Pallative care Case Study

She also needs help for her hygiene routine, for instance, she needs help to organize her shower and to dry of afterwards. However, pain is a great impediment for her movements as the nurse finds her grimacing in pain in a sitting position. Pain Hellen is experiencing chronic pain. She has a pain score of 4 with occasional spasms of up to 8 out of 10. She has continuous deep ache that can be managed with targin 10/5 mg and PRN Ibuprofen Elimination Helen has constipation which makes her feel uncomfortable. 1aii Principles of palliative care Palliative care is a form of a multifaceted care that considers the medical, nursing, psychological, social, cultural and spiritual needs of a patient. This is to ensure that patients receive a holistic form of treatment to care for their needs.

Palliative care is guided by several underpinnings that include: A caring attitude This involves being sensitive and empathetic to patients. There is need to show them some compassion to patients as well as concern for their suffering (International Association for Hospices and Palliative care, 2018). In the palliative care, a non-judgmental approach is highly recommended to ensure that the personality, origin, or religious belief of a patient do not affect the care they receive. For instance, she may want to have a Holy Communion or have a word with her spiritual leader such as a Father. It is important to try ad meet the needs that can be met to make her feel at ease. 1aiii Pain Management Pain management highly contributes to patient satisfaction.

There are several pain assessment tools that prove to be reliable. One is the Numeric Ratiting Scale (NRS), which is quite advantageous (Baharuddin, 2010). These include increase fiber and fluid intake. Moreover, Polyethylene glycerol, sodium picosulfate, bisacodyl, and prucalopride could be administered to resolve the problem (Portalatin and Winstead, 2012). 1av Nursing intervention for nursing diagnosis It would be important to provide ambulatory care for Helen to ensure she is protected fromfall which could worsen her health outcomes. Moreover, it would be important to administer pain medication when necessary to ensure that she is comfortable. It is also critical to ensure that triggers of her pain and the frequency of pain is known to ensure there are no delays in the administration of pain relieving medication.

Would you like to talk about how you feel? 1aviii Catholic belief and cultural system The Catholic belief holds that a person is a unity of body and soul. This is to imply that as long as an individual is alive, they have a soul and that they are present. People, according to the catholic faith are valuable because God created them to love and serve God (McDermott, 2017). This is why it’s significantly important not to end one’s life, even when it is proven beyond reasonable doubt that the person lacks good quality of life. The Catholic faith supports palliative care, as it seeks to neither hasten nor delay death (McDermott, 2017). It is her wish to have some classical music play at end when her family surrounds her.

1bi Impact of loss and grief Helen’s husband and her two daughter are likely to be affected by her terminal condition. They may not be ready to face the loss and grief that may befall them when Helen dies. It is important that the family go through some form of counselling from a professional guidance and counsellor as well as a psychologist. This way, they may be able to cope with the reality of possible loss and grief that may follow. They could for instance appoint someone to make decisions about their care when they cannot (Advanced Care Planning Australia, 2018). This needs to be respected as it is their wish. Health care providers are required to abide by the ACD.

1c. ii. They may oppose her organs being given for donation or her body being used for medical studies. It is difficult not to let the family not know about her wishes when they dispute such actions. Therefore, it is important to encourage her to talk the decision through wither husband. 1d i Observations I would call my nursing supervisor to ask for advice on what to do. In case the supervisor is not around, I would call a doctor. 1f ii I would suction the fluid from the wound and use an antibiotic to clean the wound. I would also make sure that I use an antibiotic such as iodine during dressing to prevent infection. 2a i • Establish a well coordinated team prepared to handle the new development • Come up with a plan to classify patients who need most attention • Figure ways to handle the big patient load by offering support to each other 2a ii • Low levels of job motivation • Reduced concern over a patient’s wellbeing • Exhaustion 2a iii Encourage nurses to check for signs of burnout and occupational stress and ask them to report it to any of the members.

Assist members with symptoms of a burnout by taking some load off their hands and asking them to seek help and take some rest. 2b i Denial is the first stage and it involves someone absorbing bad news at a slow rate. For a man, shaving would be appropriate if that would be his normal practice (Horst, 2017). • Cleaning their teeth and mouth taking care not to remove dentures if there are any (Horst, 2017). • Clean their body with water and a little soap (Horst, 2017). • Dressing the body according to the person’s wishes or cultural practices (Horst, 2017). • Positioning the arms alongside the body and straightening their legs (Horst, 2017). , Mohamad, N. , Rahman, N. H. N. A. Durban Bloc Jaggers|Studio. Retrieved October 12, 2018, from https://durbachblockjaggers.