1. Is to assist the dying client and his family in the best way possible during the final days before death. The main goals of palliative care are;
• assist in controlling the pain and symptoms of the illness
• to ensure that death is a natural process
• to provide compassionate care
• Care of the mouth, eyes and nose
• Changing position
• Watch for breathing difficulties
• Incontinence, diarrhea and constipation
• Nutrition and hydration
• Self esteem
• Odor control

2. The health care team helps meet the dying client’s emotional, social, spiritual, intellectual and fiscal needs. The client who are dying need accurate information to make informed decision. As a PSW I should make sure to support the client when they want to talk, about their fears, worries, and anxieties. Respect their preferences about if they want to be alone of want to have company, make sure you listen, touch conveys caring and support when words cannot, cover all basic needs such as; pain relief, comfort, eyes, mouth, skin care, elimination, nutrition also comforting the family who may be feeling tired, sad, facilitate the sharing of the feelings and fears and respect the individuality of the family members, so show you feeling by being respectful, empathetic, and supportive. Help to make them as comfortable as possible. Respect the family’s right to privacy while taking care, and also respect the client’s and family’s cultural values, ask the client and family what they have used to cope effectively in the past, to use as a guide for the present situation, acknowledge difficult requests by using negotiation to find reasonable requests that are achievable in the present reality and maximize the limited time available.

3. even though the client have the right to have the question answer honestly, but as a PSW I need to know my employer’s policies and scope of practice, so I would tell the resident in a polite way that I do not have answer for that question since no one knows for sure the exactly day we will die, I would reassure the client deal with fears of dying, acknowledge the client’s wishes by asking what, when, and from whom and also let him know I’m there to help, support all the time,

4. Every client could react different to a situation so I must respect the client’s decision. I would report it to my supervisor and the family could get help from the case worker who may help them to understand and support better their love one. While that I would provide good care and be supportive as much as possible by listening with empathy, focus more on the client

5. They are during the bargaining stage I would respect it, be genuine and open I probably listen with empathy, deal with fears of dying and I also I will reported to my supervisor so they can get help and learn how to manage the situation better

6. My client in the anger stage, I would not take anything personal. I would be patient and I’ll try to explain the resident I’m doing my best and I’m there to help her I also encourage the my resident to tell how she want things to be done in order to provide a better care.

7. I should not turn away from feeling as that is a normal reaction to a loss and death. I would share my feeling with the nurse on my unit as it helps to talk about my feeling.

8. In this case I have to respect cultural diversity for this care, I would assist and as much the family want me to be involved and I must give family members the opportunity and the permission to say good-bye in their own way.

9. I would tell them is not late even though the resident is already unconscious is able to hear until the moment of death as the hearing is one of the last function to be lost. I would encourage the family to communicate and stay with the resident to talk to their loved one all the time as the resident is able to hear I just suggested to speak in a normal voice and to avoid topics that could upset the resident.