Sample five wishes workbook: https://www.fivewishes.org/five-wishes-sample.pdf
Students will write a professional, concise, evidenced-based paper addressing the components listed
below (3 pages maximum, not including cover page and references). Proper grammar, spelling, and APA
format are required.
Please make sure to:
▪ Identify a theoretical model/framework to guide your selection of assessments and
interventions and provide the rationale for your selection.
▪ The plan should identify an appropriate assessment and evidence-based client-driven
interventions based on the information provided by your client.
▪ Provide a rationale for your selection of assessment and interventions for each
dimension of end-of-life care.
▪ Students are to provide a list of resources available to clients addressing the four
dimensions of the end of life care: physical, psychological, social, and existential.
This paper is for you to take the information your client expressed in your interview. Based on your
discussion, you are to select a theoretical model to guide how you develop an end-of-life plan.
Consider what assessments may be beneficial to provide more information to set up a holistic plan.
Provide rationale and evidence for your intervention selections. This will not be provided to the
patient. I want you to create a plan as if you were “treating” your client.
Images of the workbook completed with the client have been attached.
Additional information:
Four Dimensions to be considered for end of life care
▪ Physical- control of symptoms- pain, fatigue, declining mobility, endurance, loss of daily
routines and activities
▪ The largest area of loss reported is ADL and leisure activities
▪ Psychological- fear, worry, anxiety, depression, and loss of identity and self-worth
▪ Social- loss of social roles and networks, limited communication with others, and
handling marginalization issues
▪ Existential- life crisis and the awareness of the end of life
Assessment- these are suggestions- you are not limited to these assessments
▪ Model of Human Occupation assessments
▪ MOHO screening tool
▪ Model of Human Circumstances Assessment and Rating Scale
▪ Occupational Self-Assessment
▪ The Volitional Questionnaire
▪ Assessment of Motor and Process skills (AMPS)
▪ Canadian Occupational Performance Measure (COPM)
▪ Individual Prioritized Problems Assessment (IPPA)
▪ https://www.researchgate.net/publication/
235641330_IPPA_Individually_Prioritised_Problem_Assessment/link/
56682d6e08aea62726f1890d/download
▪ Activities of Daily Living Interview
Intervention- these are suggestions- you are not limited to these categories
You must provide evidence and rationale specific to end of life
▪ Prioritizing resources and resources to daily living
▪ Compensatory strategies- home modifications and assistive technologies
▪ Education- relaxation techniques, transfers, and lifestyle changes
▪ Managing fatigue
▪ Providing leisure opportunities
▪ Explore opportunities for meaningful occupations
▪ Positioning for pain control
