Davy et al., 2015 argues that it is not beneficial for dementia and mental illness. CCM has six elements and studies have shown that it is difficult to distinguish which component of this model may have more benefit and insufficient evidences of how the health care system can organize high quality of care to deliver to individuals (Healey et al., 2015).
Coulter, Roberts & Dixon (2013) identified that National Health Service England has adapted House of Care Model (HOCM) for LTCs to reduce mortality and morbidity and to deliver high quality of person centered care. This model is for patients who are having one or more conditions. The patient is supported by different services and through collaborative care plan so that individuals can’t be confused
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The World Health Organisation (WHO, 2017) revealed that palliative care is an approach for improving the quality of life of patients experiencing LTCs and life-threatening illness and provide holistic care.
In the light of other definitions, palliative care might also be considered as an approach for preventing and suppressing suffering by early identification, appropriate assessment, and treatment of pain and other symptoms (Baldwin & Woodhouse, 2011).
Welsh Government (WG, 2013) acknowledges that palliative care covers diversified aspects of palliative care and end of life care. This plan includes the expert palliative care services which are delivered by the National Health Services (NHS).
The Welsh government plan for palliative care (2017) is focused towards recognition of the needs of individuals seeking palliative care and taking measures for the provision of palliative care services. WG works together with different sectors, multi agencies, and
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Palliative care is provided by prescribing medications and diversified other strategies for improving overall health and well-being of individuals (Ingleton & Larkin, 2015). On the contrary, the end of life care is only recommended for patients, who could not be further treated due to their terminal illness (Dixon, King, Matosevic, Clark & Knapp, 2015).
It involves agitation which is distressing for cognitively impaired patients and their families for which psychological therapies and mini mental state examination (MMSE) should be performed (Oxford Medical Education, 2015).
De Souza & Pettifer (2013) suggests that psychotherapy and MMSE are necessary because agitation and anxiety is linked to biochemical abnormalities and it might effect on body organs to fail (De Souza & Pettifer, 2013)
In the year 2014, the fundamental priorities related to the provision of care during the last days of life and previously implemented policies and procedures implemented in Wales were reviewed (NHS Wales, 2016). This review significantly contributed in launching care decisions for the last days of