The PEPSI COLA framework provides a systematic approach to planning and reviewing care for individuals in a palliative care setting. It emphasizes a holistic and multidimensional assessment to ensure all aspects of a person’s needs are met as they approach the end of their life.
- P – Physical
- E – Emotional
- P – Personal
- S – Social
- I – Informational
- C – Control
- O – Organizational
- L – Late
- A – Aftercare
Here’s a breakdown of the PEPSI COLA framework:
- P – Physical
- Addressing symptoms such as pain, breathlessness, fatigue, nausea, constipation, and other physical manifestations of the disease.
- Considering issues related to mobility, sleep, nutrition, and other physical care needs.
- E – Emotional
- Recognizing and managing emotions such as fear, anxiety, sadness, or anger.
- Offering psychological support and interventions.
- P – Personal
- Addressing the individual’s religious and spiritual journey
- Quality of life
- Patient’s/Carer’s agenda
- S – Social
- Considering the patient’s social environment, including relationships, social support, and living conditions.
- Addressing any challenges related to caregiving, financial concerns, or other social factors.
- I – Informational
- Ensuring the patient and their family have adequate information about the disease, prognosis, treatment options, and what to expect.
- Providing resources and educational materials as needed.
- C – Control
- Respecting and addressing the cultural beliefs, customs, and values of the patient and their family.
- Being aware of any cultural practices or rituals related to end-of-life care.
- Where to die
- Ensuring the patient’s rights are upheld.
- O – Organizational
- Addressing legal issues, such as
- advanced care planning
- wills
- power of attorney or
- guardianship
- Ensuring that care is coordinated and that all members of the multidisciplinary team are involved as appropriate.
- Addressing any logistical issues, such as service provision, equipment needs, or care transitions.
- Out of hours care
- Addressing legal issues, such as
- L – Late
- Terminal care – injectables and syringe driver if dying at home
- Comfort measures and spiritual care
- A – Aftercare
- Bereavement followup
- Family support
The PEPSI COLA framework provides a comprehensive approach to palliative care, ensuring that all dimensions of a person’s well-being are considered and addressed. Using this framework can help healthcare professionals provide comprehensive and person-centered care to those in the palliative phase of their illness.