Nursing Questions Different Topics - Desklib

Running head: NURSING QUESTIONS DIFFERENT TOPICS 1
Nursing Questions Different Topics
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NURSING QUESTIONS DIFFERENT TOPICS 2
Nursing Questions Different Topics
Palliative Approach: Assessment Task 1: Questioning
1. A caring attitude, Consideration of individuality, consent, communication, cultural
considerations, clinical context, Inter-professional care and care excellence.
2. Holistic assessment of a patient requires consideration of many parameters. These include
meeting the patient in person and not talking to them through phone or any other channel
of communication. The setting chosen for discussion should be private to prevent
disruptions and interruptions, the patient is given enough time to talk about them, sitting
down with the patient, and giving the patient a chance for a family member or a friend for
support. Proper communication skills are used to find what the patient understands and to
inform them about the whole concept of care to tell them about the medical information.
Further, the client is to be informed about future possibilities in relation to care that
include prognosis, admission into care facilities, care dynamics and options such as “do
not resuscitate orders” (Temel et al., 2010).
3. Chronic pain, dyspnoea, Medication Therapy, Nausea and Vomiting as well as
Cormobidities.
4. A. Lifestyle Modifications, Medications, Anorectal Biofeedback.
B. The steps for the administration of Syringe Driver are Selection of the site of infusion
for the insertion of the plastic/metallic Cannulae into the sites that include Anterior chest
wall, anterior abdominal wall, anterior aspects in the upper arm, and anterior aspects of

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the thighs. Secondly, there is minimization of infection at the site of infection and thirdly
there is monitoring of the infusion. The last step entails the management of the
breakthrough symptoms (Watson et al., 2019).
C. Indications: When patients are unable to take medications orally and when there is
poor absorption of oral medicines.
Contraindications: Syringe driver should not be used when the patient is extremely
agitated and when the patient experiences chronic allergic reaction to the use of the
syringes.
D. Analgesia Indications include post-operative pain relief and for severe pain relief,
unable to tolerate oral analgesics.
Nausea indications include persistent nauseating feelings by the patient and lack of
response to nausea medications administered by the doctor.
Steroid injection indications include extreme feeling of pain by the patient and
inefficiency of other pain relief methods to relieve inflammation.
5. Palliative care for the patients requires competencies to ensure satisfaction and
improvement of patient’s quality of health. To respect the social, emotional, spiritual and
cultural needs of the patients requires that they are engaged in the healthcare process.
Listening to them and understanding their needs through effective communication,
engaging their friends or relatives during the care process. Further, the patients must
would be involved closely in the decision making process for instance in choosing the
sites for their care. Lastly, I would endeavor to implement culturally competent care by

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understanding and working according to the cultural characteristics of the patient (Wiener
et al., 2015).
6. EN: development of patient’s plan of care, care manager coordinating the implementation
of the care plan, conducting advocacy role for the patients and their families with the
medical team, development of collaborative relationships in the palliative team, pain and
symptom management as well as physical assessment of the patient, and collection of
family and patient data based on their spiritual, social, emotional and cultural needs.
Roles of Other team members: Initial and ongoing meetings to determine needs,
concerns, goals, which treatments to pursues, etc., Prescribing treatments, medications,
and activities to manage pain and other symptoms and side-effects, Providing medical
and emotional support and guidance throughout the entire process, Allowing the
healthcare providers to focus on treatment while we ensure your comfort, Helping guide
patients and their families through the healthcare system and coordinating all medical
needs (Quill & Abernethy, 2013).
7. Psychosocial Issues include loss, financial issues, culture and Communication. The
expectation of loss in the family can cause depression and affect the health outcome of
the patient. In palliative care some of the losses are immediate while others are long term
and yet expected. It may cause grief and affect the coping of families to the disease
process adversely. Financial issues are a major cause of psychosocial issue. Palliative
care is a very expensive and resource demanding process. The burden of the disease
would especially affect families from low socio-economic backgrounds and may
minimize their accessibility to quality healthcare. The culture of the patient would affect

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their beliefs, attitudes, values and perception of care. Hence, patients and their families
require culturally sensitive palliative management to cope with disease process well.
Lastly, communication is key during palliative care. Lack of proper communication may
cause anxiety and misunderstanding of the patient’s disease progress. Communication
should be well planned to manifest understanding of the patient’s issues and that of their
family members (Ferrell et al., 2017).
8. The communication identifies and aims to address all the needs of the patient, family and
care provider (i.e. psychological spiritual social cultural and psychological, spiritual,
social, cultural and physical issues); Also, the communication provides information
according to the patient s’ preferences (whether good or bad news); The communication
should also invites the patient to share their agenda in a conversation; Aims to
communicate the truth by means of by means of accurate essential information. The
communication should also entail the use of effective body language and emotional
aspects as well as good listening skills to respond and express views appropriately.
9. A. (I): Advance care planning is the process by which patients make decisions that can
guide their future health care, if they become unable to speak for themselves. It is based
on the ethical principle of respect for patient autonomy. Advance care plans reflect
patients’ own values and concerns, and require patients to understand their medical
condition, and also the benefits and burdens of possible treatments. They are important in
guiding decision-making at the time when a patient is too unwell to make their own
decisions, or is unable to communicate.

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It is based on the ethical principle of Autonomy and should be respected by the medical
professionals. It is also regulated by the mental capacity Act that presupposes that
patients should be able to refuse certain treatments under certain circumstances (Temel et
al., 2010).
(II): Advanced Care Directives involves learning about the types of decisions that might
need to be made, considering those decisions ahead of time, and then letting others know
—both your family and your healthcare providers—about your preferences. These
preferences are often put into an advance directive, a legal document that goes into effect
only if you are incapacitated and unable to speak for yourself. It is a legally binding
document whose content must be respected and upheld accordingly.
B: When a patient is in the process of dying and all the impacts of medical processes are
dwindling, it is important to accept that they are dying in the first place. It is also
important to undertake a continuous assessment of their symptoms and their spiritual
needs. Also, there is need to be able to anticipate health issues before they arise for
prompt management. The patient should also be given enough time and be encouraged to
mingle with their loved ones for more emotional support (Quill & Abernethy, 2013).
10. A. Changes in breathing behavior, negative attitude towards food, preference to liquid
food content only, changes in skin color and changes in functional ability. Management
including minimizing their stress and anxiety, good body positioning, use of
pharmacology and review of the patient’s wishes regarding nutrition and hydration.
B. Hydration: Administration of clean water to the patient through a spoon, syringe and
through intravascular administration.