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407364115 _Discussion_1_and_2 (1)

The document discusses two case studies in a nursing context: one involving pediatric end-of-life care for a young girl with advanced-stage cancer, emphasizing the importance of empathetic communication and holistic support for families, and another concerning a 69-year-old woman with chronic back pain, detailing assessments and pain management strategies. The author reflects on their nursing philosophy rooted in patient-centered care and the integration of faith in their practice. It highlights the significance of comprehensive care, emotional support, and adherence to treatment protocols in managing chronic conditions.

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Emmanuel
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6 views4 pages

407364115 _Discussion_1_and_2 (1)

The document discusses two case studies in a nursing context: one involving pediatric end-of-life care for a young girl with advanced-stage cancer, emphasizing the importance of empathetic communication and holistic support for families, and another concerning a 69-year-old woman with chronic back pain, detailing assessments and pain management strategies. The author reflects on their nursing philosophy rooted in patient-centered care and the integration of faith in their practice. It highlights the significance of comprehensive care, emotional support, and adherence to treatment protocols in managing chronic conditions.

Uploaded by

Emmanuel
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Discussion 1 and 2 Week 4 (FNP 654)

Student's Name
Department and Institutional Affiliation
Course Title and Number
Instructor's Name
Due Date
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Discussion 1 and 2 Week 4 (FNP 654)


Discussion 1
I encountered a scenario at a pediatric oncology hospital involving a young girl
diagnosed with advanced-stage blood cancer. Palliative care was provided to maintain the child's
well-being in response to the persistent malignancy following intensive treatment. Every
caregiver was deeply impacted by the family's emotional distress, starting with curiosity and
ending with intense sorrow. As a medical team member, I worked with physicians, nurses, and
therapists to address a wide range of responsibilities beyond just managing pain and nausea.
Amidst this challenging period, I provided the family with psychological and emotional
assistance. This event focused on the distinct difficulties that occur in pediatric end-of-life care. I
emphasized the need to exhibit empathetic communication. Studies have shown that it helps
patients deal with their upcoming loss while maintaining bravery and optimism (Welsch &
Gottschling, 2021). This scenario taught me about the impermanence of life and the importance
of comprehensive care. It emphasized the significance of offering the family mental and spiritual
support and physical care for the child. In addition, observing the resilience of the human spirit
amid such sorrow was both humbling and inspiring.
My nursing philosophy is anchored on patient-centered care, driven by compassion,
holistic care, ethical integrity, and a family-centered purpose. I see my efforts mirrored in the
message of Jesus Christ. Based on the statement on the integration of faith and work, I agree
with the ministry of Jesus Christ and acknowledge that God is our creator and can redeem and
restore our health (Grand Canyon University, n.d.). Therefore, I would show love, compassion,
and care to ensure that God would restore the good life that the patient once exhibited through
me. I acknowledge my obligation to extend the love of Jesus Christ, as demonstrated through His
ministerial duties in ensuring that the patient remains hopeful. According to Snaman et al.
(2020), family-oriented care aligns with the Christian philosophy that speaks about the attitudes
of love, empathy, compassion, understanding, and community-centeredness in care offerings.
Therefore, I would employ these fundamental principles while treating the patient.
Discussion 2
Mrs. John is a 69-year-old female; she comes into the clinic with chronic lower back pain
that has lasted for five years, caused by a work-related injury. She is afflicted mainly by a
continuous everlasting throbbing accompanied by random flashes seemingly emanating from the
left leg. This pain affects not only her daily life but also her quality of life. The failed treatments
include not only over-the-counter medication but also physical therapy as well as chiropractic
treatment. These treatments, however, have been unable to remedy the issue. Examination of the
back region discloses symptomatic lumbar spine, feeble gait with indicators on the left side,
positive leg raise test, and reduced deep tendon reflexes.
The primary assessments, in this case, include the incorporation of validated pain scales
to assist in quantifying pain intensity and its impact on an individual, accompanied by a thorough
medical history, including any chronic disease and the type of treatment the individual might
have received for that condition. For many patients, provocative and palpation tests would be
adequate in confirming the musculoskeletal cause. In addition, the primary medical records
should include medical history, diagnostic imaging results, and findings of physical
examinations, consultant notes, functional assessments, and treatment plans. Also, laboratory test
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results like blood tests or urine screens provide evidence to identify if there is any underlying
medical condition such as an inflammatory disorder.
The primary monitoring required includes intermittent visits to monitor treatment
response and the use of appropriately prescribed medicines and possibly identify any adverse
effects. The impact of pain reception is evaluated by the life scales and the issues reported by the
patients. This ensures that pain is excellently assessed. Other monitoring strategies include going
for regular clinical-follow ups, regular functional assessments and constant medication reviews.
This contributes to the success of the pain management plan. Ensuring compliance with the
California State Board of Nursing's and Pharmacy's guidelines exhibits that high quality of
pharmacists’ care is a cornerstone of our pharmacy services. A pain management agreement with
Mrs. John paves the way through which treatment outcomes, dangers, and consequences of
missing out on medication administrative duties get highlighted. Adherence to these set
requirements helps the patient-centered security of pain management in chronic conditions. The
assessments and corrective adjustments will help achieve the desired results while preserving the
safety of treatment procedures in this situation.
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References
Centers for Disease Control and Prevention. (2019). CDC Guideline for Prescribing Opioids for
Chronic Pain. https://www.cdc.gov/drugoverdose/pdf/guidelines_at-a-glance-a.pdf
Grand Canyon University (n.d.). Statement on the Integration of Faith and Work.
https://www.gcu.edu/Documents/Statement-IFLW.pdf
Snaman, J., McCarthy, S., Wiener, L., & Wolfe, J. (2020). Pediatric palliative care in
oncology. Journal of Clinical Oncology, 38(9), 954. 10.1200/JCO.18.02331
Welsch, K., & Gottschling, S. (2021). Wishes and needs at the end of life: communication
strategies, counseling, and administrative aspects. Deutsches Ärzteblatt
International, 118(17), 303. 10.3238/arztebl.m2021.0141

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