Situation: Julia Morales is a 65-year-old woman

Situation: Julia Morales is a 65-year-old woman who was diagnosed with Stage 4 lung cancer 4 years ago. She has had radiation and chemotherapy and has decided to forego further treatment. You are doing a home visit with orders from the oncology nurse practitioner to assess client’s needs for comfort, safety, and other support. Background: Julia and her partner, Lucy, have lived in their home for almost 20 years. Julia is retired and has a 42-year-old son, Neil, who lives in the area. Lucy is Julia’s primary caregiver. She is in her 70’s and has some knee problems. Julia saw Dr. Davis and Laura Johnson NP yesterday, and Julia is certain that she wants no further treatment for her cancer. She is currently on morphine sulfate-controlled release as needed for pain, and 2 liters of oxygen per nasal cannula as needed. Julia is determined to stay at home and is aware that she may need more care as time goes on. Assessment: Alert and oriented patient with Stage 4 lung cancer. Currently mobile but may be needing more assistance with activities of daily living and symptom management Image transcription text ACES Advancing Care Excellence tor seniors Julia Morales Monologue Script My name is Julia Morales and | just turned 65-years-old. My life has not been a traditional one. l have always believed in following your dreams and being true to yourself, that’s what my parents taught me. When I look back over my 65 years on this ea… Show more Please utilize the resources in the readings and this activity to answer the following questions： What are Ms. Morales’ strengths? What are your concerns about Ms. Morales? What is the cause of the concern? What information do you need? What are you going to do about it? What is Ms. Morales experiencing? SCIENCE HEALTH SCIENCE NURSING NUR 455

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