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Learning Goal: I’m working on a nursing multi-part question and need support to help me learn.This
is a case study about the evolution of Palliative and Hospice Care.
Please read the following 2 articles before you address the case study.
Additionally, you may research the issue yourself to bring in extra
information. Please answer the 2 questions on the case study. http://www.medscape.com/viewarticle/723058
I have put this article on moodle-you can access it for free with
medscape account, but I wanted you to have it if you do not. https://www.nlm.nih.gov/medlineplus/ency/patientinstructions/000536.htmAn
85-year-old man with New York Heart Association class IV heart failure,
hypertension, and moderate Alzheimer’s disease, who lives at home with his
84-year-old wife, arrives at his primary doctor’s office with complaints of
worsening heart failure symptoms, including breathlessness, extreme fatigue,
poor appetite, and continence problems.
His wife is feeling overwhelmed with his declining health and worries
when he is not able to catch his breath and will no longer eat the food she
fixes for him.Questionsa. Is
this man a candidate for palliative care?b. What
is palliative care and how is it different from hospice care?c. What
is the goal of palliative care and what interventions might be tried to achieve
these goals.*include referenceThe
patient in Question #1 has been receiving palliative care for 6 months and has had improvement
in some of his symptoms, but with worsening dementia, he gets up one night to
use the bathroom and falls. He is
admitted to the hospital with a hip fracture and has an open reduction and
internal fixation. His postoperative
course is complicated by pneumonia, delirium, pressure ulcers on his heels and
sacrum, and weight loss. His wife is concerned about the ability to care for
him and the doctor has told her that his dementia and heart failure have
steadily progressed and recommends hospice care?Questionsa. Is
this man a candidate for hospice care?b. What
factors about the patient do you think have prompted the doctor to suggest
hospice care instead of continuing with palliative care?*include reference
Requirements: staright to the point   |   .doc file