Palliative Care Case Study 88

Palliative Care Case Study 88 I I I I I




1. How would you describe palliative treatment?
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Palliative treatment is for patients who have a life threatening disease. It
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focuses on pain management. This kind of treatment assists patients and
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family in identifying goals of care along with decision making. The main
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focus is symptom and pain management.
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2. Describe the assessment you need to perform at this time. I I I I I I I I I




I would assess for pain. Ask the patient to rate their pain on a 0 to 10 pain
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scale. Ask the frequency of the pain. What alleviates the pain? What ag-
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gravates the pain? Is it sharp or dull? Is it continuous or intermittent? Doesit
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radiate? I would do a respiratory assessment. Assess sputum color and
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quantity. Assess ability to cough to clear airway. Assess for airway ob-
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struction such as dyspnea and wheezing. Assess for rapid and shallow
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breathing for pleuritic chest pain. Assess use of accessory muscles, flared
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nares, and stridor. Assess for tenderness or masses when palpating chest
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wall. Assess for increased vibrations felt on chest wall.
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3. Palliative care is delivered by an interprofessional team. What role I I I I I I I I I


will each of the following professionals play in P.C’s care?
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Nurses, social workers, physician, home health aides, chaplain, or some
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sort of therapist. The nurse performs direct care, patient advocate, edu-
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cate, monitors, and records information. Social workers provide counsel-
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ing for patient and family. Physician assesses, diagnoses, treats and man-
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ages illness. Home health aides provide personal care. Chaplain provides
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spiritual care. Therapist enhances patient autonomy.
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