My Aggregate are hospice patients that are Homeless and Veterans
There are two parts to the comprehensive nursing care plan assignment. In Week 5 you are required to submit a draft of your care plan. In Week 6 you will submit your final nursing care plan based on feedback from your instructor and your continued work.
In a Microsoft Word document of 4-5 pages formatted in APA style, begin to develop a comprehensive care plan for the aggregate based on the health risks faced by the aggregate that you identified in the risk assessment.
In your paper, address the following:
Propose two (2) priority-nursing diagnoses based on the major health risks identified during the risk assessment for the aggregate
Include strategies to address the nursing diagnoses and identified risks of aggregate.
Support your strategies with at least two journal articles.
Develop a disaster management plan with the following components:
List of disasters that might affect your aggregate (take into consideration the geographical location of the aggregate, past history, etc.).
Strategies for handling at least two disasters from the list.
Recommendations for a disaster supplies kit.
On a separate references page, cite all sources using APA format. Please note that the title and reference pages should not be included in the total page count of your paper.
Use this APA Citation Helper as a convenient reference for properly citing resources.
This handout will provide you the details of formatting your essay using APA style.
You may create your essay in this APA-formatted template.
Assessment of Hospice Patients
Assessment of Hospice Patients
Hospice can be described as a program that is meant to offer palliative care when an individual’s life expectancy is less than six months when it is clear that a patient would not survive terminal illness (Oliver et al., 2017). Palliative care is an extremely organized system and a care philosophy that is meant to deliver care by prioritizing the quality and comfort of life rather than cure. The main objective of this care is to ensure that all patients experience the finest quality of life as fully as possible each day all through their illness trajectory. This program is meant to assist patients who are at the end of their lives through comfort, support, and relief of symptoms to make the loss of life as pain-free as possible, thus enabling the hospice patients to pass on with dignity. It involves interdisciplinary care, prevention of symptoms, relief from symptoms such as pain, attention to spiritual and emotional needs, sensitive communication, planning, setting of goals, and care of patients and their families as a unit. There is a need for hospice programs in the society, although it is marred by challenges such as inadequate training, the predictability of prognosis, and emotional distress associated with it (Patel & Kruczynski, 2015).
The assessment involves interviewing hospice patients to get a clearer picture of their lives in their current environment. The first interview involves a war veteran who is suffering from stage-three lung cancer, a terminal disease that can no longer be cured. The assessment also involved assessing the environment in which he lived in, including the people he lived with and those responsible for giving care to the veteran. The home in which the war veteran was hosted seemed to be well designed and equipped to make the patient’s life much easier and complied with the required standards for hospices. The house contained ramps making it friendly to people with disabilities friendly thus making it easier for the patient to be moved from one place to another. The patient seemed to be in a jovial mood and in high spirits, which was unexpected of people who were approaching their deaths. However, this was also a sign that the family caregiverswere doing their jobs as expected since the aim of palliative care is to make the quality of the patient’s life the best possible and free from illness symptoms such as pain all through their illness trajectory (Bender, Ceronsky & Etzioni, n.d.).
The war veteran had preferred to be given palliative care at his home, with his caregivers being his wife and children who were responsible for his day-to-day care during his final days of his life. His caregivers seemed to be doing a good job,although the challenges associated with giving palliative care to loved ones such as insufficient training, financial constraints, social support challenges, and emotional distresses associated with giving of palate care to a close relative. The war veteran intimated that he felt comfortable in his home next to his loved one during his final days, although it was also a very emotional experience. His greatest strength was his mental strength since he was an army veteran and served in far worse conditions he was, therefore, able to deal with his current condition. He was, therefore, able to accept his imminent death was a stage in life that everyone ought to go through.
However, his weaknesses was his fear of talking about his death in the presence of his children, who still believed that he would recover from his terminal illness. He was also afraid of how his death would affect his family members, as he would not be around to give them comfort. His other weakness is that he fears that giving up would be akin to personal weakness; he, therefore, has to be strong or rather look strong in their presence. The strengths of his community is that they have always been present, supportive and friendly to him during the final days of his life. The weakness of his community, including his caregivers, who are his close family members, is that they are inadequately trained in palliative care, which can be quite challenging to them at times. They are also uninformed about evaluation, treatment of pain, and prognostic factors. The health risks that are associated with terminal illnesses are mental health issues such as anxiety and depression, of which he adamantly stated he was able to deal with them.
The second interview involved a homeless individual who had been diagnosed with stroke and coronary heart disease as a result of his lifestyle as a homeless person. His lifestyle included eating foods that weresaturated with fats and sodium as most homeless people in cities depend on scavenging in garbage and trash in search of food, which are usually junk remnants. The use of drugs such as tobacco and cigarettes is also common among homeless people and has been linked to cardiovascular diseases due to their damaging effect on blood vessels. The assessment included evaluating the environmental conditions of the facility in which the patient is provided with palliative care. The homeless person was hosted by a non-governmental hospice facility that cared for homeless persons with terminal diseases.
The facility seemed to contain more than a hundred patients under palliative care, with about fifteen caregivers who seemed to be adequately trained and up to the task. The facility also contained equipment and supplies that were essential in making sure that the lives of palliative patients are as comfortable as possible during their final days. His strength was that he was positive and jolly despite him being in the last months of his life. He was also enjoying each moment despite him being a wheelchair user due to the effects of stroke. His greatest weakness was that he had difficulty in accepting his impending death and had hopes that a miracle would happen that would save him from the jaws of death. He was also unable to give up hope on him, making it beyond his expected time, and he was afraid of talks about death and death itself.
The strength of the community he lived in was that they were always positive, jovial, and humorous, which made his life easier and enabled him to forget about his current situation. The caregivers were always supportive and encouraging to all palliative patients making their lives as enjoyable as possible during their last days. The caregivers would also provide guidance and counseling to the patients to assist them in coping with mental health concerns that are associated with palliative patients. The weakness of the community is that at times, other palliative patients would be mean and disrespectful to others, which makes him angry. Still, these are problems that are consideredconventional in an orthodox society setting. The health risks associated with the homeless person are the risk of suffering from mental health illnesses that are associated with palliative patients; however, luckily for him, the caregivers are well trained and can diagnose and treat such illnesses (Oliver et al., 2017).
Bender, V., Ceronsky, L. & Etzioni, S. (n.d.) Challenges in Providing Palliative Care. https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&cad=rja&uact=8&ved=2ahUKEwiR48jZiMzpAhUJrxoKHX5PCfsQFjALegQIAhAB&url=https%3A%2F%2Fwww.who.int%2F3by5%2Fen%2Fpalliativecare_en.pdf&usg=AOvVaw1txh1ypzeYmTMEF0g3nwm1
Oliver, D. Pet al.al (2017). Challenges and Strategies for Hospice Caregivers: A Qualitative Analysis. The Gerontologist, Volume 57, Issue 4, Pages 648–656, https://doi.org/10.1093/geront/gnw054
Patel, K. & Kruczynski, M. (2015). Palliative and End-of-Life Care: Issues, Challenges, and Possible Solutions in the United States. https://www.ajmc.com/journals/evidence-based-oncology/2015/april-2015/palliative-and-end-of-life-care-issues-challenges-and-possible-solutions-in-the-united-states-
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