Database and Assessment Table 1 – Physical Nursing Assessment Data GENERAL: Patient is an 88 year-old Caucasian male. Vital signs stable at 97.3°F, 82BPM, 22 breaths/min, 84/54mmHg, 100% on 1.5lL O2, 0/10 pain, patient weight 58kg. SKIN/HAIR/NAILS: Skin was thin and fragile, warm and moist, skin color slightly pale, skin tear on left upper arm measuring 3 inches, no bleeding or pain.…
The patient is a 56 year old Bangladesh male came by ambulance due to sudden onset of shortness of breath at 3 o’clock in the morning when he woke up to go to the washroom. The patient also has chest pain, nausea and vomiting, fever and worsening orthopnea The patient is having dementia, hypertension and ESRF stage 4. However, patient reused HD and was under nephro clinic, but planned for palliative management. The patient had been admitted to the hospital due to the same presenting complaint for several times.…
Mr. Athens along with his family has decided to return home while he makes his transition as the doctors are unable to provide any additional care for his Alzheimer’s. Upon discharge the hospice nurse has a meeting with Mr. Athens and his family to discuss what they can expect and what services can be offered to them. The first of three interventions the nurse discuses with them is pain. Mr. Athens was previously involved in a motor vehicle accident which caused him to suffer from sever back pain.…
Oregon is just one out of five states that passed the law for PAS. Mrs. Crane’s is a lady who is widowed 72-year-old and she is an Oregon resident with terminal advanced metastatic bone cancer. The rules say that you must be at least eighteen years’ age, a resident of the state, and diagnosed with a terminal illness that will lead to death within months. So, she is well qualified to get what she is asking for.…
Most of the time the child was crying due to pain. He was not getting adequate management for pain. Hammes BJ, Cain JM (1994) said that many national guidelines reported the ethical issues related to pain management and the main problem is in the application of these standards into practice. The child’s pain control can be achieved by means of initiating patient control analgesics concept and complementary therapy like music therapy also an initiative to reduce the pain. Palliative care has a great implication in nursing field.…
Eight years ago my uncle was diagnosed with stage 4 throat, lung, and spine cancer. He began treatment immediately, but saw very little relief from the treatments. He spent four years in and out of hospitals and medical facilities for surgeries, therapies, and pain management. During this time he asked several doctors to end his pain and suffering and allow him to die peacefully before he was unable to make the decision. Each time he was told that it was illegal in the state of Georgia to offer such assistance, but hospice could keep him comfortable until the end.…
Each of these factors blend into one another. His ineffective airway clearance leads to an obstructed airway and this contributes to his decreased perfusion in his lungs, which is why he experiences restlessness and shortness of breath. All of the factors listed above plus many more result in his progressing COPD and ultimately his decreasing health. Leyshon (2012) promotes palliative care for those who in the terminal phase of the disease. When placing a patient on hospice or palliative care "they are more likely to receive co-ordinated support, including classification of their specific needs, advance care planning discussion, prevention of crisis admissions and a proactive approach to symptom management" (P.…
Being diagnosed with a disease known as terminal can impact a person in ways beyond the understanding of many. Medical professionals deal with these scenarios every day. They understand the devastation and the thoughts running through the mind. They understand the difficulties one will soon face after a diagnosis, and they are there to help. As the patient, all the individual can see is the loss of control, the fight ahead, and the disease that is pushing their body around.…
When serious illness strikes an individual, it can be a life altering. Illness will directly or indirectly effect everyone at some point in their life. Palliative Care and Hospice Care, are two services that provide whole person; physical, emotional, and spiritual care for patients at separate times after diagnosis. Understanding the differences and similarities will enable patients to receive the appropriate support and services during their time of need. The resources available can provide peace of mind and needed support during a challenging time not just for the individual but their family as well.…
She was thirty-four years old and 39 weeks pregnant when she was diagnosed with life threatening lung cancer. She and her husband decided to actively manage the tumor. They started chemo and kept changing drug after drug because it did not work. Another patient around eighty years old had end-stage respiratory and kidney failure. Her husband had died long ago with feeding tube and tracheostomy and she saw the pain he had undergone.…
Best practice recommendations are that patients be approached and asked about an advanced directive early, before they become critically ill. Education should be provided, including all treatment options. It is best that this be done in the presence of patient’s family to ensure that everyone is equally informed and involved in making this decision. Although unless the patient lacks decision making capacity it is ultimately their decision to make.…
End The Suffering A family member asking you to promise to “pull the plug” can be a difficult position to be in as a healthcare worker and family member. If the patient does not have a living will made up in the event they could no longer speak for themselves, you cannot just simply pull the plug. It is illegal to assist in someone ending their life. There are arrangements they can make such as signing a do not resuscitate ( DNR) which prevents the medical staff from taking measures to prolong their life.…
Many people are diagnosed with terminal illnesses every year. These medical conditions are very hard for the patient who is suffering from such extreme medical conditions and it is also very hard for the families of the patients because they know there will come a point in life where the medical condition will end their loved ones life. Patients who are faced with terminal illnesses are aware that there is only so many medical treatments, medications, and surgical procedures that can be done by medical professionals in an attempt to keep them alive for as long as possible. In the case of Cody Curtis who was a 54 year old women who was suffering from liver cancer, she goes through a long process of treatments to try to help her cope and recover from her cancer.…
Research question “What is an appropriate time for referring hospice care for solid cancer patients could enhance their quality of life?” From other research studies, we can see the result that hospice care could enhance cancer patient’ quality of life (Tsubamoto, 2014). However, most of the hospice care will be referred to patients when the condition turned critical. In addition, people often talked about that “wish can enter hospice care earlier.” Therefore, the research study would like to discuss and compare three different times to refer to hospice care which includes the newly diagnosed stage four of solid cancer patients, after some levels of chemotherapy and radiotherapy without advancement of their health condition, and the latest…
The first year of treatment was going good, until they saw that the cancer wasn´t going away and was instead spreading further throughout his body, his healthy…