Profile of Palliative and End of Life Care Case Study - Medical Science Assignment Help

Assignment Task

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 of severe back pain and right-sided abdominal pain. 

On admission he was commenced on IV antibiotics for his chest infection and was reviewed 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 his illness. John and Susan have spoken at length with medical and nursing staff about his wishes for 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. This information is to 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 wants to know how long John might have left to live as she is anxious their daughter Jane could miss saying goodbye to her father. John was commenced on a syringe driver of hydromorphone 20mg and midazolam 10mg to help manage his symptoms. 

Profile of palliative and end of life care - John Smith

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