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Community Case: Faith-Based Community

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Community Case: Faith-Based Community

Case Part 1

Darnell, who is 56 years old, is of African American heritage and has a diagnosis of late-
stage colon cancer. His physician has indicated that there are no additional medical
interventions to treat the condition. The physician has contacted the home health agency
and requested that a nurse visit the family. Amy, a home health nurse from the AOM
Home Health Agency, visits Darnell and his wife, Carlene, to discuss their available
support systems and possibly arrange for Darnell to have hospice care services.

Questions for students:

1. For individuals with a terminal diagnosis, what end-of-life nursing interventions


can contribute to a meaningful quality of life?
The end-of-life nursing interventions that contribute to a meaningful quality of
life to provide open communication for discussion with the patient and family
members about his/her wishes concerning wills, burial arrangements, tissue
donation, insurance. Provide patient with time for family gatherings and how to
spend the remaining time. Determine spiritual needs of the patient and refer them
to spiritual advisor or parish members.
2. What are the admission criteria for hospice care? Does it sound like Darnell meets
these criteria?
The admission criteria for hospice care is that the patient has 6 or less months to
live and no more treatments can be given to the patient. Darnell meets the criteria
because his physician has indicated there are no additional medical interventions
to threat the condition.
3. What is the philosophy of hospice care? Where are hospice services provided
(e.g., the home, an institution, other)?
The philosophy of hospice care is that it is a type of care that is designed to help
clients and their families during the final stages of a terminal illness. Hospice
treatment is concentrated primarily on maintaining comfort. Hospice services are
provided at home, assisted living or extended care facilities, or hospice inpatient
units.
4. What role do nurses have in hospice care? Compare this with the provision of
palliative care nursing interventions in general practice.
The role of nurses have in hospice care to accommodate the patient and family
wishes to reduce anxiety and promote sense of peace. Hospice care goals are to
give supportive care rather than cure. Alleviate their distress and enhance their
coping. Palliative care is specialize medical care by providing relief from the
symptoms and stress of the illness. Palliative care is based on the needs of the
patient and no on the patient’s prognosis.

From Lippincott CoursePoint for Community and Public Health Nursing. © Wolters Kluwer.

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