Palliative Approach: Case Study and Nursing Interventions

Running head: CASE STUDY: PALLIATIVE APPROACH
CASE STUDY: PALLIATIVE APPROACH
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CASE STUDY: PALLIATIVE APPROACH
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Answer no 1.
For a nurse, it is important to maintain their own emotional wellbeing as in health care
sector they might undergo emotional instability due to death and dying of the patient
(Ingebretsen & Sagbakken, 2016). For the nurse it is significant to see death as part of life, it can
make the nurse support social and emotional well-being of themselves and of their colleague.
From the research of Siffleet et al. (2015) it was observed that with continuous death in the units,
nurse can feel constant strain, but intervention to support the emotional wellbeing is essential. I
as a nurse has the responsibility to make my colleague understand the nursing standard principle.
I will give the educational session to make them know, that in the profession of nursing we have
to come across many harsh situation. The most important part is to control the social and
emotional so that we could give effective care to the patient. Additionally, for myself, I will
engage myself in care of the patient so that I could be helping hand for them (Cecil & Glass,
2015). It will give me inner satisfaction and will help me to maintain my social and emotional
wellbeing. I will advise my colleague with the same.
Answer no 2.
In palliative care approach, the main motive of the nurse is to improve the quality of life
of patient and their family by dealing with their pain, sentiments and spiritual problems (Wiener
et al., 2015). In context of palliative care, both benefits and burden can persists in term of care of
the patient. From recent studies, it was noted that hospice care help to manage the symptom and
quality of life as compared with the cure directed care (Dalal & Bruera, 2017). They have less
stress and anxiety and are in more control way. However, burden occurs when there is conflict
between the health care team and family regarding mode of treatment and mistrust in health care

CASE STUDY: PALLIATIVE APPROACH
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professional. Therefore, the benefit and burden of the treatment leads to aggressive care and poor
prognosis in theory of palliative care (Schwartz et al., 2016).
In Hildy case, benefit and burden can arise if her family member have confusion about
the type of care being provided to her. If there is conflict between the families members of Hildy
regarding prognosis of cancer, burden and benefit can occur in the palliative care. Or if they have
trust issue with health care professionals that palliative care can deny the patient of life-
prolonging therapy, burden of palliative care can exist in the case study. However, some
emphasize that it will improve the health outcome of Hildy through palliative care, both benefit
and burden can be applied in the context of Hildy’s case.
Answer no 3.
Issue 1 identified
The significant issue that is affecting the comfort of Hildy is her pain in back and
shoulder which is becoming worse day by day. Problem is increased after taking shower because
of extensive pain and also have problem with bowel motions.
Intervention 1
I will help her with daily living activities and will provide assistance in taking shower
and in washroom. As part of hospice care, I will arrange a bedside commode so that she could
not face any issue with mobility (Hunter et al., 2017).
Intervention 2
I will provide effective medication to her in consultation with the physician that will help
her to deal with his pain. It is evident that pain in cancer can be managed with effective
medication and will give relive from the intense discomfort (Anisa, Erika & Rachmawaty, 2018).