Adult Health II – Palliative Case Study

Question Description

This is a case study about the evolution of Palliative and Hospice Care. Please review the book and then read the following 2 articles before you address the case study. Additionally, you may research the issue yourself to bring in extra information.

http://www.medscape.com/viewarticle/723058 I have put this article on moodle-you can access it for free with medscape account, but I wanted you to have it if you do not.

https://www.nlm.nih.gov/medlineplus/ency/patientinstructions/000536.htm

Please post to the following questions by Thursday night (13 Feb) @ 2359. This is a good topic to discuss and to ponder what you think about the subject, so I hope there will be some good discussion. There are really no absolute “right” answers in this kind of topic!

An 85-year-old man with New York Heart Association class IV heart failure, hypertension, and moderate Alzheimer’s disease, who lives at home with his 84-year-old wife, arrives at his primary doctor’s office with complaints of worsening heart failure symptoms, including breathlessness, extreme fatigue, poor appetite, and continence problems. His wife is feeling overwhelmed with his declining health and worries when he is not able to catch his breath and will no longer eat the food she fixes for him.

The physician suggests palliative care at this time and the patient and his wife want to know what that means. How should the nurse explain what palliative care means and why it is used?

After receiving palliative care for a year, with improvement in some of his symptoms, but worsening dementia, he gets up one night to use the bathroom and falls. He is admitted to the hospital with a hip fracture and has an open reduction and internal fixation. His postoperative course is complicated by pneumonia, delirium, pressure ulcers on his heels and sacrum, and weight loss. His wife is concerned about the ability to care for him and the doctor has told her that his dementia and heart failure have steadily progressed.

Is hospice care indicated for this patient? Why or why not? What would you tell the wife and patient at this time?

What is your opinion of palliative and hospice care after looking at this patient? Pro’s and Con’s. Would you want this for your loved one or yourself?



^{Have a similar assignment? "Place an order for your assignment and have exceptional work written by our team of experts, guaranteeing you A results."}

Our Service Charter

1. Professional & Expert Writers: Eminence Papers only hires the best. Our writers are specially selected and recruited, after which they undergo further training to perfect their skills for specialization purposes. Moreover, our writers are holders of masters and Ph.D. degrees. They have impressive academic records, besides being native English speakers.

2. Top Quality Papers: Our customers are always guaranteed of papers that exceed their expectations. All our writers have +5 years of experience. This implies that all papers are written by individuals who are experts in their fields. In addition, the quality team reviews all the papers before sending them to the customers.

3. Plagiarism-Free Papers: All papers provided by Eminence Papers are written from scratch. Appropriate referencing and citation of key information are followed. Plagiarism checkers are used by the Quality assurance team and our editors just to double-check that there are no instances of plagiarism.

4. Timely Delivery: Time wasted is equivalent to a failed dedication and commitment. Eminence Papers are known for the timely delivery of any pending customer orders. Customers are well informed of the progress of their papers to ensure they keep track of what the writer is providing before the final draft is sent for grading.

5. Affordable Prices: Our prices are fairly structured to fit in all groups. Any customer willing to place their assignments with us can do so at very affordable prices. In addition, our customers enjoy regular discounts and bonuses.

6. 24/7 Customer Support: At Eminence Papers, we have put in place a team of experts who answer all customer inquiries promptly. The best part is the ever-availability of the team. Customers can make inquiries anytime.