StudentShare solutions
Triangle menu

Palliative Care - Case Study Example

Extract of sample
Palliative Care

The report then discusses the case in light of current medical practice in the field of palliative care and applies the ACE model in the design and implementation of the palliative care plan of the patient. Palliative care for the elderly is a critical healthcare service whose objective is to improve the quality of life of the elderly. 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. 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....
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 lobe of the lung. The abdomen was non distended and non tender. His laboratory results revealed a white blood cell count 16.1 with a left shift, the sodium concentration was 128, the creatinine level was 2.0, and lactate at 5.1. His chest x ray was clear and the head CT scan of the head revealed moderate hypoattenuation of the white matter. The patient has evidence of having an acute kidney injury and hyponatremia. The patient displays evidence of failure to thrive. The initial diagnosis made included altered mental status, acute kidney injury, failure to thrive, malnourishment, starvation, weight loss, history of alcohol abuse, severe chronic obstructive pulmonary disease, dehydration, and hyponatemia, The condition of the patient was determined to be critical and he was admitted into the medical intensive care unit. While in the MICU, the patient complained of increasing cough, difficulty swallowing and abdominal pain. On auscultation of the lungs, there were scattered rhonchi across the lung fields both posterior and anterior. The patient grimaced on palpation of the abdomen and had a productive cough. The bowel sounds were hyperactive and the abdominal x-ray revealed a large amount of stool within the rectosigmoid colon. There were also several air filled loops in the mid to upper abdomen. The mucosal lining appeared thickened and distorted. The x-ray of the chest ...Show more

Summary

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…
Author : borerjace
Palliative Care essay example
Read Text Preview
Save Your Time for More Important Things
Let us write or edit the case study on your topic
"Palliative Care"
with a personal 20% discount.
Grab the best paper

Related Essays

Health Sciences and Medicine: Compare and Contrast Two Articles
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.
3 pages (750 words) Case Study
What Do We Owe the Dying Strategies to Strengthen End-of-Life Care
What do we owe the dying? Thousands of Americans die each year in an inpatient hospital setting. With such a high percentage of aging population in our country, it is evident that the demand for EOL care is increasing. Organizations like Institute of Medicine have suggested that there should be an extension for EOL care services.
4 pages (1000 words) Case Study
Nursing Practice Case Study
Consequently they tend to be sometimes inaccurate and thoroughly optimistic about the future prospects, in effect holding-up the vital sharing of information and referral to appropriate palliative care services (Christakis et al 2000). This is not quite in line with the NICE guidelines which suggest that mental health services should be provided for patients diagnosed with debilitating mental disorders that ensures that patients, and their families and carers, are well informed, cared for and supported (Nice.org.uk)
6 pages (1500 words) Case Study
Critical Incident Reporting
ICU Consultant and a junior staff nurse to the parents. The family appeared to fully understand the news of brain stem death. The family belonged to the Roman Catholic faith. Organ donation was also mentioned to them but they were opposed to the idea of organ donation.
12 pages (3000 words) Case Study
Nursing Care
8 pages (2000 words) Case Study
Interprofessional Practice in Social Work
The current trend towards interdisciplinary team-working and collaboration has been identified as a particular strength of specialist care services, palliative or intensive (Kenny, 2002). Interprofessional work in this instance refers to people with distinct disciplinary training within the health service working together for a common purpose, as they make different, complementary contributions to patient-focused care (Farrell, 1992).
12 pages (3000 words) Case Study
Multidisciplinary Team Working
This discussion is based on identifying the goals of public health and health promotion initiatives and highlights the role of public health nurses, general nurses and other health workers in Ireland. The importance of nurse or health worker patient communication and working as a multidisciplinary team highlights the need for adequate policies that would make public health services suitable for meeting the unique needs of individuals, either through long term palliative care or short term emergency care.
6 pages (1500 words) Case Study
Provide nursing care for clients requiring palliative care
The only solace to such patients would be to provide a comprehensive care which takes care of the physical, psychological, emotional,
9 pages (2250 words) Case Study
Compare and contrast this two articles
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
3 pages (750 words) Case Study
A Case Study on Palliative Care
The report then discusses the case in light of current medical practice in the field of palliative care and applies the ACE model in the design and implementation of the palliative care plan of the patient. Palliative care for the elderly is a critical healthcare
8 pages (2000 words) Case Study
Get a custom paper written
by a pro under your requirements!
Win a special DISCOUNT!
Put in your e-mail and click the button with your lucky finger
Your email
YOUR PRIZE:
Apply my DISCOUNT
Comments (0)
Rate this paper:
Thank you! Your comment has been sent and will be posted after moderation