A nurse may personally feel that a patient who is dying of cancer should utilize any and all pain management options available to them, however, if the patient does not wish to use pain medications because he/she feels “out of it” or is afraid of becoming “addicted”, the nurse needs to respect that patient’s choice. One may personally feel that a patient should try all treatment options available when dealing with an illness such as cancer, but needs to be respectful if a patient does not wish to continue treatment or try something new even if the nurse feels that is the “right” thing to do. B. In the scenario presented, different strategies can be used in the Thomas’s situation to improve the quality of life for Mrs. Thomas and her husband during this illness. First of all, discussing with Mr. and Mrs. Thomas what their wants/needs are is imperative.
Duffy’s thesis is well written and supported throughout the paper. Duffy then presents the opposing argument: hospitals are not empowered to prescribe the amount of pain medication necessary without putting itself at risk of a malpractice lawsuit. He goes on to say that this procedure is cruel treatment and the hospitals should have the option of stopping life support. Next he uses the example of his aunt, who was diagnosed with cancer. Although she tried every kind of treatment available to her, everything was ineffective and she ended up in a hospice center where was was able to avoid a drawn out painful demise.
My question was: Mrs. Thompson, I would like to know from your experience which is better for the patient and his/her family, hospice at home or in a hospital setting. Sometimes, there are many problems for the family to care for their love ones at this time due to emotional feelings and physical burden. What do you think is best? Mrs. Thompson answer: Philosophically and practically, the goal of hospice care is to stabilize the patient's condition in order to permit him to return home, where most people say they would prefer to die. There are several points to note, in this context: 1.
Several events varying from late babysitting checks to rumors of Sylvia’s promiscuous sex life brought Gertrude to despise Sylvia and punish her. This punishment started getting more and more severe resulting in on-going torture. Gertrude’s children and their friends, following in her footsteps, began torturing Sylvia as well. Sylvia could expect being burned by cigarettes, being thrown down stairs, getting bathed in boiling water, beaten, cut, having objects inserted into her vagina, and being forced to eat her own feces on a day to day basis not only from Gertrude but also her children and other neighborhood teenagers. This torture lasted for months.
Oftentimes we have found it challenging to speak with the physician about patient’s wishes but it is the nurse’s responsibility to speak up for the patient. In this scenario, the nurse could have taken the time to talk with the patient. Perhaps this would have calmed his fears (ANA 2013). As a nurse, we must learn to address not only the patient’s physical needs but we must be sensitive to their emotional and spiritual needs. We must be willing to educate the patient concerning their decision and the implications of advanced directives, especially when a history of
Again, it is important to re-assure family and significant others that in the next few weeks they will see a difference and understand that their needs are as important as other and taking care of ones own needs can help us to help those that need our help. They too can play an important role, by being there emotionally and offer activities, as when they feel fit to do so. You can offer periodic telephonic up dates and can be encourage to attend medical appointments. There are other organisations that can help family and significant others overcome their guilty feeling and management can find resources to help them
If any changes need be made to better the care that patients receive it should done by enforcing more supervision. There should be more supervision to assure that proper care is being given by all nursing staff and not half done. We should, as healthcare professionals, at all times provide the best care as we possibly can. One way to stay atop of this is by envisioning the patient as our own grandmother, sister, cousin, aunt or any other family member. Total Care Nursing is or can be very stressful on the patient and their family members as well as the nurse.
My body, my Choices, Euthanasia and Palliative care Palliative care enhances the quality of life of a patient and that of their family as they approach death or face serious illness. It deals with with the stressful problems associated with long term or debilitating illness and the toll that it can take on family life. Often the last weeks or months of a loved one can be taken up with endless hospital stays and severe pain ;Family members can often be caught up so much in the medical care that a patient needs that they lose their role as a much loved relative. Often the care can become too much as the stresses and frustration of watching a family member lose their struggle for life. The intention of Palliative care is to’ prevent and relieve suffering, and provide physical, psychosocial and spiritual care for both the patient and their family’[1].
The main concept was focused on the patient’s feelings as a predictor to a more favorable outcome when it came to the patients’ health. Her theory stated the four phases were; * Orientation-patient seeking help, nurse and patient meeting, identifying the problem and interventions needed. * Identification- identifying the best person to support patient, patient relates their personal feelings about the experience and is encouraged to participate in care. * Exploitation- patient explores, all parts of the problems, and gains independence on achieving the goal * Resolution- termination of the nurse-patient to encourage balance both ( can be difficult for both as psychological dependence persists) As a child Peplua lived through the devastating flu epidemic of 1918. This experience greatly increased her knowledge of illness and death on families, leading to her great understanding for patient care and the formation of her nursing theory later in life.
I did nursing assistant to take care of my disabled mother who passed away from cancer. It was a side job taking care of her while I worked in technology. Through this certification process, I learned a lot about outpatient care. I had the opportunity to work for Kindred hospital to gain the maximum experience to use for the care of my mother. After her death, I got more interested in pharmacy because the medication had prolonged her life and when the medication was cut on her because insurance did not cover her she passed away.