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Posted: October 5th, 2022
Case #1- SymptomsMs. Smith: Anorexia/Depression/Anxiety
Case #1- SymptomsMs. Smith: Anorexia/Depression/Anxiety Ms. Smith is an 85-year-old lady with end-stage cardiac illness in a house hospice program. She has been very snug, not experiencing some other signs, and has been fairly practical till the final two weeks. Her household contacts the house hospice nurse regarding her lack of urge for food, “continuous disappointment,” and nervousness which they really feel is affecting her skill to perform. Throughout a routine dwelling go to by the hospice nurse, the affected person relates she has no urge for food and is kind of snug simply having occasional “snacks” when she pleases. Nonetheless, her household stays adamant that she requires higher vitamin, and so they request an IV be inserted. As well as, the household believes Ms. Smith is depressed and “too antsy,” and these contribute to her lack of urge for food. Mrs. Smith states that she has had hassle with melancholy for a few years, however has at all times tried to search out “the brighter aspect” to struggle off the disappointment. She additionally acknowledges that she turns into anxious when her kids come to go to, as they “don’t wish to admit I’m dying,” she says. She studies that she doesn’t at all times sleep nicely at night time, as a result of she is afraid to die and go away her household behind. She says, “I want I had raised my kids higher. If I had, there won’t be all of this preventing happening about my care. I want they would go away me alone, so I can die the best way I wish to.” She additionally says that her kids make her nervous after they come to go to as a result of “they do not wish to admit I am dying.” She says that she does not at all times sleep nicely at night time as a result of she is afraid of dying and leaving her household behind. She says, “I want I had carried out a greater job of elevating my youngsters. If I had, possibly there would not be a lot preventing about how you can care for me. I want they would go away me alone so I might die the best way I wish to.”
Dialogue Questions:
How may the hospice nurse incorporate interdisciplinary look after this affected person?
What further assessments can be wanted?
What interventions may be thought of?
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