Macey is a 48-year-old mother of three children who lives with her…

Macey is a 48-year-old mother of three children who lives with her… Macey is a 48-year-old mother of three children who lives with her husband, Ronald. Three years ago, Macey was diagnosed with breast cancer and had a right lumpectomy with adjuvant chemotherapy. Macey was diagnosed with bone metastasis last year. Macey’s three children, Paul (15), Chester (12), and Jane (8), are aware that their mother has cancer, but they have not been informed of the spread of the disease and how bad it is. Macey is still working on getting an Advanced Care Directive completed. Once a month, you (nurse) see Macey, check on her and offer support as needed.  While assessing Macey, you notice that she appears to be in a lot of pain. Macey was found crying and holding her hip, but they did not seek medical help or take more pain relief. Ronald kept saying that pain killers are addictive and, if taken continuously, Macey will need more and more to an extend that she may become unconscious. Macey is lethargic and does not have the energy to put up a fight and cannot decide what to do. 1) To list the ethical issues regarding pain management and cultural beliefs in palliative nursing.2) How would you respond in this situation?3) Explain the role and legal parameters of families in decision making within palliative care nursing. Scenario continued:Further investigation revealed bony metastasis on her hips. She was commenced on medication for the pain and was discharged home with increased palliative care services at home. ACD is completed with a joint effort from the care team and family. Now nursing visit is weekly. On your next visit, you notice that Macey has grown progressively bedridden, sleeping for a long time, and becoming restless at times. She has declined any further chemotherapy and blood tests, and she understands her time is running out. Macey is taking pain relief every 2 hours. On further examination, you notice that she is extremely lethargic and short of breath while talking. Her urine output has declined, and she is not eating or drinking anything well. She has expressed her desire to die at home to Ronald. Ronald approaches you for assistance. He claims that the kids are asking questions to which he does not know how to respond.  4) Outline the nursing interventions for this patient based on your nursing observations and assessments?5) As Macey is nearing the end of her life, how can you involve family to care for Macey? How could you support their family?6) Identify professional boundaries regarding communication of services and nursing interventions in the management of a palliative patient?7)  On your next visit, you see that Macey is having delirium and is not able to communicate properly. Macey is groaning and clenching. Macey is breathing shallow and mouth wide open, trying to get a breath. Macey is on a subcutaneous syringe drive with pain relief and antiemetics. Macey has not produced any urine for the last 12 hours and has not had anything to eat or drink since the day before. Based on your nursing observation, identify the end-of-life care needs for Macey. Scenario continued:Macey died on Sunday at 4.30 p.m., surrounded by Ronald, her three children, and her mother. You witnessed the demise and felt that even though the death was peaceful, the whole dying process was a struggle. 8) Reflect on self-care when nursing palliative patients and their families.9) What actions would you take to address this situation? What support is available at the workplace to assist you? Health Science Science NursingNURSING HLTENN001Share QuestionEmailCopy link Comments (0)

Having Trouble Meeting Your Deadline?

Get your assignment on Macey is a 48-year-old mother of three children who lives with her… 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.