By Heather Campbell
This easy-to-use advisor offers a short connection with the rules of palliative and end-of-life take care of adults, that will help you permit your sufferers not to merely die peacefully yet also live till they die.
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Additional info for Palliative Care
T What makes it worse? Quality What exactly is it like? (Use a list of words. See p. ) Temporal. Is it there all the time? When is it worse? Day or night? Q S Severity How bad is it? (You may wish to use a visual analogue scale here. See p. ) How much does it affect your life? Reference / Adapted from Twycross R. (2003) Introducing Palliative Care, 4th edn. Abingdon: Radcliffe Medical Press. indd 33 22/02/2012 10:54 AM 34 PAIN MANAGEMENT Words that can be used to describe pain Tingling (nerve) Aching (may be bone) Throbbing (may be bone, visceral) Bruised Tight Tender Stabbing Shooting Splitting Sharp (may be visceral) Burning Gnawing Colicky Gripping Dull (may be bone, visceral) Reflection Why might patients under-report pain?
2004) Using the BETTER model to assess sexuality. Clinical Journal of Oncology Nursing 8: 84–86. L. (1990) How cancer affects sexual functioning. Oncology 4(6): 81–88. , Hughes M. Z. (2004) Using the BETTER model to assess sexuality. Clinical l Journal of Oncology Nursing 8: 84–86. indd 27 27 22/02/2012 10:54 AM 28 SYMPTOM MANAGEMENT Other tools • Abbey Pain tool for individuals with cognitive impairment • Wong–Baker Faces pain assessment tool for children or individuals with language barriers • Distress/well-being thermometer Action Make a list of other assessment tools that you have used to assess patient/family needs at end of life Summary Assessment should: • Be holistic, integrating assessment tools as necessary • Adopt a team approach • Address sensitive issues Symptom management ■ COMMON PHYSICAL SYMPTOMS The symptoms below are often prevalent in advanced disease • Fatigue • Constipation • Anorexia • Diarrhoea • Pain • Nausea and vomiting • Dyspnoea • Anxiety • Cough • Low mood or depression • Dry mouth Those symptoms in bold have been identified as possibly the most prevalent in end of life care regardless of diagnosis.
And Warner, L. (1995) Developing a nursing approach to managing dyspnoea in lung cancer. International Journal of Palliative Nursing 1: 5–11. g. MND • Infection • Chronic respiratory or heart disease • Anxiety and fear ■ SUPPORT AND MANAGEMENT It is suggested that general supportive measures are often effective in managing palliative breathlessness. The list below suggests ways in which breathlessness may be relieved: • Helping the patient to find a position that helps. g. g. non-invasive positive pressure ventilation.