Description
"Attachment hace explanation to all the questions "
In one page or more answer the questions included with the Discussion.
Module One Discussion
Mr. J.: Shifting from Treatment to Palliative Care
Mr. J. has been a patient in the medical intensive care unit (MICU) for the past 4 days. He is an 86 year- old male with a two-year history of dementia and newly diagnosed small cell lung cancer, with metastasis to the femur. When he came into the emergency department with shortness of breath, his respiratory status became so compromised that he required intubation and was admitted to the MICU. Although he is no longer on the ventilator, he has become increasingly confused and agitated. His non-verbal behaviors suggest he is in pain. His daughter, who is the power of attorney for health care, has requested that the goals of care shift from a plan for chemotherapy, to keeping him comfortable. The nursing staff and clinical nurse specialist in the MICU are suggesting Mr. J. be transferred to the Palliative Care Unit in the hospital.
Questions:
- What are the benefits of a transfer to the palliative care unit for this patient and his daughter?
- What are the potential barriers that may interfere with the palliative care referral for this patient?
- What strategies might be helpful to overcome those barriers?
- When is the appropriate time to introduce the concept of hospice care? How can the team explain this type of care to Ms. T.?
- Assess aspects of the quality of life (QOL) using the model of physical, psychological, social and spiritual well-being.
- What members of the interdisciplinary team might be most helpful to contact? Why?
Sample Solution