NRS-410V Pathophysiology and Nursing Management of Client-Enewberry SIMW5 Quintona Prework-Updated For A Grade

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NRS-410V Pathophysiology and Nursing Management of Client-Enewberry SIMW5 Quintona PreworkStudent Name: Erin Newberry Date: 6/11/2020 Simulation Name: Quintona Simulation Date: 6/15/2020 A. Quintona A... ge: 85 Weight: 45 kg Height: 162 cm Case Objectives • Formulates a nursing plan of care for the dying client and family unit (CREATING) • Prioritizes nursing management of the dying client (ANALYZING) • Modifies care as needed for the dying client and family unit based on evaluation of outcomes of nursing care and interventions (EVALUATING) • Develops a nursing plan for supportive education for the client/family unit based on the client’s current physical status, history, and medical diagnosis (CREATING) Synopsis The patient is in a hospice bed on the Medical-Surgical Unit and has ascites, with distended and tight abdomen, dyspnea, minimal responsiveness, inability to swallow, daughter and spouse at bedside Past Medical History: 86-year old individual diagnosed with cancer 5 years ago. Treatment included bilateral salpingo-oophorectomy and total abdominal hysterectomy and chemotherapy. Client was found to be BRCA1 positive. Diagnosed with breast cancer 18 months ago and underwent lumpectomy of the right breast, followed by chemotherapy and radiation. Two months ago, client diagnosed with metastatic disease in her bones, brain, and liver Allergies: • NKDA Medications: • Morphine 2-4 mg liquid every 4 hours as needed pain Code Status: • DNR. Spouse named as her healthcare surrogate decision maker Social/Family History: • Married with two children who live out of state. Daughter and spouse are at the bedside. Son is married with two small grandchildren. Son has visited three times since the client’s symptoms began two months ago. Client has no history of tobacco, alcohol, or illicit drug use [Show More]

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