Case01_PalliaveCare_Answers

Case Solu�ons For Contemporary Nursing 9e Barbara Cherry, Susan Jacob (All Chapters, 100% Original Verified, A+ Grade)

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Cherry: Contemporary Nursing, 9e

Case 01: Palliative Care Considerations

Next-Generation NCLEX™ (NGN)—Style Case Studies A 28-year-old patient is admitted with end-stage liver disease. He has been drinking 1 gallon of alcohol daily since he turned 21 and has now been sober for 1 month. Unfortunately, a liver transplant requires 6 months of sobriety and along with his liver his other organs are beginning to shut down as well. Doctors have asked for a palliative consult but the patient and family members are convinced this means giving up on the patient.

MULTIPLE RESPONSE

• Which responses from the nurse best indicate an understanding of what palliative care will

provide. (Select all that apply.)

• Even though palliative care may result in a faster death, the patient will be in less pain leading

up to it.

• The patient can be on both palliative and hospice simultaneously.
• Once placed on palliative care, the patient can never come off.
• Palliative care still means aggressive treatment will be pursued as desired by the

patient/family.

• If the patient agrees to go on palliative care, they will be made DNR (do not resuscitate).
• Fresh fruit and flowers will no longer be able to be around the patient if they choose to go on

palliative care.

• Because the patient is at the final stage of liver disease, hospice should be his only option.
• If the patient refuses to go on palliative care right now, he will still be offered it on future

admissions.

ANS: B, D, H

Palliative care does not ensure a faster death even though it might include a more substantial pain medication regimen. A patient can be on both palliative care and hospice as desired throughout a disease process. Additionally, patients can be placed on palliative and removed at any time.Palliative care does not mean aggressive treatment will cease and as the patient/family desire, any and all interventions will continue to be pursued. Fresh fruit/flowers are prohibited in patients on neutropenic precautions but not necessarily all patients on palliative care. Any patient at any stage in a disease process can be placed on palliative care regardless of their status with hospice. Even if the patient refuses to go on palliative care this admission, palliative care will always be offered again as necessary.Copyright © 2023 by Elsevier, Inc. All Rights Reserved.

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