THIS IS A CASE STUDY WITH A TOTAL OF 6 QUESTIONS please try and answer them all :)) Mr Ryan was diagnosed with terminal
Posted: Mon May 09, 2022 5:14 pm
THIS IS A CASE STUDY WITH A TOTAL OF 6 QUESTIONS please try and
answer them all
)
Mr Ryan was diagnosed with terminal liver cancer with the
prospect of an extremely short duration. Mr Ryan discussed the
possible options of palliative care offered by his oncologist and
his multidisciplinary team. The oncologist explored a number of
options and Mr Ryan eventually made the choice of receiving
palliative care at home, rather than a hospice facility or a
hospital. Mr Ryan liked the thought his family &
friends he could see him in his own environment, where he felt the
most comfortable and he could see his garden. The oncologist made
the necessary arrangements to engage the services of a palliative
care team working in his locality, the district nursing service and
his own general practitioner. Mr Ryan in the coming week became
weaker. Andrea’ Mr Ryan’s sister attended to his daily needs with
the support of his multidisciplinary team. His daughter
in law also helped by providing meals, domestic housework and
shopping, where possible.
Circle the correct answer(s):
1. Why is it important for family
and/or friends to be involved in the palliative care
process?
a. It facilitates empowerment and
dignity.
b. It relieves nursing staff of
peripheral duties.
c. It is just a courtesy to include
them.
d. It is part of the nursing duty of
care.
2. In what way can nursing staff
assist with home-based care?
a. Provide counselling
services
b. Support with symptom
management
c. Provide teaching services
d.
All of the above are ways that nursing staff can assist with
palliation
By the end of the second week, his mental and physical health
began to decline. As time went on his sister found she was becoming
fatigued and stressed and she began missing meals and losing her
appetite. Mr Ryan began suffering from incontinence,
rapid weight loss, reduced appetite, nausea & vomiting, sleep
deprivation and irritability & restlessness. Mr Ryan’s pain was
unbearable more often than not resulting in a review of his pain
relief regime and his frequency & dosage being increased with a
possible view to a syringe driver in
time. Mr Ryan admitted to his sister Andrea
that he was concerned and truly believed within himself that he had
made the wrong decision and now wished to see his end-of-life in
the local palliative care hospice. He believed this would help all
concerned. Andrea rang his General Practitioner to make the
necessary arrangements to be transferred. Mr Ryan was transferred
on Saturday afternoon of that week.
1. Under what circumstances might
hospice-based care be required?
a. Only when clients first commence
treatment
b. When carers or family members
require a break
c. When clients are in the last stage
of their illness
d. Both b and c
2. What is the aim of hospice-based
care?
a. To provide care in a calm and
comfortable environment that is as home-like as possible
b. To offer care when hospitals are
not available
c. To offer care comparable
to the hospital setting
d. To care for clients who have no
family
Over the next week. Mr Ryan was cared for by the
multidisciplinary palliative care team at the hospice. Medical
staff assisted with pain-relieving medication and nursing staff
assisted with developing symptom management, as well as attending
to his physical comfort by way of overseeing his hygiene,
continence needs, skin integrity and mobility difficulties &
supervision. Allied health staff assisted with Mr. Ryan’s
psychosocial comfort by providing massages and aromatherapy in
order to reduce his anxiety. His sister Andrea, and daughter
in law visited most days, providing some aspects of care (such as
feeding), as well as reading to him and playing his favourite music
or even old time movies. Sadly, Mr. Ryan passed away at
the hospice surrounded by his family and grandchildren. While Mr
Ryan’s sister and daughter in law were relieved that he was no
longer in pain, they experienced overwhelming grief and loss at his
death. Nursing staff assisted them in their bereavement process by
offering psychosocial supports
Supporting them in the understanding that they contributed to a
‘good death’ for their loved one. However many of the nursing staff
were very upset as staff worked very close to him and formed a
friendships during a brief period of his life.
