Nursing 4400A/B Lecture 4: 4400 Week 4 Lecture - Palliative Care Part 2

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Palliative care part 2: pain and symptom management. Goals: discuss the most common symptoms experienced by the dying client as well as management options, discuss ethical issues in relation to end of life care, nursing considerations in relation to maid, on-line debriefing: application of course concepts. Explore complementary therapies and cultural care of patients. Alleviation of symptoms is intimately tied to the palliative care goal of maximizing the quality of life. Rnao best practice guideline (2011): end-of-life care during the last days and hours. 5. strengthening of relationships with loved ones (singer, 1999: many of the others were focused last week so lets focus on a couple of the physical. Dyspnea: why might someone have dyspnea, congestion in the lungs, anxiety (hyperventilation is usually the #1 factor causing dyspnea, an unpleasant awareness of breathing. Screening: noise, accessory muscles, management, pharmacologic, ventolin (with a chamber or a nebulizer, morphine, hydromorphone, anxious pt ativan, haldol (vitamin h)

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