John Smith Cancer with Bone, Liver & Metastases Case Study - Nursing Assignment Help

Assignment Task

Patient name: John Smith
Next of Kin: Susan Smith (wife). John has a daughter (Jane, 31) who lives in Los Angeles. Consultant: Dr Parry.
Diagnosis: Stage IV Non-Small Cell Lung
Cancer with bone and liver metastases. Diagnosed March 2017. Previously treated with chemotherapy and palliative radiotherapy. John is a 58-year old male with advanced lung cancer. He has been an inpatient on Medical Ward 2 for five days. You are the nurse responsible for his care. John was admitted initially for treatment of a chest infection and symptom management ofsevere back pain and rightsided abdominal pain. On admission he was commenced on IV antibioticsfor his chest infection and wasreviewed by the palliative care nurse specialist who increased the dose of his analgesics for pain control. Since admission, John's condition has progressively worsened and he is now in the deteriorating palliative care phase of hisillness. John and Susan have spoken at length with medical and nursing staff about his wishesfor end-of-life care. John has expressed his wish to go home with a package of care designed to enable John to die at home and to support Susan and Jane. Their daughter Jane is on her way home from Los Angeles and is hoping to arrive by the end of the week. An initial clinical assessment was conducted by the consulting palliative care nurse who visited John on the medical ward. Thisinformation isto be used in the referral to the community palliative care nursing team. His wife is anxious about John's breathing and if it will worsen. She also wantsto know how long John might have left to live asshe is anxioustheir daughter Jane could misssaying goodbye to her father. John was commenced on a syringe driver of hydromorphone 20mg and midazolam 10mg to help manage hissymptoms

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