Palliative Care at End-of-Life
How can the act of writing poetry guide us through insight and discovery?
November 17, 2019Superior Markets, Inc., operates three stores in a large metropolitan area. A segmented absorption costing income statement for the company for the last quarter is given below:
November 22, 2019Palliative Care at End-of-Life
Instructions
Palliative Care at End-of-Life
Patient Profile
<link is hidden> a 79-year-old female, is brought to the emergency department by an ambulance. <link is hidden> is complaining of shortness of breath and feeling hot and sweaty. She was diagnosed with stage IV cervical cancer two months ago and decided not to have any treatment. Her husband died a year ago and she has been living alone since that time. In the two months since her diagnosis, she has been cleaning out her house, donating things to charity, and giving her daughters family photo albums and jewelry. Her daughters have continued trying to get her to have chemotherapy, but <link is hidden> refuses. They would check on <link is hidden> every morning and night, and said that she had been getting weaker in the last week. Today they found <link is hidden> lying in bed, short of breath and diaphoretic, and called an ambulance.
Subjective Data
• States she can’t catch her breath
• States she wants to go home and says “I don’t want to die in the hospital”
• Daughters appear upset and angry and tell their mother that she needs to be in the hospital to get better
• No advance directives or living will
• Has a history of hypertension and osteoarthritis
Objective Data
• Blood pressure 100/60, pulse 96, respirations 28, temperature 101.4° F
• 5’4”, 100 lb., BMI 17.1 kg/m2
• Oxygen saturation 88% on room air
• Labored respirations
• Crackles in bilateral bases of lungs
Patient Profile
<link is hidden> a 79-year-old female, is brought to the emergency department by an ambulance. <link is hidden> is complaining of shortness of breath and feeling hot and sweaty. She was diagnosed with stage IV cervical cancer two months ago and decided not to have any treatment. Her husband died a year ago and she has been living alone since that time. In the two months since her diagnosis, she has been cleaning out her house, donating things to charity, and giving her daughters family photo albums and jewelry. Her daughters have continued trying to get her to have chemotherapy, but <link is hidden> refuses. They would check on <link is hidden> every morning and night, and said that she had been getting weaker in the last week. Today they found <link is hidden> lying in bed, short of breath and diaphoretic, and called an ambulance.
Subjective Data
• States she can’t catch her breath
• States she wants to go home and says “I don’t want to die in the hospital”
• Daughters appear upset and angry and tell their mother that she needs to be in the hospital to get better
• No advance directives or living will
• Has a history of hypertension and osteoarthritis
Objective Data
• Blood pressure 100/60, pulse 96, respirations 28, temperature 101.4° F
• 5’4”, 100 lb., BMI 17.1 kg/m2
• Oxygen saturation 88% on room air
• Labored respirations
• Crackles in bilateral bases of lungs
