This is a case study of a 78 year old male who was brought into the (ER) emergency room by the emergency medical services after being found down and altered. The report describes the clinical picture of the patient…
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The report then discusses the case in light of current medical practice in the field of palliative care and applies the ACE model in the design and implementation of the palliative care plan of the patient. Palliative care for the elderly is a critical healthcare service whose objective is to improve the quality of life of the elderly. Although a lot has been done in terms of research initiatives, and education of healthcare providers, the quality of healthcare is yet to reach the desired standards (Jerant, Azari, Nesbitt, & Meyers, 2004). In many instances, design of care provision often overlooks the elderly who in fact have the greatest need for the care due to the complex nature of their needs. Despite this, palliative care is progressively being incorporating the elderly in the design of care and has played a major role in alleviating pain and distressing symptoms thereby gaining wide acceptance as a recognized specialty of nursing (Becker, 2009). Palliative care and nursing are also closely intertwined and the knowledge and skills required are applicable across the nursing profession. It is therefore critical that nurses acquire critical skills and knowledge that would enable them to conduct research and apply current evidence based practice guidelines in palliative care delivery. This report will be based on a case study of a 78 year old man brought into the ER after being found down and altered by a friend....
On physical examination, the heart rate was in the 110’s and improved to 130 and then to 140’s systolic with fluid resuscitation. On further examination; the patient is noted to be cachetic, and malnourished. He was alert, oriented, awake and talking. The mucous membranes were very dry. He had tachycardia with inspiratory rales on the right upper lobe of the lung. The abdomen was non distended and non tender. His laboratory results revealed a white blood cell count 16.1 with a left shift, the sodium concentration was 128, the creatinine level was 2.0, and lactate at 5.1. His chest x ray was clear and the head CT scan of the head revealed moderate hypoattenuation of the white matter. The patient has evidence of having an acute kidney injury and hyponatremia. The patient displays evidence of failure to thrive. The initial diagnosis made included altered mental status, acute kidney injury, failure to thrive, malnourishment, starvation, weight loss, history of alcohol abuse, severe chronic obstructive pulmonary disease, dehydration, and hyponatemia, The condition of the patient was determined to be critical and he was admitted into the medical intensive care unit. While in the MICU, the patient complained of increasing cough, difficulty swallowing and abdominal pain. On auscultation of the lungs, there were scattered rhonchi across the lung fields both posterior and anterior. The patient grimaced on palpation of the abdomen and had a productive cough. The bowel sounds were hyperactive and the abdominal x-ray revealed a large amount of stool within the rectosigmoid colon. There were also several air filled loops in the mid to upper abdomen. The mucosal lining appeared thickened and distorted. The x-ray of the chest
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The two articles have a similar topic and outline, and form part of the same collection. They are both constructed as case studies to illustrate specific programs rather than general issues. At first sight the articles appear to be very similar. Both articles recommend that palliative care should be extended to reach a greater number of patients and to be considered much earlier in the patient’s illness.
What do we owe the dying?
Thousands of Americans die each year in an inpatient hospital setting. With such a high percentage of aging population in our country, it is evident that the demand for EOL care is increasing. Organizations like Institute of Medicine have suggested that there should be an extension for EOL care services.
This discussion is based on identifying the goals of public health and health promotion initiatives and highlights the role of public health nurses, general nurses and other health workers in Ireland. The importance of nurse or health worker patient communication and working as a multidisciplinary team highlights the need for adequate policies that would make public health services suitable for meeting the unique needs of individuals, either through long term palliative care or short term emergency care.
Moreover, the catheter and the colostomy bag are a burden to handle, and he is further unable to move freely. Having fulfilled his family obligations, he feels that he has no reason to live and ask his family to support his decision to have his life
ng care as well as treatments for patients having limited life span or a chronic disease, which has a chance of reoccurring or has a chance to be a cause of a prolonged suffering for the patient in order to relieve sufferings (ICSI, 2013).
The case is referred to an adult aged
The main goal of palliative care is to assist the patients with serious illnesses such as cancer, lung diseases, heart diseases, kidney failure, diabetes, HIV/AIDS, dementia among others to feel better. The
Projects in this reference namely Palliative Care by Department of Health are such programs. Trainings and literature providing best practices are arranged for professionals to implement their rationale.
The writer informs that palliative care is an approach that improves the quality of life both for the patient and the family facing a problem associated with a life-threatening illness. In understanding the palliative care, this paper presents a case of Mr. Martin Cavanagh, who was diagnosed with a COPD and was undergoing an end of life care management.
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