Jill Green is a 42-year-old mother of two who has been married for 17 years. She was diagnosed with ovarian cancer 2 years ago. After the initial diagnosis Jill had a total hysterectomy with salpingo-oophorectomy. For the last 2 years she has undergone intensive chemotherapy and radiation. Despite treatment, the ovarian cancer progressed to the late stage and metastasized to the lungs and bones. After collaborating with her healthcare providers, Jill has decided to pursue palliative care.
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evolve case study Hospice help
1.) C, tx and meds will be utilized to cntrl pain and inc comfort
2.) B prb pt identifies as first priority
3.) B determine if safety eq needed
4.) D supplies w/in reach of client
5.) A C D care is client/fam focused; Bereavement followup; Interdisc. care focus on symptoms
6.) A cont to offer ops for discussion of feelings
7.) D Anticipatory grieving r/t potential loss of wife/mother
8.) denial, anger, bargaining, depression, acceptance
9.) D respect clients patter of coms, and ways of dealing w stress
10.) [empty page, no response req'd]
11.) B collaborate w HCP
12.) C ducusate sodium
13.) B remove old patch
14.) 3.6 mL
15.) B Gabapentin
16.) C Visualize…
17.) B use with caution d/t nausea
18.) A brief hospital stay for respite care
19.) A socks and blanket
20.) A B D E dim the lights, read aloud, back rub, soothing touch, play soothing music
21.) D atropine to dry secretions
22.) B this is a "rally"
23.) B tell me about conversations you had w Jill about this moment
24.) C permission given to die
25.) B allow as much time as they req
end of study
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