Reference no: EM133541384

Joy Barker a 72-year-old lady has been admitted to your ward with acute deterioration of daily functioning. She has a diagnosis of a rare small cell carcinoma, diagnosed five months ago. Since then, she has been receiving cancer treatment which includes chemotherapy and radiotherapy. She is still in the active phase of treatment. Doctors had thought that they could get her into remission, but they have been unsuccessful. Her family have brought her in to see if there is a medical reason for her deterioration and confusion. Collateral history from her reveals that she is not eating, her fluid intake is poor, she has taken to lying in bed most days and is more unstable on her feet. She is on MS Contin for pain management.

Questions

1. Discuss the assessment tools used in palliative care and why you have chosen to use them.

2. Where you will link patient concerns to the possible cause and the nursing management/care for each issue.

3. Discuss pain management strategies.

4. Discuss how you would provide support to Joy and ensure that you provide dignified care.

5. Discuss how you would provide support to Joy's family.

6. Discuss how you would determine extinction of life and care after death.

7. Name 3 legal issues that relate to end-of-life care.

8. Discuss the possible impact of loss and grief on the family and what resources are available to support their bereavement.

9. Discuss

a. self-care strategies for nurses working in palliative care and end of life care.

b. The importance of debriefing with colleagues

c. What resources are available to assist with bereavement for staff?