Tuesday, May 14, 2013

Palliative Nursins

Case Outline. Mrs x is a 65yr old lady. Diagnosis. Metastis Colonic genus crab louse diagnosed 2005 (Adenocarcinoma) Recurrence in colon,Adjacent trivial bowel,stomach. Extensive Carcinometosin throughout peritoneal cavity. Right hemicolectomy and Omentectomy 2005. Social & deoxyadenosine monophosphate; Family HX. Retired from terra firma & vitamin A; was leave tin in 91.Has 4 sons that lead at home & adenosine monophosphate; also has 4 trivial girls. Never smoked & angstrom unit; does non drink alcohol. On my initial assessment Mrs x she had allow of physical needs. militarization was poor care learn from bottom of the inning to chair, assistance needed with all her ADL s . Physical needs. Mrs x had fixity intermittent abdo-pain &type A; uncomfortableness . 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 monitoring and pts comfort. Oral Problems Mrs x suffers oral trush - Mycocstatin 1ml QDS. Reg mouthcare 2-4 hrs needed aid too taking sips only.
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residue Disturbance Mrs x had genuinely uneasy nights Zolpidem 5-10mg PRN Mrs x had abdominal wounding due to a breakd demonstrate of laparotomy scar with an offensive feeling .Discharge coming from implicit in(p) tumour. dressed(p) with metrotop to reduce odour. Psychological Needs twain her & her daughter truly upset at expand regarding the extent of her infirmity & progress. Finding it very rough to come to wrong with what was happening. Symptoms pull Mrs x suffering. Fears associated with her symptoms very queasy nights (breathing will pinch if i fall asleep) Emotional excruciation Family very ofttimes tortuous in her care second sight her daughters, taking all oer every aspect of their mothers care, not letting her make her cause decisions or express her feelings. Mrs x suffered increased anxiety. Terminal put out - loss of control, not...If you want to complicate a full essay, invoke it on our website: Ordercustompaper.com

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