1. Immediately prior to Mr Ryans “Good
Death” identify what nurses would have observed.
a. Increase in Pressure Injuries
b. Variations in breathing
c. Increased pain
d. Poor skin integrity
2. Analgesic medications are often
used in the pain management of palliation clients, but adjuvant
medications may also be prescribed. Adjuvant medications:
a. are opioids.
b. have nerve-blocking
properties.
c. have pain-relieving properties when
prescribed with analgesics.
d. are morphine-based.
answer them all
)Mr Ryan was diagnosed with terminal liver cancer with the
prospect of an extremely short duration. Mr Ryan discussed the
possible options of palliative care offered by his oncologist and
his multidisciplinary team. The oncologist explored a number of
options and Mr Ryan eventually made the choice of receiving
palliative care at home, rather than a hospice facility or a
hospital. Mr Ryan liked the thought his family &
friends he could see him in his own environment, where he felt the
most comfortable and he could see his garden. The oncologist made
the necessary arrangements to engage the services of a palliative
care team working in his locality, the district nursing service and
his own general practitioner. Mr Ryan in the coming week became
weaker. Andrea’ Mr Ryan’s sister attended to his daily needs with
the support of his multidisciplinary team. His daughter
in law also helped by providing meals, domestic housework and
shopping, where possible.
Circle the correct answer(s):
1. Why is it important for family
and/or friends to be involved in the palliative care
process?
a. It facilitates empowerment and
dignity.
b. It relieves nursing staff of
peripheral duties.
c. It is just a courtesy to include
them.
d. It is part of the nursing duty of
care.
2. In what way can nursing staff
assist with home-based care?
a. Provide counselling
services
b. Support with symptom
management
c. Provide teaching services
d.
All of the above are ways that nursing staff can assist with
palliation
By the end of the second week, his mental and physical health
began to decline. As time went on his sister found she was becoming
fatigued and stressed and she began missing meals and losing her
appetite. Mr Ryan began suffering from incontinence,
rapid weight loss, reduced appetite, nausea & vomiting, sleep
deprivation and irritability & restlessness. Mr Ryan’s pain was
unbearable more often than not resulting in a review of his pain
relief regime and his frequency & dosage being increased with a
possible view to a syringe driver in
time. Mr Ryan admitted to his sister Andrea
that he was concerned and truly believed within himself that he had
made the wrong decision and now wished to see his end-of-life in
the local palliative care hospice. He believed this would help all
concerned. Andrea rang his General Practitioner to make the
necessary arrangements to be transferred. Mr Ryan was transferred
on Saturday afternoon of that week.
1. Under what circumstances might
hospice-based care be required?
a. Only when clients first commence
treatment
b. When carers or family members
require a break
c. When clients are in the last stage
of their illness
d. Both b and c
2. What is the aim of hospice-based
care?
a. To provide care in a calm and
comfortable environment that is as home-like as possible
b. To offer care when hospitals are
not available
c. To offer care comparable
to the hospital setting
d. To care for clients who have no
family
Over the next week. Mr Ryan was cared for by the
multidisciplinary palliative care team at the hospice. Medical
staff assisted with pain-relieving medication and nursing staff
assisted with developing symptom management, as well as attending
to his physical comfort by way of overseeing his hygiene,
continence needs, skin integrity and mobility difficulties &
supervision. Allied health staff assisted with Mr. Ryan’s
psychosocial comfort by providing massages and aromatherapy in
order to reduce his anxiety. His sister Andrea, and daughter
in law visited most days, providing some aspects of care (such as
feeding), as well as reading to him and playing his favourite music
or even old time movies. Sadly, Mr. Ryan passed away at
the hospice surrounded by his family and grandchildren. While Mr
Ryan’s sister and daughter in law were relieved that he was no
longer in pain, they experienced overwhelming grief and loss at his
death. Nursing staff assisted them in their bereavement process by
offering psychosocial supports
Supporting them in the understanding that they contributed to a
‘good death’ for their loved one. However many of the nursing staff
were very upset as staff worked very close to him and formed a
friendships during a brief period of his life.
1. Immediately prior to Mr Ryans “Good
Death” identify what nurses would have observed.
a. Increase in Pressure Injuries
b. Variations in breathing
c. Increased pain
d. Poor skin integrity
2. Analgesic medications are often
used in the pain management of palliation clients, but adjuvant
medications may also be prescribed. Adjuvant medications:
a. are opioids.
b. have nerve-blocking
properties.
c. have pain-relieving properties when
prescribed with analgesics.
d. are morphine-based.