History

Question History Geoff Holder, a 52 year-old owner/operator of a pest control franchise, has been admitted to the medical ward. He was admitted from home via the emergency department, and arrived on the ward at 0200hrs this morning. Geoff has a history of Diabetes Mellitus Type II which has been previously well controlled by diet and exercise. He was diagnosed with pancreatic cancer six months ago and underwent a Whipple’s procedure with initially good outcomes. Geoff lives at home with his wife and eight year old son: his daughter from a previous marriage lives with Geoff’s ex-wife and attends university, studying education. Geoff has increased contact with his daughter since his diagnosis and she has dinner / visits with his family at least once a week. Geoff’s father died aged fifty in hospital from liver cancer, after a history of heavy alcohol and cigarette use. Geoff was twenty years old and recalls him experiencing significant pain before he died. Geoff’s mother has dementia and has lived in a residential dementia unit for two years. Geoff has limited contact with his only sibling, a brother who lives in Perth. Since his diagnosis of pancreatic cancer six months ago and after his Whipples procedure which initially was successful Geoff was able to continue working from home, but now is extremely fatigued, cannot undertake activities of daily living and has increased pain, his diabetes is also now not well controlled. He presented to the emergency department at 1800hrs for pain control and reluctantly consented to admission for review by the palliative care team today. He has not accepted community services, including community palliative care services, to date. His medications from home (Ordine) have been brought in and are locked in the controlled drugs cupboard. He has an Acute Resuscitation Plan and is not for active resuscitation. His care has been managed by the GP since his discharge after the Whipple’s procedure. Since being on the ward he has had two episodes of break through pain (9/10) that he was given oral analgesia for, the first at 0230hrs of 5 mg of Ordine and another 5mg of Ordine at 0500hrs. This reduced his pain to a score of 4/10, but the pain continues to worsen. He says his pain score goal is to remain below 3/10. He has been too fatigued to mobilise to the toilet. His blood sugar level was 8.2mmol/L at 0600 hrs, and this is being checked three times daily.He is for review by the palliative care team later in the day.Vital signs: T 37.2, BP 108/70, P 110/regular, R 16, SpO2 98% on room air Position supine, bed head at 45° and pillow propped behind right shoulder to lift him slightly ID Band (UR: 106425, Geoffrey Ray HOLDER, 10 Luca Street, Brighton. DOB: 07.02.1960, Male) Medications as per the medication chart are Ordine (Morphine Sulphate) 1mg/1ml – order for 2.5-5mg PRN by Dr MitchellMS Contin SR 5mg tabletsParacetamol (tablets) 500mgIV bag 0.9% Sodium Chloride, running at 100ml/hr on infusion pump Your team is looking after Geoff this morning. You need to get him ready for breakfast and check on his pain level? He is for review by the palliative care team later today. There is concern about Geoff and his wife. He seems very angry about everything and staff are unsure why this might be particularly directed towards his wife. He has refused all offers for food and fluid overnight and is extremely focussed on controlling his pain so he can go home. He does not want to be here and has expressed quite clearly that he wants to die at home.  1) 1.        Complete a Dignity Inventory form for Greg.  Using information from the form, create a care plan that shows how you will respect Geoff’s needs in relation to the following:   Goal/action Intervention/rationale Evaluation Lifestyle Social context Emotional Spiritual 2) a.        Discuss your role and responsibilities as an EN when planning palliative care for Geoff. b)    Identify the other members who may be part of the interdisciplinary team and their roles.   Health Science Science Nursing HLT 54115 Share QuestionEmailCopy link Comments (0)

Having Trouble Meeting Your Deadline?

Get your assignment on History completed on time. avoid delay and – ORDER NOW

Do My Paper

Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Order Now and we will direct you to our Order Page at Litessays. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.