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NURS412 NURSING CARE AT END-OF-LIFE

Week 1 Assignment  

Care for the Dying

How do you implement compassionate care to a patient you are caring for who is dying?

 

NURS412 NURSING CARE AT END-OF-LIFE

Week 1 Assignment  

The Dying Patient

How do you implement compassionate care to a patient you are caring for who is dying?

Respond to the questions in this case study: You are caring for a 17-year-old female patient who has been diagnosed with AIDS. Her parents did not know she was sexually active. How will you and the primary care provider support the patient in communicating the diagnosis to her parents?

 

NURS412 NURSING CARE AT END-OF-LIFE

Week 2 Assignment  

Delivering Bad News

Identify the therapeutic statements made by the physician, patient, and daughter that enhanced communication and enhanced hope for the patient and his daughter.

Identify the non-therapeutic statements made by the physician, patient, and daughter that blocked the patient’s understanding of his diagnosis.

In your role as a nurse how could you intervene to improve communication with the physician, patient, and family?

When you are involved in the delivery of bad news and the physician is utilizing non-therapeutic communication techniques how will you address this situation?

How will you advocate for the patient and family?

 

 

 

NURS412 NURSING CARE AT END-OF-LIFE

Week 3 Assignment  

The Dying Process

Before You Begin

Review your readings and experience with the dying process.

To Complete the Assignment

Identify the psychosocial and physiological aspects of end-of-life care for a 72-year-old woman with Alzheimer’s Disease from diagnosis to death. Consider the following questions:

What are the psychosocial and physiological needs of the patient at the onset of diagnosis?

What patient and family teaching will you provide related to the dying process related to Alzheimer’s Disease diagnosis?

As the patient progresses to end-of-life, identify the physiological changes during the dying process when death is within weeks.

As the patient progresses to end-of-life, identify the physiological changes during the dying process when death is within hours.

What will you teach the family about the dying process?

How will you meet the patient’s spiritual needs during the dying process?

 

NURS412 NURSING CARE AT END-OF-LIFE

Week 4 Assignment  

The Patient in Pain

Before You Begin

Review the following article: Broglio, K. & Portenoy, R. K. (2013). Pain assessment and management in the last weeks of life. Up-To-Date, Lex-Comp.

To Complete the Assignment

Respond to the following case study:

Mr. Hollingsworth is a 70-year-old retired construction worker who has lung cancer with bone metastasis. He is in his final weeks of life and is experiencing extreme pain of 7-10 at all times. He has not been taking the medications for pain regularly, leading to decreased effectiveness of the medications. He is only taking morphine on a prn basis.

Describe how you will assess the patient for pain who is experiencing severe pain related to bone cancer.

Utilizing the nursing process, establish a plan of care for this patient.

What medications will you recommend to be added to his drug regime?

Describe the pharmacokinetics and pharmacodynamics of opioids and adjuvant medications utilized for bone pain.

Identify the alternative and complementary therapies utilized in the treatment of pain.

 

NURS412 NURSING CARE AT END-OF-LIFE

Week 5 Assignment  

Ethical Issues in End-of-Life Care

Review

Develop a PowerPoint presentation utilizing peer-reviewed articles on ethical issues in end-of-life care. In your presentation, you will want to present your point of view related to an ethical issue. For example, you may want to present a stand against the administration of enteral tube feedings or physician-assisted suicide.

Consider the following:

Review 5 evidence-based practice articles on a chosen ethical issue at the end-of-life. Summarize each article’s findings.

State your opinion of the ethical issue and address why you agree or disagree with the problem.

 

NURS412 NURSING CARE AT END-OF-LIFE

Week 6 Assignment  

The Last Lecture Reflection

Before You Begin

You will upload your reflection here to be graded, but you will also upload your reflection to Discussion 6.1: The Last Lecture. In the discussion forum, you will be asked to comment on one of your peers’ papers and pose three probing questions to the group. These questions can be related to your reaction to the piece, the book in general, or how you will approach end-of-life care due to reading the book.

To Complete the Assignment

Write a 2-3 page reflective paper on what you learned in The Last Lecture. How did you feel as you read Randy Pausch’s writing? What emotions did the piece evoke? How does what you learned or experienced by reading this book relate to how you will practice end-of-life care?

 

NURS412 NURSING CARE AT END-OF-LIFE

Week 7 Assignment 1

Evidence-Based Neurology Article

Use the above websites to find an end-of-life evidence-based article based on the topic of neurology. Summarize the article and provide a statement of how it informs the care you deliver.

 

NURS412 NURSING CARE AT END-OF-LIFE

Week 7 Assignment 2

Evidence-Based Nephrology Article

Use the above websites to find an end-of-life evidence-based article based on the topic of nephrology. Summarize the article and provide a statement of how it informs the care you deliver.

 

NURS412 NURSING CARE AT END-OF-LIFE

Week 7 Assignment 3

Evidence-Based Cancer – Oncology Article

Use the above websites to find an end-of-life evidence-based article based on the topic of cancer/oncology. Summarize the article and provide a statement of how it informs the care you deliver.

 

NURS412 NURSING CARE AT END-OF-LIFE

Week 7 Assignment 4

Evidence-Based Promotion of Sleep in Patients at the End of Life Article

Use the above websites to find an end-of-life evidence-based article based on the promotion of sleep in patients at the end of life. Summarize the article and provide a statement of how it informs the care you deliver.

 

NURS412 NURSING CARE AT END-OF-LIFE

Week 8 Assignment 1

End-of-Life Care in the Pediatric Intensive Care Unit Article

Use the above websites to find an article based on end-of-life care in the Pediatric Intensive Care Unit. Summarize the article and reflect on what you have learned. Please provide a statement of how it informs the care you deliver.

 

 

 

NURS412 NURSING CARE AT END-OF-LIFE

Week 8 Assignment 2

End-of-Life Care in the Neonatal Intensive Care Unit Article

Use the above websites to find an article based on the topic of end-of-life care in the Neonatal Intensive Care Unit. Summarize the article and reflect on what you have learned. Provide a statement of how it informs the care you deliver.

 

NURS412 NURSING CARE AT END-OF-LIFE

Week 8 Assignment 3

Article About Care of the Family Who is Experiencing the Death of a Child

Use the above websites to find an article based on the care of the family experiencing a child’s death. Summarize the article and reflect on what you have learned. Please provide a statement of how it informs the care you deliver.

 

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