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1) How does the practice of palliative care differ from acute care for health care team member? 2)what ethics issues may staff face while working in a palliative setting? 3)what person care strategies may personal support workers need to employ to help them deal with the unique stresses related to working in palliative care? 4)list three pathophysiological changes that you may observe while caring for a client in the last few weeks or days of life care? 5)other than opioid use,what other strategies may be employed to manage a palliative patient pain at the end of life? question #2 case study: Jane is a 42 year old woman who lives with her supportive husband John and two children. Jane’s two children, Jack (13 years) and Jacquie (7 years) are aware their mother has cancer, but have not been told the specific details of her condition. the family owns a local grocery store that is will taken care of by employees. Jane was diagnosed with lung cancer two years ago. she experiences nausea and vomiting from time to time. A public health nurse visits jane twice a month to monitor her progress, administers Morphine 4mg aIV twice daily and provide emotional support as needed. you are her primary Caregiver in her home and visits her 3 days a week to look after her personal care needs light housekeeping. While visiting Jane, the nurse notices that she appears to be in considerable discomfort though she denies any pain. on questioning John, the nurse learns that jane has been found crying and holding her chest, but refuses to seek medical attention. 1)Why do you think jane is reluctant to seek medical attention and acknowledge her pain? 2)How woul you assess the severity of janes pain?? 3)What non-pharmacological strategies would you implement to help relieve some of Jane’s pain? 4)What strategies can you use to help janes increase her intake? 5)What could possibly be the reason for janes nausea and vomiting? attention.
SCIENCE
HEALTH SCIENCE
NURSING
NR 411

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