Palliative Care Nursing Practice Case Study

3557 words - 15 pages

IntroductionThis assignment is aimed at demonstrating how the author understands the concepts of holistic therapeutic practice in palliative care and how the principles of palliative care are applied in the clinical setting. The author will demonstrate this in the format of a case study. There will be an introduction to palliative care with definitions of therapeutic and holistic care and some discussion around how the principles of palliative care are applied in the clinical setting. The author will then introduce the client chosen for the case study and identify an aspect of their care that is going to be explored and explain the reasoning behind this. Finally there will be an over ...view middle of the document...

Watson et al (2005) confirm that holistic care is looking after the whole person and not just the disease, be this psychologically, spiritually or socially. The whole concept of holistic care is defined in the World Health Organisation guidelines (2002) as it states that the psychological and spiritual needs of a patient is to be incorporated into their care.Doyle, Hanks, Cherny and Calman (2005) explain how therapeutic practice is an important part of palliative care nursing and it can be performed by all members of the inter-disciplinary team at different levels. They also go on to say that therapeutic practice can be formed as therapeutic relationships between nursing team and patient and their families or it can be through therapeutic interventions like counselling or therapeutic massage. The author relates this to the team she works in and the volunteer service will go and sit with patients giving family time to do other things, or the counsellor will offer bereavement support for the family and patient. All of these services can relieve symptoms in a patient and offer assistance emotionally within the family (Ferrell and Coyle, 2006). Harris, Nagy and Vardaxis (2006) define that therapeutics seek to relieve symptoms associated with a disease and this can be through therapeutic communication, touch, exercise or recreation, and they state how various aspects of care can be therapeutic.Case StudyLacey is a 21 year old young lady who lives at home with her parents, Carl and Angie. She has an older brother Matthew, who lives away from home with his fiancée. Up until ten months ago Lacey was attending University and living the normal active lifestyle with her friends. Lacey and a few of her friends were to attend Camp America for the summer and went to have routine medicals for this. It was diagnosed from the blood tests that Lacey had Acute Myeloid Leukaemia (AML). She underwent a course of chemotherapy and went into remission. Nine months after initial diagnosis Lacey became sick with a throat infection and it became fungal and Lacey ended up in the Intensive Care Unit. It was there that her family was informed that the leukaemia had recurred and there was no more curative treatment available for her and that she probably had only a few weeks to live. Lacey wanted to go home immediately when the Doctors had told her the news and she refused to speak with a counsellor regarding the diagnosis. At this point Lacey was referred through to the Community Hospice Team. Lacey deteriorated very quickly once she was discharged from hospital. For the first two weeks she went for third daily blood and platelet transfusions but they weren't enough to keep her symptoms at bay. She was started on a graseby pump with a combination of drugs to help stem her nausea and pain and help with her dyspnoea. Lacey was very withdrawn and weak and didn't communicate a lot with the nurses and used her Mum to communicate. Lacey's friends used to come and vi...

RELATED

PRACTICE IN THE DOMIMCILARY HEALTH CARE ENVIRONMENT - carers Australia , college of nursing - asignment

1159 words - 5 pages Free Diploma of Nursing HLTEN608B PRACTISE IN THE DOMICILIARY HEALTH CARE ENVIRONMENT Impact of Health Problems on Domiciliary Client Care Assessment Introduction As for all nurses, Domiciliary Nurses are entrusted with: • Client and family information enabling them to • Recognise and respond to - Condition changes - Care needs - Coping abilities • Family involvement is encouraged – however should be: - Co-ordinated as per the care plan - Timely and

ETHICAL DILEMMAS OF CASE STUDY - DIPLOMA IN NURSING , COLLEGE - ESSAY

5540 words - 23 pages treating them individuals with respect.For that reason Nancy and Bob wishes must be respected . Bad practice by ( Campbell, 2016) is actions that threaten the personal safety of the people under the care of the healthcare professional .Nancy, Bob and Nancy son could be physical, emotional or psychological distrubed. The principle of beneficence requires the provision of benefits and the balancing of harms in the case study. The benefits considered

The study of falling in health care facilities - nbcc nursing - essay

791 words - 4 pages Comm1175 Critical Reading and Persuasive Writing Critical Reading Assignment Han Chen 2025895 NBCC St. Andrews Instructor Mrs. Penny Anderson Critical Analysis – Falls prevention 1) Why was the topic chosen for this study? Falling is a prevalent factor that threatens people’s safety. In my experience, falling happened to me two years ago. It was in mid-night, when I left my friend’s home and was going to get in the car, I fell as I didn’t know

Biological, Social, Psychological Assesement Gonzalez Case Study - Social Work: Practice with Individuals - Biophysical Assesement

