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End-Of-Life Care

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End-of-life care becomes an issue at some point for elderly clients. Even with the emergence of palliative care programs and hospice programs, the majority of elderly people do not die in their own home as is their preference.

â?¢What are the reasons for this trend?

â?¢Please discuss what you can be done by a nurse to support a client in end-of-life care and in supporting their desires.

â?¢Please provide supportive response with evidence-based literature.

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A major reason that the majority of elderly people do not die in their own homes, is because there are an increasing number of baby boomers and others who are residing in nursing homes near the end of their lives. This is probably due to the fact that the children and siblings of these individuals usually have to work full-time jobs, and don't have the time or resources to give these individuals the care that they need and deserve. Traditionally, there was usually one or more individuals who stayed home, and this was usually ...

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End of Life Care

Situations: Mrs. M, a 45 y.o. woman with squamous cell cancer of the cervix was introduced in Module 2: Pain Management and Palliative Care. This case scenario revisits Mrs. M. after some time has elapsed.

Though Mrs. M.'s pain was managed effectively at home for a short while, her condition has deteriorated further and continues to change daily. She is at a point where her complex care needs are no longer being effectively met at home. Mrs. M, fearful of dying—and of dying at home, returned to the hospital. Her 5 children are being cared for by a sister who lives in the area.

Two days ago, Mrs. M. began running a low grade fever and her respirations are noisy and congested. Her feet and hands are cold to the touch and blue. She has very low urine output. She seems to be withdrawing from those around her, yet is very anxious about talking with her parish priest.

1. Describe signs and symptoms of the dying process that Mrs. M. is exhibiting. Her current state is most congruent with someone whose life remaining can be described best in terms of hours, days, or months?

2. Identify psychological, social, and spiritual care needs and corresponding interventions for her care. How would you adapt these interventions if the patient was an infant? An elderly (>85 y.o.) person? An individual from a culture whose was both different than your own and unfamiliar to you?

3.Discuss the role of the nurse as part of the health care team surrounding the death of a patient such as Mrs. M.

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