Answered: 1. How would you explain the difference…

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)

6th Edition

ISBN:9781305964792

Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Chapter36: Cardiac Procedures

Section: Chapter Questions

Problem 36.2CS

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Question

You are the palliative care nurse. Mrs. Jones has been living with congestive heart failure for some time and has been receiving palliative care in the home setting for about a year. Her activity tolerance has decreased to the point she can only move from one room to the other in in her home with her oxygen at 4 liters. She is able to sleep in her recliner. Increasing ascites has made it difficult for her to eat. She tells you she is 'totally exhausted' almost all the time. She has been in and out of the hospital with exacerbations three times in the last six months. Each time she comes home she says she 'feels worse'. Today during your home care visit, Mrs. Jones brings up hospice care. 1. How would you explain the difference between palliative care and hospice care? Mrs. Jones tells you she would like her daughter to hear more about hospice care. The daughter is present at the next home care visit (two weeks later). The daughter becomes upset and makes it very clear that she thinks her mother should "not give up" and rather "keep fighting". Mrs. Jones is in tears and says she doesn't know if she can live like this much longer. 2. What communication strategies / nursing interventions might be helpful at this time? What communication strategies have the potential to make the situation more challenging? Although Mrs. Jones wants to pursue hospice care, she wants her daughter on board with the plan. The daughter agrees to 'think about it' and come back in two weeks for the next scheduled visit. At this visit, the daughter says she can agree to no more hospitalizations but wants everything possible done to make her mother's last months as 'good as they can possibly be'. 3. Briefly describe at least three holistic types of interventions could you share with Mrs. Jones and her daughter that might help to alleviate and/or avoid suffering at this point in time?

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