This is a case study of a 78 year old male who was brought into the (ER) emergency room by the emergency medical services after being found down and altered. The report describes the clinical picture of the patient and explores relevant literature on the palliative care aspect…
Although a lot has been done in terms of research initiatives, and education of healthcare providers, the quality of healthcare is yet to reach the desired standards (Jerant, Azari, Nesbitt, & Meyers, 2004). In many instances, design of care provision often overlooks the elderly who in fact have the greatest need for the care due to the complex nature of their needs (Cicely Saunders Foundation, 2011). Despite this, palliative care is progressively being incorporating the elderly in the design of care and has played a major role in alleviating pain and distressing symptoms thereby gaining wide acceptance as a recognized specialty of nursing (Becker, 2009). Palliative care and nursing are also closely intertwined and the knowledge and skills required are applicable across the nursing profession. It is therefore critical that nurses acquire critical skills and knowledge that would enable them to conduct research and apply current evidence based practice guidelines in palliative care delivery. This report will be based on a case study of a 78 year old man brought into the ER after being found down and altered by a friend.
The patient was a 78 year old man who denies a history of allergies, and medications. He was brought in by the emergency medical services after he was found down and altered by a close friend. The friend noted that the patient had lost about 30 pounds since they last met (4 weeks). Patient has difficulty in remembering what he ate before the previous day. He denies having any form of pain, and reports that he has been coughing. On physical examination, the heart rate was in the 110’s and improved to 130 and then to 140’s systolic with fluid resuscitation. On further examination; the patient is noted to be cachetic, and malnourished. He was alert, oriented, awake and talking. The mucous membranes were very dry. He had tachycardia with inspiratory rales on the right upper ...
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The two articles have a similar topic and outline, and form part of the same collection. They are both constructed as case studies to illustrate specific programs rather than general issues. At first sight the articles appear to be very similar. Both articles recommend that palliative care should be extended to reach a greater number of patients and to be considered much earlier in the patient’s illness.
Practically, a diagnosis of respiratory failure is made in clinical presentation and arterial blood gas analysis. A fall arterial oxygen tension (Pa,O2) of <8.0 kPa (60 mmHg) and an arterial carbon dioxide tension (Pa,CO2) of >6.0 kPa (45 mmHg) or both, is indicative of respiratory failure (Roussos and Koutsoukou, 2003).
This is a case study of a 78 year old male who was brought into the (ER) emergency room by the emergency medical services after being found down and altered. The report describes the clinical picture of the patient and explores relevant literature on the palliative care aspect of the patient.
While the top management often formulate the policies, they also supervise their implementation. They guide the implementation process thereby determining the time within which the implementation begins or ends. Junior staff carry out the actual implementation, the carry out their duties in accordance to the dictates of new policy and in constant consultation and the supervision of their immediate bosses or managers.
The patient arrived at the hospital via LAS, after collapsing at home on February 18, 2009. The previous history suggests her to be generally unwell for quite a few days before this episode. On presentation, she was reported to have slurred speech and to be weak and confused.
A chest radiograph showed a large ( 50% of the hemithorax) right pleural effusion with mediastinal shift to the contralateral side.
His clinical diagnosis on presentation is Impaired Gas Exchange (IGE) which is defined as "the excess or deficit in oxygenation and/or carbon dioxide elimination at the alveolar - capillary membrane" (NANDA definition).
An assessment of the application of such ethical elements is necessary as a means of improving the practice. The case of Emily, as presented below, is the basis of this case presentation.
The RN, Sue, indicated that she made observations of the patient.
Moreover, the catheter and the colostomy bag are a burden to handle, and he is further unable to move freely. Having fulfilled his family obligations, he feels that he has no reason to live and ask his family to support his decision to have his life
Thus, apart from management of the pain by use of non-steroidal anti-inflammatory drugs, the patient has to be observed on the status of the spinal cord. In such a case, surgical intervention can be utilized to bring back the
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