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    Case Scenario:: 6. Make A Pain and Comforting Cycle For Your Patient Using This Diagram: See The Diagram in Your Module

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    Jane is an 84-year-old woman with metastatic breast cancer that has spread to her bones and lungs. She has refused further chemotherapy or radiation. Jane and her daughter Patty met with the oncologist to discuss hospice care. Upon admission to hospice, Jane's main issue was pain control. Previous medications like Tylenol did not help her 8/10 pain. The oncologist prescribed hydrocortisone which lowered her pain to a 6/10. Additional medications like Decadron may help her bone pain. Morphine and Decadron could also help shortness of breath from lung metastasis.

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    Case Scenario:: 6. Make A Pain and Comforting Cycle For Your Patient Using This Diagram: See The Diagram in Your Module

    Uploaded by

    wokorow
    154 views1 page
    Jane is an 84-year-old woman with metastatic breast cancer that has spread to her bones and lungs. She has refused further chemotherapy or radiation. Jane and her daughter Patty met with the oncologist to discuss hospice care. Upon admission to hospice, Jane's main issue was pain control. Previous medications like Tylenol did not help her 8/10 pain. The oncologist prescribed hydrocortisone which lowered her pain to a 6/10. Additional medications like Decadron may help her bone pain. Morphine and Decadron could also help shortness of breath from lung metastasis.

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    Question 6 cu7.docx

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    Jane is an 84-year-old woman with metastatic breast cancer that has spread to her bones and lungs. She has refused further chemotherapy or radiation. Jane and her daughter Patty met with the oncologist to discuss hospice care. Upon admission to hospice, Jane's main issue was pain control. Previous medications like Tylenol did not help her 8/10 pain. The oncologist prescribed hydrocortisone which lowered her pain to a 6/10. Additional medications like Decadron may help her bone pain. Morphine and Decadron could also help shortness of breath from lung metastasis.

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    © All Rights Reserved
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    154 views1 page

    Case Scenario:: 6. Make A Pain and Comforting Cycle For Your Patient Using This Diagram: See The Diagram in Your Module

    Uploaded by

    wokorow
    Jane is an 84-year-old woman with metastatic breast cancer that has spread to her bones and lungs. She has refused further chemotherapy or radiation. Jane and her daughter Patty met with the oncologist to discuss hospice care. Upon admission to hospice, Jane's main issue was pain control. Previous medications like Tylenol did not help her 8/10 pain. The oncologist prescribed hydrocortisone which lowered her pain to a 6/10. Additional medications like Decadron may help her bone pain. Morphine and Decadron could also help shortness of breath from lung metastasis.

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    of 1

    JAZZLE GEORGE E.

    OTEYZA NCM 314 RLE


    REGINA NICOLE OCAMPO CU7
    Case Scenario:

    Jane is an 84-year-old woman diagnosed with breast cancer 2 years ago, now with metastasis to the bone and lung. She has refused any further

    active treatment (i.e chemotherapy and radiation) and has asked her health care representative daughter Patty to help her talk to her oncologist

    about her wishes. After this discussion, the patient, daughter, and physician have agreed upon a hospice  evaluation. Upon evaluation and

    subsequent admission to hospice services, the patient’s most pressing need was adequate pain control. Previously, she had tried scheduled

    Tylenol without relief-her pain rated at  an 8 on a 0-10 scale. Her oncologist then prescribed Hydrocortisone 7.5/750 mg. 1-2 tabs every 4

    hours as needed, which lowered her pain acuity to a 6. At this point, an adjuvant might be considered for bone  pain-possibly Decadron. If Jane

    experiences shortness of breath related to lung metastasis, the Morphine and Decadron are both helpful in alleviating this symptom.

    6. Make a pain and comforting cycle for your patient using this diagram: See the diagram in your module

    Crying Facial Grimace Anxiety Complaint of severe pain

    Identify symptoms of pain


    Identify symptoms of pain
    (Metastasis breast cancer spread to bone and lung)
    (Metastasis breast cancer spread to bone and lung)

    Pain scale: 6/10


    Pain scale: 8/10
    Free from pain temporary
    May feel shortness of breath and
    May not feel any discomfort, thus,
    persistent cough
    reduce anxiety and able to move
    freely

    Evaluate level of comfort and Generalized weakness, activity


    Assess level of comfort and
    Medications only relief the pain discomfort intolerance due to pain, anxiety
    discomfort
    but it doesn’t mean pain will
    disappear. It may come and go

    History: Diagnosed with History: Diagnosed with


    breast cancer 2 years ago breast cancer 2 years ago

    Provide comforting Interventions

    Comforting strategies Medications Complementary and alternative therapies


    o Treat the source of pain o Tylenol without relief-her pain rated at an  Guided imagery. A technique whereas you will imagine
    o Rest 8 on a 0-10 scale things that will make you feel relaxed. Commonly
    o Hydrocortisone 7.5/750 mg. 1-2 tabs every involve imagining oneself on a favorite scenario or
    o Relaxation therapy, education, or
    location that will trigger relaxation
    distraction 4 hours as needed, which lowered her pain
     Progressive muscle relaxation. Relaxation technique
    o Focus on promoting comfort and acuity to a 6
    starting at the feet up to the whole body.
    altering physiologic responses to pain o An adjuvant might be considered for bone
     Relaxation breathing. Helps relax the body and reduce
    (e.g., heat, cold, transcutaneous pain-possibly Decadron anxiety
    electrical nerve stimulation) o If experiences shortness of breath related  Acupuncture. The use of very thin needles at specific
    to lung metastasis, the Morphine and points on the epidermis to interfere with nerve
    Decadron are both helpful in alleviating impulses. Used for both acute and chronic pain among
    this symptom ancient Chinese
     Biofeedback. a method which uses visual or sound cues
    to help control the response to pain.

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