Terminal phases of breast cancer

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Reference no: EM133848061

Question

You are the home health nurse assigned to care for a client who is in the terminal phases of breast cancer. The client has recently been diagnosed with metastasis to the bone. She has been taking oxycodone (one 5-mg tablet every 6 hours) at home but is not sleeping through the night and is now complaining of increasing pain to the point that her quality of life has decreased significantly. She wants to stay at home during the terminal phases of her illness but needs to have adequate and safe pain control.

a. The client's recent increase in pain has been attributed to bone metastasis. Currently, the oxycodone is not beneficial. When discussing her pain medications with her nurse practitioner, what type of medication would you expect to be ordered to relieve the bone pain, and what is the rationale for this medication?

b. The client continues the new pain controlling drug for her bone pain and is prescribed another opioid medication that is given QID, plus an additional immediate-release opioid medication to help with any breakthrough pain.

c. One morning, the client is found by her partner, awake but lethargic, and speaking with slurred speech. What do you think has happened?

d. The client is taken to the emergency department and is treated for over sedation. How can this problem be prevented in the future?

Reference no: EM133848061

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