Highlights
Aim of Assessment
Palliative care is a holistic approach addressing symptoms beyond the physical needs of the person. To improve the overall comfort of a person receiving palliative care, their physical, spiritual, social, cultural and psychological needs should be addressed.
Case Study
Mrs Brown, a 62-year-old retiree lives with her husband, who works part-time, she now finds difficult to leave the house - or even move around - due to her acute breathlessness. She feels trapped. Mrs Brown sees her GP whenever her condition deteriorates and has attended her local hospital since diagnosis. She has been admitted to hospital three times in the past year with exacerbations of her COPD. Her family take care of her physical and domestic needs but she feels as her health deteriorates she will be too much of a burden on her family. Mrs Brown hasn't planned for her future care; she was waiting for her GP to tell her what to do. The GP has mentioned moving towards a palliative approach but she is a little confused what this actually means. Mrs Brown has been previously diagnosed with depression by her GP. At the time, she was poorly nourished and was experiencing panic attacks.
Mrs Brown has called an ambulance due to feeling short of breath and coughing for several days. Her symptoms began 3 days ago with rhinorrhoea. She reports a chronic morning cough productive of white sputum, which has increased over the past 2 days.
Criteria
Using a palliative approach discuss two high priority nursing strategies to manage Mrs Brown and provide evidence to justify these strategies.
Of the two strategies you choose to discuss in your essay, only one of these may be for a physical symptom.
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