PALLATIVE CARE: END OF LIFE CARE FOR ADVANCED DEMENTIA PATIENT.

 

TASK
Write a 3,000 word report on a current policy intervention relevant to adult social care and its impact on one of the groups of people discussed in the lecture series (FULL GUIDANCE BELOW).

1) You must choose a piece of CURRENT POLICY

CHOOSEN POLICY: Palliative Care:

Actions for End of Life Care: 2014-16 : https://www.england.nhs.uk/wp-content/uploads/2014/11/actions-eolc.pdf

One Year On: The Government Response to the Review of Choice in End of Life Care: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/645631/Governm ent_response_choice_in_end_of_life_care.pdf

TIP: choose your topic by first seeing which has the most written about it in the academic literature… remember, you have to use 18 academic sources (research papers, academic books, etc.) for this assignment, so you want a topic where there is plenty of research and evidence-based practice.

3) topic/policy and service user group you have chosen, ALL UK ONLY ACADEMIC SEARCH.
This is a report, so it must state: (i) The policy and the user group it concerns. (ii) A background to the current policy – how did it come about? What legislation underpins it? – any controversial or key events which prompted the creation of the policy – user group involvement or lobbying which might have contributed to the change of policy. (iii) A summary of the key elements of the policy – and how it works in service provision. (iv) The strengths of the current policy. (v) Weaknesses of the current policy – HERE YOU MUST USE EVIDENCE FROM ACADEMIC RESEARCH. (vi) Your recommendations – that is, changes which might be necessary to improve the policy for service provision or service users. YOUR RECOMMENDATION MUST BE BASED ON EVIDENCE – so there should be a CLEAR link to what you have presented in your discussion of the weaknesses of the policy – and the research and evidence based practice you have presented to demonstrate the weaknesses and what might improve the policy. Therefore, your recommendations must be realistic and achievable. Please do not write the assignment and then just stick recommendations at the end which have no relation to the discussion in the rest of the report.
5) Style: You are writing a report – therefore it should be written in the third person (e.g. ‘This is report will focus on the current Department of Health policy on end of life care for advanced dementia). You can use headings. I suggest the following:

Introduction: an introduction should tell the reader what you are going to discuss and why and what aims you are going to fulfil in writing the report (no more than a 100 words).

Current Policy: Which policy are you discussing? What are its main functions? (500 words remember to use evidence – academic texts please – NOT websites – except for SCIE or government departments (Gov.uk WILL NOT be accepted as a reference – it must be information referenced from a named government department). In this section you can also say something about the language
used in the current policy – any examples of discourse (linked to theory) should be highlighted here.

Service User Group: Which service user group are you discussing – how does the policy relate to that group? (150-200 words – remember to use academic evidence – although you can use information from specific service user group sources – e.g. Alzheimer’s Society, Mencap, etc.).

Background to the current policy: How did the policy come about? Say something about the history of the policy (250 words – again, academic sources please – NOT general information websites).

Strengths of the Policy: Look at what the academic literature, service user groups, evidence based practice, etc. are saying about the policy… you can also include your own thinking here, but it MUST be backed up with academic evidence/theory (500-750 words).

Limitations of the Policy: What might need to change? Where does the policy fail to meet need? You must use academic research, evidence based practice or comment from user groups or professional organisations for this section. You may use weaknesses or limitations you have spotted in the policy, but your observation must be backed up with academic research or comment from academic sources (this means making use of health and social care theory) (500-750 words).

Recommendations: I would make no more than six recommendations – and no fewer than four. These must be based on evidence and clearly linked to the weaknesses of the policy you have already discussed. These can be bullet pointed if you wish (200-300 words). If you have already highlighted the weaknesses, with evidence, you shouldn’t need more than a sentence or two to state your recommendation and why you have made it.

Conclusion: This should be a summary of what has been discussed; demonstrating where you have met the aims set out in the report’s introduction (200 words).

