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Case study – End of Life Care
You are assigned an elderly man dying of lung cancer as your long-term care client. This is you second clinical day providing care for him and you are somewhat surprised that he is still alive a week after you first met him. You’ve heard nurse’s express that he is ‘ready to go anytime’ and ‘won’t last much longer’. Your physical assessment confirms a decreased level of consciousness, low BP & P, irregular respiratory pattern and distal mottling of all extremities. He has not taken any food or fluids for over 24 hours. His urine output is scant.
The family of your client recognizes you from the previous week and they comment on how happy they are you back because you provided such good care last week. You are reassured by their comments but remain a bit anxious about how your day may progress. You understand that basic nursing comfort care for the client and support for the family will be your priority this day.
After completing your AM care with the client, his daughter approaches you an asks, “Is my father going to die?”. You immediately look around for your clinical faculty, a nurse, an aide – anyone who can help you address the daughter’s question. No one is available. You realize this is your conversation to have. What do you say to this daughter? How do you begin the conversation? What are your biggest concerns about having the conversation? Does your role as a student nurse impact your response?

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