Reference no: EM133228194

Question: Mr James Diggle, 68-years-old, has been diagnosed with metastatic lung cancer. He long ago lost his wife, Catherine, whom he had two sons with, John and

Marcus. The two sons both have families of their own now. He lived alone, but due to his deteriorating health and increasing symptom distress, he could no longer take care of himself. He had already been advised that his prognosis is short and has decided to enter himself at Lotus Compassionate Care.

It depresses him so that he misses his wife very much. He wished Catherine was there to keep him company and to comfort him in his darkest moments. To worsen things, he has not spoken to John in a long time because of disagreements from the past. Marcus, on the other hand, together with his family, visits Mr Diggle whenever they can. It pleases James so much to see his grandkids. He wishes to reconcile with John and sincerely hopes that his two sons will be by his side before he dies.

Mr Diggle is often seen alone on the porch, reading a book. He does not mingle that much with the other residents. He also used to be an active member of the church, but his cancer had led him to feel hopeless, and he cannot help it but lose faith in God.

In his first week, Mr Diggle is lively and alert, and he walks with the help of a walking aid. He needs assistance with some of his activities for daily living (ADLs) including walking up the stairs and showering. He tires easily and encounters difficulty in breathing.

He has complained about this persistent pain he has been feeling, which is worsening over time. The pain medication he is on is only helping a little. Aside from this, his appetite is poor and could not sleep because of the pain. Changes to Mr Diggle's care plan will be made to help him address these symptoms.

By the second week, Mr Diggle's symptoms have improved. However, his fatigue has not improved and only worsened. Now he spends more time in bed. Due to the progression of his disease, he has started to become confused and disoriented at times.

In his third week, Mr Diggle becomes less responsive. He cannot eat food or take oral medication anymore. He is restless at times, and he is now bedridden. He has noisy respiratory secretions.

Consider Mr Diggle's first week at Lotus Compassionate Care.

Write a report (50 - 150 words) to Rachel Alcott, your supervisor. In your report, advise Rachel about Mr Diggle's changing needs which will be included in his new care plan.

Your report must include at least three (3) of Mr Diggle's changing needs.