1748 words - 7 pages Free Running Head: GONZALEZ CASE STUDY GONZALEZ CASE STUDY 8 Gonzalez Case Study Tony L. Thomas Union University HBSE II Luz Gonzalez: Early Adolescent, Age 13 Biological Influences The early adolescence stage can be one of the most challenging times in a child’s life. Luz is encountering

adult health post operative case study - eidth cowan university - assignment

3912 words - 16 pages assessment and nursing diagnosis should be prioritized, followed by planning and implementation/interventions of the care provided. Evaluation of the nursing care should be carried out in order to measure the outcomes. (Ahtisham & Jacoline, 2015) Using the ADPIE approach to nursing care, a complete nursing care plan for Kelly in the given case study is carried out in prioritizing three major nursing diagnosis followed by required nursing plans

Effective Communication in Nursing Classification Essay - College English - Essay

1237 words - 5 pages nurses provide to achieve effective patient care. Verbal Application Nursing care requires verbal communication with patients and is very effective when applied. Verbal communication skills that nurses must possess should include empathy. Patients are more likely to communicate honestly when they feel the care received is personal. Nurses must practice respect, courtesy and create a confidential environment for patients to communicate. The

Evidence Based Practice and Applied Nursing - Research Paper

3934 words - 16 pages spiritually. According to the Emergency Care Research Center of England, the risk of death is 2 to 6 times higher for patients with pressure ulcers than for patients without pressure ulcers. (Hetmatpou et al. 2018) Current practice related to the problem There are different guidelines as to how a nurse should prevent and treat a pressure ulcer, depending on the facility that one works at, but there are some standard guidelines that can be found on

Professional Roles and Values Task 1 - Research Paper

3128 words - 13 pages skills to be independent and tend to their own needs once able. Being devoted to the patient and providing excellent care, while focusing on patient education that aims at independence upon discharge, is an essential idea of the theory (Gonzalo, 2014). Nurses use planning and goals in their everyday environment to apply this theory to their practice. The Need Nursing theory is incorporated into my nursing career practice in multiple ways. I

Organizational Systems and Quality Leadership Task 1 - WGU Organizational Systems and Quality Leadership Task 1 - Assignment

829 words - 4 pages probably discover the need for improvement (Werner, 2017, p. 394). B. Advancing Quality Patient Care B. Once the data from the hospital where Mr. J was hospitalized is collected, and introduced in the National Database of Nursing Quality Indicators, the hospital, and the nurses will be able to advance quality patient care through two processes:” (1) to provide comparative data to health care organizations (in this case, to Mr. J hospital) to

History of Nursing description and evolution - Pace U Nurs 110 - Essay

1407 words - 6 pages to the mountains of Kentucky. They also practice midwifery, which reduced the dangers of childbirth. In 1898 nurses took care of soldiers for the Spanish-American war (Ellen D. Baer (Nursing in America: A History of Social Reform). There were about 12,000 trained nurses and 109,000 untrained nurses at this time. Because of the amount of untrained nurses, the graduate nurses began a movement to register nurses state by state. The first state to

Professional Roles and Values. Taskstream 1 C304 - WGU, C304 - Essay

2225 words - 9 pages (American Nurses Association 2015). A nursing error that may occur in clinical practice is a medication error, which is a preventable error of commission or omission than can cause inappropriate use of medication, while the medication is in the control of the nurse. This has the potential to harm a patient. The ANA provision 4 mentioned above, promotes patient safety and optimal care, and holds the nurse responsible for his/her actions. In the case

Nurse Consultant And Their Role, A Critique

4368 words - 18 pages Free nursing practice and a transformational culture, all of which then contribute to quality services, see appendix 1A study by Hind et al (1999) found considerable support for role expansion in the critical care setting among both medical and nursing staff. They found expansion of role was likely to include activities such as cannulation, venepuncture, ordering blood tests and x-rays, performing physiotherapy, cardioversion and intubation. Goldman (1999

The Legal and Ethical Implications of Patients Who Refuse Blood Transfusions - Purdue Northwest - Case Analysis

2449 words - 10 pages Case Analysis: The Legal and Ethical Implications of Patients Who Refuse Blood Transfusions Kristen James May 3, 2018 Nurses all over have long fought with moral encounters in patient care. In fact, in Florence Nightingale's Notes on Nursing, she discussed ethical duties of confidentiality, communication, and the centrality of meeting patients' needs. Correspondingly, nurses nowadays are certain to support the fundamental moral assets

Task 1 WGU Quality improvement

986 words - 4 pages three aspects of nursing care; structure, processes, and outcomes (Montalvo, I., 2007). Along with other factors such as experience, education, and environment play into the impact of nursing care and patient satisfaction. In favor of Mr. J, the patient could have received better patient-centered, quality care. In this scenario, Mr. J is at risk for falls but does not need restraints, with only mild dementia. In this case, the patient would

infection prevention and control in nursing practice - year 1 Adult Nursing Practice - essay

1302 words - 6 pages and health workers.’ (Worlds health organization, 2018). This report will also evaluate the role of patient care and public involvement (PCPI’s) in infection prevention and control. Evidence-based practice plays a large role in understanding infection prevention and control in health care settings. Teaching method: 2 Nursing students are thought infection prevention and control through lectures, seminars and workshops. Lectures are one of the