Importance Of Palliative Care and attention Nursing Essay

Palliative care increases standard of living of patient and families who face life intimidating disease, by provide pain and symptom relief, spiritual, psychosocial support to prognosis to end of life, In most of world, majority of malignancy patient are in developments stages of tumor when first seen by medical expert. On their behalf, only factual treatment option is pain relief and palliative health care. Effective methods to palliative care can be found to improve quality of life for malignancy patient. Malignancy pain release is diffusion of the world health firm global communication program for improve cancers pain control and palliative and supportive care (World Health Business, 2011). Lung tumor is an illness which contains uncontrolled cell growth in cells of the lung. This progress may lead to metastasis, which is the invasion of adjacent muscle and infiltration beyond the lungs. The vast majority of primary lung cancers are carcinomas of the lung, derived from epithelial skin cells. Lung cancer, the most frequent cause of cancer-related death in women and men, is in charge of 1. 3 million deaths worldwide annually, by 2004. The most common symptoms are shortness of breathing (WIKIPEDIA, 2011).

Which medical problem will lennart have?

Pain and Irritability upon draining of pipes.

Nausea and diarrhea.

Loss of energy.

Loss of appetite.

Eelevated blood pressure

How can you prioritize his problem?


Pain and discomfort after draining tube

Loss of appetite


Loss of energy

Eelevated blood vessels pressure



Objective data: he comes with an elevated blood pressure and diabetes.

Subjective data: diarrhea. Nausea, pain.

Take health background. Patient complained of abs pain, bowel motion cramping. Increased frequency of stool, increased occurrence of bowel noises loose, liquid stools, diarrhea. Assess starting point and patterns of diarrhea Assess and identify specific stress factors and coping behaviours. Assist thorough identification including neurologic and psycho logic Assess patient's attitude toward pain.

. Discuss with patient, family and other medical team the treatment and medical

Diagnosis: diarrhea, pain, nausea related to lung malignancy.


Observe and record regularity, characteristic, amount, period, and precipitating factors related to incident of diarrhea

Observe pain associated with episodes

Observe nausea and vomiting.

Every day make blood test for diabetes and give medication and give diabetes food. Give treatment to hypertension and cheek blood circulation pressure and give low sodium food advice patient make exercises every day.

Auscultate belly for presence, location, and characteristic of bowel tones see for associated factors such as fever / chills, abdominal pain / cramping. Determine diet and healthy status. Review drug consumption. Determine recent contact with different / foreign environment, change in normal water, food intake and health issues of other. Observe concurrent illnesses, treatment, food and medication allergic, lactose intravenous and therapy side results. Eliminate: relaxation ways to reduce stress / panic. Provide for changes in dietary consumption to avoid diarrhea. Limit caffeine containing drinks and high dietary fiber foods, avoid dairy and dairy products. Suggested change in medication therapy as appropriate (eg. Antacid) Assess baseline hydration, take note postural hypotension, tachycardia, skin breaks, and condition of mucous membranes. Review lab work. Administer drugs as indicated to diminish gastrointestinal motility and reduce fluid losses. Administer IVF as suggested. Maintain epidermis integrity (ointment epidermis as needed). Promote earnings to normal bowel functioning

Increase oral substance intake and return to normal diet with assist from his members of the family. Give medication as bought, for example to decrease motility and to absorb normal water and clarify that to the patient and his family. Patient sustains normal colon function with good hydration. Understanding of causative factors and rationale for treatment regimen. Demonstrates appropriate behavior to aid with image 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 folks or activities, restlessness. Autonomic reactions like diaphoresis, blood pressure and pulse changes. Papillary dilatation increased or decreased breathing rate. Pain, Alleviate patient from pain, Provide comfort while draining of tube Explain procedure to the patient and family and when it hurt to reduce concern of the unidentified. Nursing top priority: evaluate etiology / precipitating and contributory factor.

Determine possible pathophiysiologic / psycho logic factors behind pain eg( inflammation, thrombosis, grief, fear and anxiety )

Nursing top priority: evaluate patients response to pain.

Observe patients walk, how patient holds body, sits, face manifestation, cool finger tips / feet, which can mean constricted worthless.

Determine pain characteristics; lifeless, throbbing, constant, sharp, intermittent Assess for known pain. Monitor essential indicators as usually it increase in acute pain, Review patients earlier experience with pain.

Nursing concern assist patient to explore options for alleviation and control of pain: Instruct patient to record pain when it begins, encourage verbalization of feelings about the pain, provide noiseless environment, relaxed, activities. provide comfort methods ( eg. Back again rub, change of position, use of heating or chilly if suggested ) and encourage his family to do it. encourage leisure exercise with the use of individualized tapes ( eg. Music and instructional ). encourage to utilize diversirnal activities ( eg, Tv set, radio and socialization ), help out with treatment of the reason for pain and evaluate performance. encourage rest to prevent fatigue, identify ways of avoiding or minimizing pain, review ways to reduce pain, consult with significant others ways that they can assist patient and can reduce precipitating factors that may cause or increase pain.


Patient information that he's relieved from pain.

He follows approved pharmacologic strategy.

Verbalizes methods offering relief.

Demonstrate use of rest skills and dimensional activities.


Cancer patient has severe pain the nurse should be observer this pain and present medicine and focus on case of spiritual psychical through palliative attention.

Cancer patient need to aid from teamwork and family is the foundation of light and desire of the individual, I believe support be based upon family. Teamwork is foundation palliative good care and almost everywhere cooperative teamwork will outcome become high for palliative care and attention. Communication is contact the most powerful factor in palliative care causes it is a spot of communication between teamwork and family and between patient, teamwork, good communication is the secret success palliative care and attention.

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