Importance Of Palliative Care Nursing Essay

Importance Of Palliative Care treat EssayPalliative care alters quality of life of patient and families who face life saturnine disease, by provide irritation and symptom relief, spiritual, psychosocial support to diagnosis to end of life, In most of world, majority of pubic louse patient are in advances stages of stinkpotcer when first seen by medical professional. For them, only factual treatment option is pain relief and palliative care. Effective approaches to palliative care are ready(prenominal) to improve quality of life for cancer patient. Cancer pain release is diffusion of the world health organization global communication program for improve cancer pain control and palliative and supportive care (World Health Organization, 2011). Lung cancer is a disease which consists of uncontrolled cell gain in tissues of the lung. This growth may lead to metastasis, which is the invasion of adjacent tissue and infiltration beyond the lungs. The vast majority of primary lung can cers are carcinomas of the lung, derived from epithelial cells. Lung cancer, the most common designer of cancer-related death in men and women, is responsible for 1.3 million deaths worldwide annually, as of 2004.The most common symptoms are shortness of breath (WIKIPEDIA,2011).Which nursing problem does lennart get?Pain and Irritation upon draining of furnishs.Nausea and diarrhea.Loss of energy.Loss of appetite.E howling(a) blood pressureHow would you prioritize his problem?DiarrheaPain and irritation upon draining thermionic vacuum tubeLoss of appetiteNauseaLoss of energyEelevated blood pressureNURSING CARE PLANAssessmentObjective data he has an elevated blood pressure and diabetes.Subjective data diarrhea. Nausea, pain.Take medical history. Patient complained of abdominal pain, bowel movement cramping. Increased frequency of stool, increased frequency of bowel sounds loose, liquid stools, diarrhea. Assess onset and patterns of diarrhea Assess and identify individual stress f actors and coping behaviors. Assist thorough diagnosis including neuro system of logic and psycho logic Assess patients attitude toward pain..Discuss with patient, family and other medical team the treatment and medicalDiagnosis diarrhea, pain, nausea related to lung cancer.InterventionObserve and record frequency, characteristic, amount, time of day, and effectuate factors related to occurrence of diarrheaObserve pain associated with episodesObserve nausea and vomiting.Every day make blood test for diabetes and channel medication and give diabetes food. Give treatment to hypertension and cheek blood pressure and give low salt food advice patient make exercises every day.Auscultate abdomen for presence, location, and characteristic of bowel sounds observe for associated factors such as fever / chills, abdominal pain / cramping . rig diet and nutritional status. Review drug intake. Determine recent characterization to different / foreign environment, change in drinking water, foo d intake and illness of other. Note concurrent illnesses, treatment, food and drug allergic, lactose intravenous and therapy placement effects. Eliminate relaxation techniques to come down stress / misgiving. Provide for changes in dietary intake to avoid diarrhea. Limit caffeine and high fiber foods, avoid take out and dairy products. Recommended change in drug therapy as appropriate (eg. Antacid) Assess baseline hydration, note postural hypotension, tachycardia, skin cracks, and condition of mucous membranes. Review laboratory work. Administer drugs as indicated to decrease gastrointestinal motility and minimize fluid losses. Administer IVF as indicated. Maintain skin integrity (ointment skin as needed) .Promote returns to design bowel functioningIncrease oral fluid intake and return to normal diet with assist from his family members. Give medication as ordered, for example to decrease motility and to absorb water and explain that to the patient and to his family. Patient ma intains normal bowel function with good hydration. Understanding of causative factors and rationale for treatment fodder .Demonstrates appropriate behavior to assist with resolution of causative factors like proper food preparation or avoidance of irritating. Verbalization of pain upon draining of tube Distraction behavior (moaning, crying, pacing, seeking out other people or activities, restlessness .Autonomic responses like diaphoresis , blood pressure and pulse changes . Papillary dilation increased or decreased respiratory rate. Pain, Alleviate patient from pain, Provide comfort while draining of tube Explain procedure to the patient and family and when it cause to be perceived to reduce concern of the unknown .Nursing priority assess etiology / precipitating and contributory factor.Determine possible pathophiysiologic / psycho logic causes of pain eg( inflammation , thrombosis ,grief ,fear and anxiety )Nursing priority evaluate patients response to pain.Observe patients walk , how patient holds body, sits ,facial expression ,cool finger tips / toes , which can mean constricted useless .Determine pain characteristics dull, throbbing, constant , sharp ,intermittent Assess for referred pain. Monitor vital signs as usually it increase in acute pain, Review patients previous experience with pain.Nursing priority assist patient to explore methods for alleviation and control of pain Instruct patient to report pain as soon as it begins ,encourage verbalisation of feelings about the pain ,provide quiet environment , calm , activities . provide comfort measures ( eg. Back rub , change of position , use of heat or nippy if indicated ) and encourage his family to do it .encourage relaxation exercise with the use of individualized tapes ( eg. Music and instructional ) .encourage to use diversirnal activities ( eg, TV ,radio and socialization ) ,assist in treatment of the cause of pain and evaluate effectiveness .encourage rest to prevent fatigue ,identify ways of a voiding or minimizing pain ,review ways to lessen pain ,discuss with significant others ways in which they can assist patient and can reduce precipitating factors that may cause or increase pain .EvaluationPatient reports that he is relieved from pain.He follows prescribed pharmacologic regimen.Verbalizes methods that provide relief .Demonstrate use of relaxation skills and dimensional activities.ConclusionCancer patient has severe pain the nurse should be observer this pain and give medicine and attention to case of spiritual psychical through palliative care.Cancer patient need to support from teamwork and family is the citation of light and hope of the patient, I think support depend on family. Teamwork is foundation palliative care and everywhere cooperative teamwork will outcome survive high for palliative care. Communication is contact the most powerful factor in palliative care causes it is a point of communication amid teamwork and family and between patient, teamwork, go od communication is the secret success palliative care.