Quiz 7: End-Of-Life Care

Nursing

A 77 year old patient has stage 4 heart failure and had to be admitted twice into hospitals for exacerbations. She lives alone in her house and does not want to be admitted. She says that she can come to the hospital any time for treatment. Since she is an aged person with health problems who is living alone, the nurse must try to convince the patient to get admitted into the hospital or a hospice. At stage 4, it is not safe for her to be alone when any emergency arises. So, the nurse must respond to the patient that she must not try to live alone but ask someone for an assistant. Being old, in the case of an emergency, she cannot come to the hospital on her own. If she was in the hospice, nurses would be able to take care of her.

A patient with metastasis to the bone has pneumonia. He is receiving antibiotics through IV but has a severe back pain. The patient has rated his pain as 9 on a 0-10 scale. The patient does not want further treatment of his disease. The interventions most appropriate for this patient would be: Option A would be one of the correct options since analgesics are given for the treatment of pain. Option B would be wrong since there is no indication that the patient is anxious. Option C would be wrong since the patient is not bedridden to get ambulatory care. Option D would be one of the correct options since the patient might be comfortable in some positions but uncomfortable in some. Option E would be one of the correct options since Reiki therapy is used for the treatment of pain. Hence, the correct options are A, D, and E.

A 77 year old patient has stage 4 heart failure and had to be admitted twice into hospitals for exacerbations. She lives alone in her house and does not want to be admitted. She says that she can come to the hospital any time for treatment. Since she is an aged person with health problems who is living alone, the nurse must try to convince the patient to get admitted into the hospital or a hospice. At stage 4, it is not safe for her to be alone when any emergency arises. The nurse can tell her to make a living will or get the power of attorney for health care. This would help her or someone else to make a decision regarding her health. Since she may not be able to make a decision in the event of an exacerbation, she has to make a living will or give the power of attorney to someone she knows and trusts.

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