Constipation
The Management of Constipation in Palliative Patients
Which strategy is considered the best when nurses must intervene with a patient suffering from constipation? The PubMed publication put out by the National Institutes of Health and the U.S. National Library of Medicine explains that there is some uncertainty within the healthcare field about the choice between managing constipation with drugs (pharmacologically) or with other various clinical programs in palliative care settings (Clemens, et al., 2013).
A section in the Oxford Textbook of Palliative Nursing dedicated to bowel management -- written by researcher Denice Caraccia Economou -- explains that there is no absolute rule as to what intervention is best (220).
Pharmacological Management: The use of opioids is not always recommended for constipated patients, because they increase electrolyte and water absorption in both intestines which can lead to dehydration and dry, hard stools, according to Economou (221). Also morphine is not a recommended intervention because of the insensitivity it creates which prevents the patient from sensing that he needs to have a bowel movement. In terms of pharmacological management, lubricant laxatives (mineral oil laxatives) can cause some leaking from the rectum hence they are not recommended. When patients use bulk laxatives...
It might appear simple to claim one has possession of these competencies yet, a breakdown in communication and the ability to discern the patients mental and physical condition will render health care incapable of fulfilling any of the competencies stated by the American Association of Colleges of Nursing. The palliative care nurse who is well educated and trained will know that prior to the progressive stages of the disease,
Hisory of Palliatve Care Palliative Care Palliative Care Methods Palliative care entails assisting patients get through pain caused by different diseases. The patient may be ailing from any diseases, be it curable or untreatable. Even patient who are sick and almost passing away will need this care. Palliative care has characteristics that differentiate it to hospice care. The key role for palliative care is to help in improving the existence of someone and
Palliative Care on the Caregiver Palliative care has several positive effects on the caregiver. These can be divided into emotional, social, psychological, and physical effects. First is the positive psychological effect that the caregiver such as the nurse, personal care worker, or family member to deal with the tough job. One study found that when patients died with unrelieved suffering, as nurses, they would also endure enormous suffering on their
Nursing Case and Care Plan William Smith is a 68-year-old man who was transferred to the Palliative Care ward from a surgical ward three days ago. The patient was admitted on January 26, 2013 for removal of a sacral abscess that had been a source of a lot of pain to him. Following his surgery, his future management was evaluated and it was decided that he would be transferred to the
nursing research findings into clinical practice. Nociceptive Pain at the end of life Conduct a Medline/PubMed & CINAHL search to identify 2 (two) PRIMARY SOURCE research articles that were published within the last 5 years that are not cited in the text Oxford Textbook of Palliative Nursing by Ferrell & Coyles chapter 6. McMillan and Small (2007) conducted research in order to test whether the COPE intervention would help caregivers better manage
NURSING Nursing: Outpatient InfusionQuestion 1Lung Cancer: It is considered one of the deadliest forms of cancer within the United States. It is caused by cell origination in the bronchi or lung. The term encompasses all four types of cells, naming adenocarcinoma, squamous cell (epidermoid) carcinoma, large cell (anaplastic) cancer, and small cell (oat cell) cancer.Osteoporosis is a disease in which loss of bone mass is observed throughout the skeleton, predisposing
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