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Case Study: Mr. Davis End of Life
Mr. Davis is 76 years old with a medical diagnosis of "failure to thrive." He lives with his older brother, but his health has been steadily declining since the death of his wife Ruth 8 months ago. The doctors have been unable to assist him in regaining his strength/health. He has been placed into palliative care as of this morning and been told he has 6-8 weeks to live. You are the home health nurse assigned to Mr. Davis.
Questions:
1. What are common health issues for the elderly patient in a community-based setting? What are common health issues for the elderly patient in a health care setting? Could either of these things have contributed to Mr. Davis' current status? Why or why not?
2. What are the options for Mr. Davis at this point?
3. What paperwork may need to be gathered and placed into his chart regarding end of life decisions? What are the purposes of this paperwork?
4. What education may Mr. Davis and his brother need at this time?
5. How will you help plan his care with him?
6. Will you need to include any other collaborative team members to help Mr. Davis at this point? If so, who and why?
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