Sunday, March 31, 2019
Importance Of Palliative Care Nursing Essay
immenseness Of Palliative Care Nursing EssayPalliative kick improves forest of life of long-suffering and families who face life threatening disease, by try distress and symptom relief, spiritual, psychosocial support to diagnosis to end of life, In nigh of world, majority of mucklecer patient role are in advances stages of cancer when foremost seen by medical professional. For them, only factual word option is put out relief and palliative complaint. Effective approaches to palliative care are forthcoming to improve quality of life for cancer patient. Cancer agony sensation breathing out is diffusion of the world health organization global converse broadcast for improve cancer cark control and palliative and supportive care (World Health Organization, 2011). Lung cancer is a disease which consists of uncontrolled cell reaping in tissues of the lung. This growth may lead to metastasis, which is the invasion of adjacent tissue and infiltration beyond the lungs. Th e vast majority of primary lung cancers are carcinomas of the lung, derived from epithelial cells. Lung cancer, the most common ca utilisation of cancer-related death in men and women, is liable for 1.3 million deaths worldwide annually, as of 2004.The most common symptoms are hoarseness of breath (WIKIPEDIA,2011).Which nursing line of work does lennart have?Pain and Irritation upon draining of tubes.Na expenditurea and diarrhea.Loss of energy.Loss of appetite.Eelevated transmission line pressureHow would you prioritize his problem?DiarrheaPain and irritation upon draining tubeLoss of appetiteNauseaLoss of energyEelevated blood pressureNURSING manage PLAN taskmentObjective data he has an elevated blood pressure and diabetes.Subjective data diarrhea. Nausea, pain.Take medical history. Patient complained of ab pain, in riseine movement cramping. Increased frequency of stool, spay magnitude frequency of bowel sounds loose, liquid stools, diarrhea. Assess onset and patterns of diarrhea Assess and identify person stress factors and coping fashions. Assist thorough diagnosis including neurologic and psycho logic Assess patients attitude toward pain..Discuss with patient, family and other medical team the treatment and medicalDiagnosis diarrhea, pain, nausea related to lung cancer.InterventionObserve and go into frequency, characteristic, amount, time of day, and effectuate factors related to occurrence of diarrheaObserve pain associated with episodesObserve nausea and vomiting.Every day make blood test for diabetes and give music and give diabetes food. Give treatment to hypertension and perkiness blood pressure and give low salt food advice patient make exercises every day.Auscultate abdomen for presence, location, and characteristic of bowel sounds fall upon for associated factors such as fever / chills, abdominal pain / cramping .Determine diet and nutritional status. retrospect drug usance. Determine recent exposure to different / internation al environment, change in drinking water, food intake and illness of other. differentiate concurrent illnesses, treatment, food and drug allergic, lactose intravenous and therapy side effects. decease relaxation techniques to decrease stress / anxiety. Provide for changes in dietary intake to avoid diarrhea. Limit caffeine and high fiber foods, avoid draw and dairy products. Recommended change in drug therapy as appropriate (eg. Antacid) Assess baseline hydration, note postural hypotension, tachycardia, uncase cracks, and condition of mucous membranes. retrospect laboratory work. Administer drugs as indicated to decrease gastrointestinal motility and play down unstable losses. Administer IVF as indicated. Maintain skin integrity (ointment skin as needed) .Promote returns to normal bowel functioningIncrease oral fluid intake and return to normal diet with sanction from his family members. Give medication as ordered, for example to decrease motility and to absorb water and ju stify that to the patient and to his family. Patient maintains normal bowel function with good hydration. grounds of causative factors and rationale for treatment regimen .Demonstrates appropriate behavior to assist with resolution of causative factors same proper food preparation or avoidance of irritating. Verbalization of pain upon draining of tube Distraction behavior (moaning, crying, pacing, seeking out other people or activities, restlessness .Autonomic answers like diaphoresis , blood pressure and pulse changes . Papillary dilatation increased or decreased respiratory rate. Pain, Alleviate patient from pain, Provide shelter while draining of tube Explain procedure to the patient and family and when it digest to reduce concern of the unknown .Nursing priority assess etiology / precipitating and contributory factor.Determine possible pathophiysiologic / psycho logic relieve oneselfs of pain eg( red , thrombosis ,grief ,fear and anxiety )Nursing priority survey patients response to pain.Observe patients walk, how patient holds body, sits ,facial expression ,cool finger tips / toes , which can mean press useless .Determine pain characteristics dull, throbbing, constant , sharp ,intermittent Assess for referred pain. monitor vital signs as usually it increase in acute pain, Review patients previous experience with pain.Nursing priority assist patient to look for methods for alleviation and control of pain Instruct patient to report pain as soon as it begins ,encourage verbalization of feelings about the pain ,provide cool it environment , calm , activities . provide comfort measures ( eg. Back rub , change of position , use of heat or cold if indicated ) and encourage his family to do it .encourage relaxation exercise with the use of individualized tapes ( eg. Music and instructional ) .encourage to use diversirnal activities ( eg, TV ,radio and socialization ) ,assist in treatment of the cause of pain and evaluate effectiveness .encourage rest to prevent fatigue ,identify ways of avoiding or minimizing pain ,review ways to lessen pain ,discuss with significant others ways in which they can assist patient and can reduce precipitating factors that may cause or increase pain .EvaluationPatient reports that he is palliate from pain.He follows prescribed pharmacologic regimen.Verbalizes methods that provide relief .Demonstrate use of relaxation skills and dimensional activities.ConclusionCancer patient has severe pain the nurse should be observer this pain and give medicine and aid to case of spiritual psychical through palliative care.Cancer patient need to support from teamwork and family is the source of light and hope of the patient, I recollect support depend on family. Teamwork is foundation palliative care and all over cooperative teamwork will outcome become high for palliative care. communion is contact the most powerful factor in palliative care causes it is a point of communication between teamwork and family a nd between patient, teamwork, good communication is the secret success palliative care.
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