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Sophia Scenario Palliative Care PDF

   

Added on  2020-03-28

7 Pages1719 Words345 Views
Running Head: SOPHIAS SENARIO PALLIATIVE CARESophias senario palliative careName of the StudentName of the University Author Note

1SOPHIAS SENARIO PALLIATIVE CAREIntroductionThe assignment deals with the case study of Sophie, a 47-year-old woman living withmetastatic breast cancer. She was admitted to the palliative care unit after the worsening of thesymptoms. In response to the case study the assignment discusses the role of the palliative carenurse for Sophie in conduct a comprehensive health assessment management plan. It includes theuse of patient history in assessment, use of physical examination in assessment, the priorities ofmanagement. The discussion and the clinical decision-making pertaining to the case study issupported with the relevant literature. Patient history in assessment The palliative care nurses must be well versed with the significance of taking the newpatient history for documentation. Based on the literature evidence, the nurse must initiallygather information as per the type of tumor. The nurse must obtain the relevant breast cancerfocused history. The history of the present illness may include onset, location, duration,characteristics of the signs and symptoms (Schacht et al., 2014). It should also include theSophie’s aggravating and relieving factors. The nurse must document the details of thetemporality of the presenting sign or symptoms. Further, the type of medication that wasadministered to her is also necessary to gain a perspective on the current illness symptoms and torule out side effects (Bower et al., 2014). For instance, the use of MS Contin 120mg BD andmorphine (Ordine) elixir 40mg PRN for breakthrough pain It is necessary to well establish thestory of the cancer diagnosis of Sophie as a palliative care nurse. The nurse must then determinethe appropriate manner of diagnosis pertaining to that type of tumor. The nurse must collect data

2SOPHIAS SENARIO PALLIATIVE CAREon the extent of the diagnosis process that has been conducted to date. Based on the diagnosis thenurse can make decision on the care plan to be designed. According to Swartz (2014), there is a great impact of the social and the family life on theillness and the coping mechanism of the patent. Therefore, the nurse must ask the patient to retellher story even if it is emotionally difficult. It will give the nurse some perspective on theemotional trauma of cancer diagnosis. It will help obtain information on the family supportreceived by Sophie, level of social inclusion. In case of Sophie, a strong family support wasobserved. As she was working, she had adequate social connectedness. As the patient retells herstory, the patient and family, competence is observed in respect to dealing with the health caresystem (Pandey & Nguyen, 2017). Sophie has strong support of her husband and her two teenagesons. The patient’s details indicate of high level of resilience in the distress of illness. However,there is a great potential for distress considering her worsening of symptoms. Further, there is agreat role of the genetics in the cancer. Family history of cancer is the aggravating factor. Sophieas per the history shows positive coping strategies. She is engaged in meditation and yoga andthe same can be used as strength to encourage her during palliative care. In conclusion, collecting the patient history is useful to provide the patient centered carein the palliative care unit. The care plan may involve the use of routine such as playing of musicor anything related to Mozart as it is Sophie’s favourite. During care process, Sophie can begiven the peppermint tea to relieve her nausea. Further, the history is useful to design the careplan as per the tastes and preferences of Sophie and her family.

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