Table 2 Psychological needs, palliative care and environmental requirements
Psychological Needs [8] | WHO definition of palliative care [45] | Aspects of the Addington-Hall approach to palliative care [46] | Environmental needs identified from this study |
|---|---|---|---|
Attachment | Support to person and family | Importance of sensitive communication | Promote of a sense of familiarity and homeliness |
Comfort | Symptom control | Quality of life | Support of the continued use of the senses |
Provide access to the outdoors/natural environment | |||
Provide access to nature indoors (e.g. plants, natural light, fresh air) | |||
Promote calmness | |||
Support safety and security | |||
Enable visual monitoring by staff – via human contact | |||
Reduce physical stress | |||
Facilitate nursing care | |||
Identity | Integration of psychological, social and spiritual | Whole person approach | Provide opportunities for engagement with spiritual aspects of life |
Provide privacy | |||
Foster dignity | |||
Occupation | Affirmation of life | Respect for autonomy | Provide opportunities for social engagement |
Inclusion | Support to person and family | Care of the person and family | Provide opportunities to be with family |
Support staff, residents and visitors to find their way around |