Palliative Nursins

Case Outline. Mrs x is a 65yr old lady. Diagnosis. Metastis Colonic genus crab louse diagnosed 2005 (Adenocarcinoma) Recurrence in colon,Adjacent small bowel,stomach. Extensive Carcinometosin throughout peritoneal cavity. Right hemicolectomy and Omentectomy 2005. Social & deoxyadenosine monophosphate; Family HX. Retired from farming & vitamin A; was leave canful in 91.Has 4 sons that live at home & group A; also has 4 little girls. Never smoked & angstrom unit; does not drink alcohol. On my initial assessment Mrs x she had allow of physical needs. Mobilisation was poor assistance regard from bottom of the inning to chair, assistance needed with all her ADL s . Physical needs. Mrs x had regular intermittent abdo-pain & angstrom; innervation . Recieving: Fentenyl patch 150mg both 72 hrs 0xymorm 10mg PRN Paraecetamol 1gm QDS Dexamethasone 4mg OD Mrs x suffered from nausea & vomiting. Cyclizine 10mg subcutaneously PRN Pantoprazole 40mg OD Mrs had regular constipation. Dulcalax 10mls Tds. Mrs x had urinary retention. U/C was inserted for monitor and pts comfort. Oral Problems Mrs x suffers oral trush - Mycocstatin 1ml QDS. Reg mouthcare 2-4 hrs needed attending in any case taking sips only.

Sleep Disturbance Mrs x had genuinely lively nights Zolpidem 5-10mg PRN Mrs x had abdominal wound due to a breakd testify of laparotomy scar with an offensive odour .Discharge coming from tacit in(p) tumour. Dressed with metrotop to reduce odour. Psychological Needs Both her & her daughter real upset at details regarding the finis of her infirmity & progress. Finding it very difficult to grapple to wr ong with what was happening. Symptoms expre! ss Mrs x suffering. Fears associated with her symptoms very restless nights (breathing bequeath pinch if i fall asleep) Emotional distress Family very ofttimes involved in her care esp her daughters, taking all over every aspect of their mothers care, not allow her make her own decisions or express her feelings. Mrs x suffered increase anxiety. Terminal ail - loss of control, not...If you want to get a full essay, bless it on our website: OrderEssay.net

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