, but can be recommended by her. She can pass Kate on to a professional to help. 
      1. Multi-disciplinary team
      2. Working in partnership with service user
      3. Tenancy officer

         Annotations:

         • The tenancy officer will help with practically everything to do with the building and the council. In court the officer will speak for the organisation and provide welfare advice. They could be in charge of making sure the house is up to standard and will work with the social worker when changing the tenancy from Kate to Louise, as it will be her house and he will have to discuss problems with her instead of Kate. 
   2. Guardianship of grandchild
      2. Confidentiality / Need to know basis
      4. Social workers

         Annotations:

         • Social workers will be there to ensure the grandchild is safe and will be cared for when living in the home with Louise as her guardian. She will also have a say in if they will e safe living in the house with Louise. They will have to work with the tenancy officer as they will both have a say in if the tenancy should be passed over to her from Kate. 
   3. Son visiting out of prison

      Annotations:

      • Kates son being able to leave the prison for so much as a day requires a lot of discussion for those in the legal system. Discussing if the circumstances are appropriate to allow him to leave temporarily and co on for a while so it is important this visit was discussed in advance. The visit is something that can be very emotional for both the son and Kate. 
      1. Temporary release on licence
2. Illness

   Annotations:

   • The illness Kate is suffering is terminal cervical cancer. She is in the late stages of said cancer. 
   1. Pain management

      Annotations:

      • Pain management will vary for everyone , as everyone is different. Some people are more tolerant to pain, whereas some aren't. The management of people's pain must be individualised to suit them. 
      1. Individuality
   2. Treatment

      Annotations:

      • For a patient suffering from cancer, treatment can be invasive, draining both mentally and physically, and a very painful process.  Treatment must be individualised depending on what treatment the patient wants to receive, and what can be done to help. Everyone is different and so is treating illnesses. The patient could be suffering from other illnesses which will require more specialised and maybe complicated treatment. It can also be a very distressing time for people undergoing treatment for illnesses such as cancer can be a very emotional and painful experience. Treatment would not only include the nurses and doctors giving the medication, but also there to help support her through this time.
      1. Chemotherapy
      2. Radiotherapy
         1. Excellent Communication
      3. Side effects
   3. Later stages of life

      Annotations:

      • In the later stages of life for someone suffering from a terminal cancer, the individual will start to deteriorate. They will grow weaker from both the illness and treatment, they may not be able to do a lot of things they use to be able to do such as washing themselves, or dressing themselves. They may need a carer to help them with everyday needs and tasks, and everyone has the right for help and care when needed.
      1. Being fed

         Annotations:

         • Eating is a necessity, so when an individual has become so ill they can not eat by themselves or by their own hand, help is required. If they are unable to lift their arms to be able to bring the food to their mouth's, help by feeding should be done as malnutrition is something to be avoided at all costs, especially for those suffering from cancer as they need all the nutrients they can get to stay healthy. When being fed it is important the patients dignity is respected. For example, the chances of spillages is quite high, so a bib may want to be used. This can be quite humiliating as the patient may feel as if they are being babied, so serviettes or tissues should be used instead of bibs so they do not feel humilated. Having access to water 24/7 is also a right the patient has. 
         1. Respect
            1. Dignity
            2. Rights
      2. Washing

         Annotations:

         • as the individual get frailer, they may struggle with something such as washing. They may not be able to sit up for long periods of time without tiring or reach parts of their body. Washing and being clean is a right, and help can be given. To maintain dignity talking to them and making sure they are comfortable is a necessity. Some may not be comfortable with being undressed in front of someone else, or get nervous with the water. Ensuring they feel relaxed, calm, comfortable, and that their dignity is being respected, help washing will have no bad outcome.
         1. Respect
      3. Occupational therapist

         Annotations:

         • An occupational therapist can help with making an idividuals home easier for them to move around in, live in, and can help them get back to being more independent. Railings can be fitted to help with mobility around the home, and in places such as bathrooms to help them be more independent , e,g, can get in and out the bath or shower on their own. 
         1. Holistic approach
      4. Planning/accepting death

         Annotations:

         • Planning and accepting death is a very tough and horrible thing to go through, and is awfully emotional.  Holistic care and CVB would come into this greatly. It's the palliative care worker that would have helped through this, and would have provided emotional are such as providing comfort. As the care worker has built up a trusting relationship at this point, it is easier to comfort at this time and can offer help where they know help is needed, such as planning for the future of their family (e,g. custody of grandchild, tenancy, etc.).
         1. Choice
         2. Empowerment
         3. Rights
         4. Funeral arrangements

            Annotations:

            • A patient or client planning their own funeral can be an emotional time and such a hard thing to have to do. The palliative care worker will help through this and provide constant support and help, making sure all the individuals needs and wishes are met so their funeral can be exactly how they would like it, as it is their right to have a will, and help support them through the entire process.
3. Case study - Kate
   1. Conclusion