Opioid Administration and Pain Management in the Terminally Ill Cancer Patient: Case study of a patient in the terminal phase of breast cancer. This case study is based on Ms. D, a 48-year-old married woman diagnosed with Bilateral Breast Cancer. She underwent a bilateral mastectomy 4 years ago. Lymph involvement was noted at the time of the surgery. Recent metastases of the bone has been diagnosed and she is in the terminal phase of the disease process. Up to this point, she has been on a regimen
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Identify the professional practice issues in this case scenario. What standards of practice or elements of the code of ethics should be considered? Are any in conflict? Maria is an LPN working in the community setting. A professional practice issue found in this scenario is the amount of time Maria received for orientation. She is fresh out of nursing school and is thrown right into work. The workload is quite high and she has not met those under her care or had time to research about her clients
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choices or changes you are entering a new cycle of learning. Because of the depths of its outcomes this type of learning is known as transformational. The four stages of transformational learning are recognizing the problem, confronting it, finding the solution, and integrating a new perspective and a new set of assumptions into your life. These stages are often stressful and overwhelming. I have experienced transformational change 4 years ago. The situation I was unfortunately faced with was the death
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causes problems with memory and learning. Personality, intellectual function and mood are greatly affected as the disease progresses. As Mr. Speed get in the later stages of the disease, it should be expected that he will lose his sense of self and present things that are going on around him (livestrong.com, 2015). In the early stages of this disease, Mr. Speed may not need any assistance with day to day activities. However as it progresses to where he experiences memory loss or trouble doing simple
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The profession of nursing has established its glory in human history through overcoming various challenges in last two centuries. Started as a small group of people with compassion and courage to care for sick during the dark ages of 19th century, nursing has come to a point where it is renowned as a profession having strong body of knowledge that integrated in day to day practice. During the process of natural evolution, nurses had to go through a series of transformations from mere ‘nursing job’
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for all patients who have an advanced stage of cancer. These patients look back at how they have lived their life and see whether or not they have fulfilled their duties, such as take care of a young son as much as they are able to. As a reader, the patient’s words seem to be agreeable. If it was not for the healthcare professionals, not only would Schwartz be worrying about his physical illness but also his whole life, since the cancer was at an advanced stage. The nursing diagnosis Disturbed Sleep
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Memory Paper Lorena Vega PSY/211 April 4, 2011 Betsabe Salcido Memory is acquired over the years and is vital for our learning skills. Language becomes very natural when we already know what, when and how to say something. We form sentences, phrases, paragraphs by knowing what we are going to say before we say it. Most people believe that when we speak, it is without thought and is done unconsciously, but before we speak we need to plan it. In this paper I will explain the relationship
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INTRODUCTION Psychosocial is a result of psychology and sociology Psychosocial development is how a person’s mind, emotions, and maturity level develop throughout the course of their lifetime. Different people will develop psychosocially at different speeds depending on the biological processes and environmental interactions. People living with HIVAIDS have specific psycho social issues they deal with. It is important to understand that the mind and the emotions have impact on their immune system
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to help my client deal with the symptoms of complicated grief. When she was 39, her husband was brutally murdered. At the age of 82, when I met her, she told me that she had never had a chance to talk about her husband’s death and how she struggled emotionally afterwards. Furthermore, she viewed her situation as abnormal according to the societal standards and mainstream culture which tend to understand grief as a predictable five-stage process of denial, anger, bargaining, depression, and
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element of plot structure. “The complication is the catalyst that begins the major conflict”.1 After Mrs. Mallard was told that her husband is dead; she weeps in an instance and ran into her room. She wanted to be left alone trying to deal with the grief over her husband death. Looking out the window from her room, something came over her. How the clouds are clearing up after the rain. Mrs. Mallard realize that life lives on and her internal dilemma is control. She kept whispering to herself “Free
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