References list: This assignment requires 20 academic/peer reviewed sources – in addition to other sources you will need for background. REMEMBER, USER ORGANISATIONS, GENERAL INFORMATION WEBSITE, GOVERNMENT WEBSITES, LEGISLATION, SCIE, PROFESSIONAL JOURNALS (COMMUNITY CARE, NURSING TIMES, ETC.) ARE NOT ACADEMIC REFERENCES although can be used for background information or comment.

FORMATING: This is a report, so should be written in the third person. It should be DOUBLE SPACED (except indented quotes, which should be single spaced and the reference list, which can be also be single spaced). The report should have a title

I hope the above is useful? The details of the assignment guidance are given below.

ASSIGNMENT

Assessment 2 submission date- on Thursday 10th May 2018 At: 22 59 hours.

TASK

Write a 3,000 words report on a current policy intervention relevant to adult social care and its impact on one of the groups of people discussed in the lecture series.

GUIDANCE

The assignment is designed to assess your ability to draw together the different strands of your learning on the unit through a critical evaluation of a policy intervention of your choice.

1. Choose a contemporary adult social care policy intervention or legislative measure

2. Write a report about the impact of that policy intervention
3. Provide a brief historical overview to this policy area and the way it has influenced the contemporary policy intervention

4. Critically evaluate the impact of the policy and its contribution Before you start on the report, you need to identify:  which group of people you are most interested in writing about;  A recent policy intervention which affects the way care and support is delivered to this particular group of people.  When you come to write up your report, you could provide a brief summary of this information in your Introduction.

5. Provide a balanced discussion of the policy’s strengths and limitations so as to come to a considered conclusion about its overall value to your chosen user group and its contribution to their wellbeing.

6. In the last part of the main body of the report, discuss how the limitations you have uncovered in the preceding discussion might be tackled by policy makers and practitioners
Students are expected to independently carry out their own library-based research to inform their report. The report must be informed by reliable and valid sources; and should include AT LEAST 18 PEER REVIEWED SOURCES UK ONLY RESEARCH WORK.

Your work must be word processed, double spaced and page numbered. You must also include a word count. The format of a report differs from an essay in that the discussion is structured according to a set of common conventions. Despite these differences, the key principles underlying all assignment writing apply – providing an introduction and conclusion, for example, and linking the different elements of the discussion into a coherent whole.
ETHICS IN PALLATIVE CARE
USEFUL LINKS
https://www.mariecurie.org.uk/globalassets/media/documents/commissioning-our-services/past-initiatives/end-of-life-care-and-dementia/end-of-life-project-report.pdf
Ouldred, E, & Bryant, C 2008, ‘Dementia care. Part 3: end-of-life care for people with advanced dementia’, British Journal Of Nursing, 17, 5, pp. 308-314
Lee, R, Bamford, C, Exley, C, & Robinson, L 2015, ‘Expert views on the factors enabling good end of life care for people with dementia: a qualitative study’, BMC Palliative Care, 14, 1, p. 1, Complementary Index,
‘End of life care: the experiences of advance care planning amongst family caregivers of people with advanced dementia — a qualitative study’ 2015, Primary Health Care, 25, 2, p. 16,
Davies, N, Maio, L, Vedavanam, K, Manthorpe, J, Vernooij-Dassen, M, & Iliffe, S 2014, ‘Barriers to the provision of high-quality palliative care for people with dementia in England: a qualitative study of professionals’ experiences’, Health & Social Care In The Community, 22, 4, pp. 386-394,
DEMENTIA CARE PLAN , DIXON 2012
Specialist palliative care in dementia: AVAILABLE AT: https://www.bmj.com/content/330/7482/57.full

A systematic review of the scientific evidence for the efficacy of a palliative care approach in advanced dementia AVAILABLE AT: https://www.cambridge.org/core/journals/international-psychogeriatrics/article/systematic-review-of-the-scientific-evidence-for-the-efficacy-of-a-palliative-care-approach-in-advanced-dementia/AF220820D211BAA66009D0755BD7D8F7
Palliative care for people with dementia
AVAILABLE AT: https://academic.oup.com/bmb/article/96/1/159/299171
https://www.repository.cam.ac.uk/bitstream/handle/1810/245560/Planning%20for%20Death_dspacex.pdf?sequence=1&isAllowed=y

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