Learning Goal: I’m working on a nursing discussion question and need guidance to help me learn.
REPLY TO THIS DISCUSSION (3) REFERENCES NEEDED.
How do you feel about your terminal prognosis? How has the terminal diagnosis affected you and your family? How are you and your family coping with your prognosis? What concerns, worries, or fears do you have about you and your families’ future? What are some areas of care do you feel you and your family need? Spiritual, psychological, pain management.
The concept of total pain management recognizes that patient’s suffering from a life limiting condition should be treated for multiple sources of pain. These sources of pain can include physical, emotional, social, and spiritual (Hospice, 2020). Therefore, pain is a multidimensional experience and must be treated as such in order to provide adequate relief.
A spiritual evaluation could be conducted to assess Mr. Brown and his family’s spiritual or religious beliefs. Asking questions to better understand if the patient and family turn to a higher power for support and guidance. This spiritual evaluation can evaluate if Mr. Brown and his family use spirituality to help provide comfort and a piece of mind about the future.Spiritual care should be included in total pain management because spiritual beliefs can ease suffering from individuals that may be struggling for answers or explanations (Dunphy et al., 2019).
Opioids are considered the gold standard in managing the level of pain that your dad is experiencing. There is a risk of respiratory depression with the use of opioids. Your father will be monitored closely for mentation and signs of respiratory depression (Sinha et al., 2022). It is important for you and other family members to be aware of signs of symptoms of respiratory depression to recognize a possible accidental overdose. Sedation will precede respiratory depression (Sinha et al., 2022). Therefore, if your father loses consciousness, you should call 911. Other signs include pale, cold skin, limp body, gurgling or choking, and small restricted pinpoint pupils (CDC, 2022). Naloxone is a reversal agent that can be administered in the event of an accidental opioid overdose (Sinha et al., 2022).
According to Dunphy et al. (2019) a combination therapy approach using oxygen, opioids, and benzodiazepines medications are considered to be the most effective at relieving dyspnea with accompanying confusion and anxiety. Decreased oxygen levels can cause patients to feel panicked as well as confused. Therefore, oxygen is usually first-line treatment for patients nearing the end of life. Opioids and benzodiazepines can help to ease feelings of breathlessness that can lead to anxiety (Dunphy et al., 2019). References Centers for Disease Control and Prevention. (2022). Preventing an opioid overdose.https://www.cdc.gov/drugoverdose/pdf/patients/prev… Dunphy, L. M, Winland-Brown, J. E., Porter, B. O., & Thomas, D. J. (2019). Primary care: The art and science of advanced practice nursing- an interprofessional approach. Philadelphia. 5th edition. Hospice of the Western Reserve. (2020). The total pain model. 9 key points.https://www.hospicewr.org/Western-Reserve-CareLink/September-2020/The-Total-Pain-Model-9-Key-Points Sinha A, Deshwal H, Vashisht R. (2022). End Of Life Evaluation And Management Of Pain. https://www.ncbi.nlm.nih.gov/books/NBK568753/ |
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