scholarly journals P-36 Start the conversation (STC) – a collaborative community approach to end-of-life discussions

2021 ◽  
Author(s):  
Christine Novelli
Keyword(s):  
End Of Life ◽  
Community Approach ◽  
Collaborative Community

scholarly journals A collaborative community approach to adolescent substance misuse in Iceland

2010 ◽  
Vol 7 (4) ◽  
pp. 86-88 ◽  
Author(s):  
Inga Dora Sigfusdottir ◽  
Alfgeir L. Kristjansson ◽  
Margret L. Gudmunsdottir ◽  
John P. Allegrante
Keyword(s):  
Substance Use ◽  
Secondary School ◽  
Substance Misuse ◽  
Upward Trend ◽  
School Students ◽  
Adolescent Substance ◽  
Community Approach ◽  
Collaborative Community ◽  
School Survey ◽  
Alcohol And Other Drugs

Substance use has become a major threat to health and human development in many European countries. In 23 out of 28 countries participating in the European School Survey Project on Alcohol and Other Drugs (ESPAD), there was a constant and substantial increase in substance use among secondary-school students between the years 1995 and 2003 (Hibell et al, 2003). Iceland experienced a similar upward trend in substance use (Sigfusdottir et al, 2008). Throughout the 1990s, the use of alcohol, tobacco and other drugs increased steadily among 15- and 16-year-olds. In 1998, approximately 17% of 16-year-olds had tried hashish, which was the highest frequency to be measured in Iceland, and over 80% reported that they had used alcohol once or more in their lives (Thorlindsson et al, 1998).

scholarly journals Life's hard and then you die: the end-of-life priorities of people experiencing homelessness in the UK

2020 ◽  
Vol 26 (3) ◽  
pp. 120-132 ◽  
Author(s):  
Wendy Ann Webb ◽  
Theresa Mitchell ◽  
Paul Snelling ◽  
Brian Nyatanga
Keyword(s):  
End Of Life ◽  
Self Determination ◽  
Interpretive Phenomenology ◽  
Face To Face ◽  
Care Services ◽  
Community Approach ◽  
Palliative Care Services ◽  
Trauma Informed ◽  
Structured Audio ◽  
The Uk

Background: People experiencing homelessness often die young and without adequate support. In the UK, they fail to access palliative care services and their end-of-life priorities remain poorly understood. Aims: To explore the end-of-life concerns, fears, preferences and priorities of a sample of people experiencing homelessness in the UK. Methods: This is an interpretive phenomenology. Data collected through semi-structured, audio-recorded, face-to-face interviews with 21 homeless participants in the UK were analysed iteratively using thematic analysis. Findings have been interpreted through the lens of Merleau-Ponty's philosophy. Results: Eight themes are reported: spiritual concerns; practical concerns; fear of needing care; fear of being forgotten; preference for dying suddenly; preference for being somewhere comfortable where people know me; prioritising autonomy and self-determination; and prioritising authenticity. Conclusion: A strengths-based, trauma-informed, person-centred, collaborative ‘compassionate community’ approach to care is recommended for people experiencing homelessness at end of life.

A COLLABORATIVE COMMUNITY APPROACH TO HOMELESS CARE

1996 ◽  
Vol 23 (1) ◽  
pp. 17-30 ◽  
Author(s):  
James David Plumb ◽  
Patrick McManus ◽  
Lara Carson
Keyword(s):  
Community Approach ◽  
Collaborative Community

Description of a collaborative community approach to impacting juvenile arrests.

2016 ◽  
Vol 13 (2) ◽  
pp. 133-139 ◽  
Author(s):  
James G. Barrett ◽  
Elizabeth Janopaul-Naylor
Keyword(s):  
Community Approach ◽  
Collaborative Community ◽  
Juvenile Arrests

Much Ado About Fried Chicken: Abetting Aspiration or Respecting Autonomy?

2019 ◽  
Vol 28 (3) ◽  
pp. 1356-1362
Author(s):  
Laurence Tan Lean Chin ◽  
Yu Jun Lim ◽  
Wan Ling Choo
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Multidisciplinary Team ◽  
Biopsychosocial Model ◽  
Family Members ◽  
Clinical Decisions ◽  
Goals Of Care ◽  
Complex Needs ◽  
Aspiration Risk ◽  
Patient Centric

Purpose Palliative care is a philosophy of care that encompasses holistic, patient-centric care involving patients and their family members and loved ones. Palliative care patients often have complex needs. A common challenge in managing patients near their end of life is the complexity of navigating clinical decisions and finding achievable and realistic goals of care that are in line with the values and wishes of patients. This often results in differing opinions and conflicts within the multidisciplinary team. Conclusion This article describes a tool derived from the biopsychosocial model and the 4-quadrant ethical model. The authors describe the use of this tool in managing a patient who wishes to have fried chicken despite aspiration risk and how this tool was used to encourage discussions and reduce conflict and distress within the multidisciplinary team.

End-of-Life Issues for People Who Use AAC

2005 ◽  
Vol 14 (3) ◽  
pp. 15-19 ◽  
Author(s):  
Melanie Fried-Oken ◽  
Lisa Bardach
Keyword(s):  
End Of Life ◽  
Life Issues ◽  
End Of Life Issues

Dysphagia in Hospice Care: The Roles of Social Work and Speech-Language Pathologists

2014 ◽  
Vol 23 (4) ◽  
pp. 173-186 ◽  
Author(s):  
Deborah Hinson ◽  
Aaron J. Goldsmith ◽  
Joseph Murray
Keyword(s):  
Social Work ◽  
End Of Life ◽  
Case Studies ◽  
End Of Life Care ◽  
Hospice Care ◽  
Patient Communication ◽  
Life Care ◽  
Speech Language Pathologists ◽  
Four Levels

This article addresses the unique roles of social work and speech-language pathologists (SLPs) in end-of-life and hospice care settings. The four levels of hospice care are explained. Suggested social work and SLP interventions for end-of-life nutrition and approaches to patient communication are offered. Case studies are used to illustrate the specialized roles that social work and SLP have in end-of-life care settings.

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