Palliative Care Nursing: Perspectives
Added on 2020-06-04
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Apply a palliativeapproach innursing practice
Table of ContentsINTRODUCTION...........................................................................................................................1CONCLUSION................................................................................................................................7REFERENCES ...............................................................................................................................8
INTRODUCTIONAn essential role is being played by the nurses in palliative care. Not only the nurses ofpalliative observe and record symptoms and treatments not in additional to this they also offeremotional support yo terminally ill patient and their family members through a series of roles(Reimer‐Kirkham and Stajduhar, 2016.).In this report the term 'palliative care' will be explained and also based on the case studythat is given the change in the nutrition and hydration status of Penny will be described. The endlife pathway will also be explained in this report. Further more this report will also explain theadvanced care directive.a) The term palliative care As per the case that is being shown that Penny is not well since long time. WithAlzheimer's disease Penny was diagnosed 10 years ago and 2 years ago a lump was observed inher left breast. This was diagnosed by breast cancer. So, in this case palliative care is a medicalhelp that is being given to the people for a serious illness. Here Penny is being suffering fromsome serious illness so this care will focus on providing the relief from symptom and stress of aserious illness such as dementia or breast cancer. It will help both of them that is Penny and thefamily of Penny in order to improve the quality of life (Sawatzky and Baumbusch, 2017).b) Change in the nutrition and hydration status of Penny As per the given case it is being shown that as a serious illness that is dementia and breastcancer is being suffered by Penny so due to this it is having a negative impact on her body she isbecoming weaker day by day and has become increasingly confused and also a lot of weight isalso being lose by her. In order to relieve pain and discomfort the palliative care need to be givento her. And the intervention that will be given to her in the palliative care will help her to live apain free life (Sipples and Bakitas, 2017).c) End of life pathway In the residential care aged care the end of life care is a care plan that guide the provisionof good quality need of life care. For the dying residents in the residential aged care facilities endof life care pathway will incorporate evidence and consensus-based best practice. This will helpPenny to provide a high-quality standardised care. In this based on the health status of Penny themedical interventions and advance care planing ill be given to her. Regarding the condition ofPenny the communication with the family members will also be done. In order to enhance the1
comfort care the nursing and care staff will also document the further actions that need to betaken.D) The management and clinical nursing skillsIn order to help Penny to manage the skin integrity a protective barrier need to beprovided from various threats of environment and also the retention of moisture need to befacilitated. Around the three core principles malignant wound can be organized. They aretreatment of the underlying problem and co-morbid conditions. Local wound management andsymptom control (Fitch,Fliedner and O’Connor, 2015)..CASE STUDY-2a) The pathophysiology of metastatic melanomaWhen melanocytes begin out of control growth then the earliest stage of melanoma starts.In between the outer layer of the skin and the next layer the melanocytes are basically found.When the tumour is less than 1 mm thick then this early stage of disease is known as rapidgrowth phase. During this stage the cells of cancer have not reached the blood vessels inside theskin. At this stage if the melanoma is detected then it can be completed removed with the help ofsurgery. The behaviour of cell changes when the tumour cells start to move in a distinct diction.The invasive radial growth phase is the next step. The process of radial growth is explainedduring this. The melanoma is capable of spreading during this gate. In the next stage the tumourbegins to grow in the surrounding tissue and around the body through blood it will spread(Hynes and Coghlan, 2015.)..Due to this metastatic melanomas John might have an impact on the daily physicalaspects of his daily activities. Due to this he is feeling exhausted and feeling sick in the stomach.He is not able to take a proper sleep and also the pain is also being felt by him. Most of the dayhe is also feeling sad, empty, hopeless and in the things that makes a person happy he is losinginterests or pleasure in those things.B) Strategies of enrolled nurse As per the given case study it is shown that John is at EV stage of Metastatic melanomaso with the enrolled nurse the psychological impacts of disease of John will be discussed. All theproblems that is being faced by John due to this disease will be discussed with the nurse. In orderto help John to deal with the current health condition the various strategies will be made by theenrolled nurse (Fain, 2017). They are as follows-:2
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