Palliative Care Case scenario - Stephen Robertson - Nursing Assignment Help

Assignment Task:

Introduction
Stephen Robertson a 68 year old male presented to the Oncology ward three days ago following deterioration over the last week. Patient is in the terminal phase of cancer and is experiencingsevere pain. Stephen and his family are not comfortable attending to end-of-life requirements at home. The patient wife and two children have accompanied the patient to the hospital for end of life care. The patient wife informs the nurse that the patient has not been sleeping well for the past week due to experiencing severe pain.

Situation
The patient is becoming less conscious and is no longer verbalising but opens eyes to pain. Vital signs prn have remained stable for the past three days. The patient is receiving regular subcutaneous morphine and hyoscine via an abdominal subcutaneous butterfly. The patient is NBM. Mouth care has been attended and Colostomy has minimal output.

Complex patient health issues

1. Identify a total of 3 patient health issues from one of the case scenarios that nurses can address within their scope of practice. You may include risk for or potential for health issues.

2. Rank the three patient health issues that were selected in part 1 in order of priority. Provide a rationale for the order of the rankings. The rationale must be supported with current literatures.

3. Outline the nurse’s role in addressing the top three priority patient health issues using assessment, coordination of care and provision of care. Relate the discussion to nursing and healthcare regulatory frameworks and health department policies e.g. RN standards for practice, NSW health policy, National Safety and Quality Health Service (NSQHS) standards etc.

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