End of Life Care
Laura Ford is 34 years old, and was diagnosed with a lung adenocarcinoma (T3 N2 M0) eighteen
months ago. She has completed several cycles of pa
lliative treatment including chemotherapy and
radiotherapy. Sadly, despite some initial response, a recent CT scan has shown extensive disease
Laura woke up in the early hours of the morning struggling to breathe. She was frightened and so
s Paul who called an ambulance. On admission to the ED Laura presents with severe dyspnoea, a
tachycardia of 130bpm and she seems disorientated.
Laura and her husband Paul are aware of the stage of her disease and have talked openly about their
Lauraâsâ future care. Their three children, aged 3, 6 & 10 years are being cared for by
Paulâs parents whilst they attend hospital.
Write a 4000 word essay in which you:
With reference to the scenario where appropriate,
and supported with appropriate evidence
and relevant guidance,
and current management
g a holistic approach, discuss
the needs of Laura and her family as she approaches the
end of life, and ex
how a multidisciplinary approach can help to meet these.
Use the explain, explore, analyse and critical thinking to write the essay. Include a brief intro that explains the nature and meaning of complexity (what is it? what is complex about it?) in terms of the health needs and nursing care of the patient in scenario above. Convince the reader that the patient in the scenario has complex health and social care needs. Describe understanding of the pathophysiology of lung cancer. The important bits to remember when it comes to analysis are the complex and holistic requirements /needs of the patient in the scenario and the nursing interventions to address these needs. Pull out an element of care and really explain it. Also include a conclusion that sums up the whole essay.
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