Case Study- End Of Life essay paper
Case Study- End Of Life
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Case #1- SymptomsMs. Smith: Anorexia/Depression/Anxiety Ms. Smith is an 85-year-old woman with end-stage cardiac disease in a home hospice program. She has been very comfortable, not experiencing any other symptoms, and has been quite functional until the Case Study- End Of Life last two weeks. Her family contacts the home hospice nurse concerning her lack of appetite, “continual sadness,” and anxiety which they feel is affecting her Case Study- End Of Life ability to function. During a routine home visit by the hospice nurse, the patient relates she has no appetite and is quite comfortable just having occasional “snacks” when she pleases. However, her family remains adamant that she requires better nutrition, and they request an IV be inserted. In addition, the family believes Ms. Smith is depressed and “too antsy,” and these contribute to her lack of appetite. Mrs. Smith states Case Study- End Of Life that she has had trouble with depression for many years, but has Case Study- End Of Life always tried to find “the brighter side” to fight off the sadness. She also acknowledges that she becomes anxious when her children come to visit, as they “don’t want to admit I am dying,” she says. She reports that she does not always sleep well at night, because she is afraid to die and leave her family behind. She says, “I wish I had raised my children better. If I had, there might not be all of this fighting going on Case Study- End Of Life about my care. I wish they would leave me alone, so I can die the way I want to.”
Discussion Questions:
- How might the hospice nurse incorporate interdisciplinary care for this patient?
- What additional assessments would be needed?
- What interventions might be considered? Case Study- End Of Life
