Palliative care case study l.jpg
This presentation is the property of its rightful owner.
Sponsored Links
1 / 12

PALLIATIVE CARE CASE STUDY PowerPoint PPT Presentation


  • 118 Views
  • Uploaded on
  • Presentation posted in: General

PALLIATIVE CARE CASE STUDY. Qamar Abbas Deputy Medical Director St Clare Hospice. PALLIATIVE CARE PROBLEM. 49 years old patient Sarah admitted with history of Breast cancer with chest wall extension and lung metastasis for pain management. She has pain in arms, and chest wall

Download Presentation

PALLIATIVE CARE CASE STUDY

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Palliative care case study l.jpg

PALLIATIVE CARE CASE STUDY

Qamar Abbas

Deputy Medical Director

St Clare Hospice


Palliative care problem l.jpg

PALLIATIVE CARE PROBLEM

  • 49 years old patient Sarah admitted with history of Breast cancer with chest wall extension and lung metastasis for pain management.

  • She has pain in arms, and chest wall

  • Lives alone, divorced, three children age 17, 14 and 4. drug addiction history

  • Very withdrawn

  • Angry with nurses and doctors

  • When medications prescribed, refused medications most times.


Palliative medicine l.jpg

PALLIATIVE MEDICINE

  • An approach which improves QUALITY OF LIFEof PATIENTS and their FAMILIES facing LIFE-THREATENING ILLNESS through prevention and RELIEF OF SUFFERING by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual.

    Cancer pain relief and palliative care. Geneva; World Health Organization: 2002


Slide4 l.jpg

Physical


Physical issues l.jpg

PHYSICAL ISSUES

  • Pain

  • Opioid side-effects

  • Breast wall infiltration

  • Lymphoedema


Total pain l.jpg

TOTAL PAIN

“It began in my back, now it seems that all of me is wrong. I began to cry for the pills and injections but I knew that I mustn’t. The whole world seemed to be against me. Nobody seemed to understand. My husband and son were marvellous, but they were having to stay off work and lose their money. It’s marvellous to begin to feel safe again.”


Social issues l.jpg

SOCIAL ISSUES

  • Lives alone: care issues

  • Financial issues

  • Child care issues


Psychological issues l.jpg

PSYCHOLOGICAL ISSUES

  • Withdrawn

  • Depression

  • Loneliness

  • Helplessness


Emotional issues l.jpg

EMOTIONAL ISSUES

  • Divorced

  • Unloved

  • Fear for children

  • Unable to express love so that they do not get too close and hurt


Spiritual issues l.jpg

SPIRITUAL ISSUES

  • Why me?

  • If I do not take pills, it will speed it up…

  • Can you give me something? I will not tell anybody…..


Palliative care l.jpg

PALLIATIVE CARE


Challenges l.jpg

CHALLENGES

  • Clinical Knowledge of diseases and their progress

  • Symptom Management

  • Communication skills (listening)

  • Ethical dilemmas

  • Patient empowerment

  • Staff issues: Self-knowledge, Team membership, Reflection

  • Personal issues: Empathy, Patience, Courage


  • Login