Values Driving Hospice Palliative Care s. 7
All hospice palliative care activities are driven by the following values:
1. Autonomy. Each person is an autonomous and unique individual. Care is guided by quality of life as defined by the individual. Care is only provided when the person and family are prepared to accept it.
2. Self Actualization. Dying is part of living, and both living and dying provide opportunities for personal growth and self-actualization.
3. Dignity. Caregivers enter into a therapeutic relationship with persons and families based on dignity and integrity.
5. Community. A unified response to suffering strengthens communities
Foundational Concepts s. 9
Hospice palliative care is based on three foundational concepts:
- Effective Communication – which is fundamental to both the process of providing care, the team-based approach to person and family-centred care and the efficient function of a hospice palliative care organization. When combined with informed and skilled decision-making, effective communication leads to better care delivery decisions, less conflict, a more effective plan of care, greater person/family/caregiver satisfaction with the therapeutic relationship, fewer caregiver errors, less stress and fewer burnout/retention problems.
- Effective Group Function – which involves a process of group formation and function that includes forming and then move through storming and norming until the group begins performing their tasks effectively together. Each participant plays a role in the circle of care. Whenever the composition of the circle of care changes, the group must re-establish itself by again moving through the stages until it is performing effectively. To be effective, all groups need skilled leadership to facilitate their activities and promote effective group dynamics.
- Ability to Facilitate Change – which means that the interprofessional team must be skilled at maximizing
openness and adaptability in the attitudes, knowledge, skills and behaviours of everyone involved in the circle of care. They must also have specific skills to assist individuals and families through the transitions they experience during illness and bereavement. All aspects of organizational development and function, education, research and advocacy are also based on the effective use of change strategies.
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