Stages of Life - Advanced Care Directives and Organ Donation - Nursing Assignment Help

Assignment Task :

Task 1 :

During your work placement you will have had the opportunity to care for a person in the end stages of life and or cared for the body after death.

• Your own role and responsibilities, and those of other team members involved in the care of palliative clients
• Identify and reflect on any ethical issues or concerns that you may have had
• Analyse your experience in relation to your own responses to the situation, that of your colleagues the patient themselves and also the carers or significant others
• Discuss what you have learned and anything you would do differently next time.
• Reflect on your experience of death in relation to own need for self-care and support and discuss effective ways to help you sustain own social and emotional wellbeing. 
• reflect on your feelings and if they have changed after this experience about advanced care directives and organ donation.

79year old Female end stage of lung cancer. Was admitted to hospital with pneumonia and pleural effusion, after 3days in hospital on syringe driver, morphine break through and medazepam the patient’s family had left as she was quiet settled for the day. The patient had a met call due to saturation’s dropping to 78%. The patient continued to deteriorate; the family was called to notify but unfortunately it was to late she passed before they arrived. The patient had her advanced care directive stating not for resuscitation, ACD are a good thing as it gives nurses, DRs and other staff notice on what they want in hospital care. After the family had the time with her to say their goodbyes, they notified the nursing staff so we could attend to her and get her ready for the next process. Nursing staff went in and pre pared her for the morgue, cleaned patient, removed any cannulas that were insitu, removed any jewellery  that was on the deceased and put in a container, documented what the deceased was wearing in jewellery, new disposable white gown placed on deceased,3 x tags attached to patient, into the body bag ready for transfer. When wardsman and Nursing In charge arrived information was checked, deceased placed on transport trolley and taken to the morgue. The feeling toward preparing the deceased was not bad as I have dealt with it at work several times the morgue and see what happens and what the morgue is like was different, I have never been to a morgue, so it was an experience for me, was very good to see what happens in that situation. I would not change anything on what happened this day (own reference, 2020).

ASSESSMENT TASK 2 

Your answer must include the following: 

• A comprehensive introduction including
• Admission details or client state if they are in their own home
•  Description of the client’s life limiting illness
• The application of principles of palliative care and a palliative approach
• Identify patho physiological changes associated with the illness and the impact on the client’s activities of living
• Describe the social and community support that has been used and identify any others that could be incorporated into the nursing care plan

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