Nursing Case Study Nursing Care Plan

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According to Canadian institute of health information “Advance care planning or advance directives are associated with better patient experience and lower costs for the health system (2016, p.11). Health care providers hold the accountability to educate and inform the patient to scrutinize treatment options and to help them to make preferences by “engaging patient and families to reflect on their values, understand their disease process and progression, and develop a palliative care plan” (Dahlin, Coyne and Ferrell, 2016, p. 183).
I based this assignment on Mrs D., who is an 82-year-old lady and suffers with Acute Lymphoblastic Leukemia which is a is a cancer that starts from the early version of white blood cells called lymphocytes in the
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The rising discourse of a patient-centered approach to care has been widely adopted by the nursing and medical communities (RNAO, 2005). I discussed to my preceptor of Tanner’s, “Good clinical judgment requires a flexible and nuanced ability to recognize salient aspects of an undefined clinical situation, interpret their meanings, and respond appropriately” (Tanner, 2006, p. 205). We were able to arrange a meeting with daughter to discuss goals of care. During meeting we express empathy with daughter looking at sensitivity of the situation and explored is she completely understood the resident’s wishes before making any …show more content…
We helped daughter to identify, prioritize, and initiate goals for her mother’s care, involving her in decision about her life and by being truthful to her mother. Through this actions, we could help the daughter to focus on what she want for her mother and facilitate the decision-making process (Gillick, 2009). Also we emphasis the need to have open communication with Mrs D. in order to be able to talk freely about comfort options as well as to promote trust and avoid deception: ‘If information is withheld from any member of a family, this can lead to a breakdown of ‘free’ and relaxed communication, which is essential when someone is terminally ill”(Enes & de Vries, 2004, p. 155).
The importance of acknowledging the patient as "central to the decision-making process" (Légaré et al., 2011, p. 557). We acknowledged daughter’s fears and supported her by remaining non-judgemental. Furthermore, we involved Mrs.D in care planning and informed family about our palliative and hospice services. “All aspects of care are provided in a manner that is sensitive to the person’s and family’s personal, cultural, and religious values, beliefs and practices, their developmental state and preparedness to deal with the dying process(CHPCA, 2013, p.

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