1. What communication gaps do you recognize in this situation?
a. What is the nurse’s role?
b. What strategies would promote continuity of care and improve team communication?
c. How might a family meeting be helpful in this case?
2. How would you assess each of the symptoms in this case?
a. How would you develop a care plan to address each of these symptoms?
b. What patient/family teaching is essential?
3. What are the barriers to pain relief in this case?
a. What types of pain is Mrs H experiencing and what might be the underlying etiologies?
b. Suggest NEW analgesic orders for this patient. Orders must include both scheduled and breakthrough pain medications and other drugs that might be especially effective for a patient with bone pain. Include possible adverse effects and teaching points related to these adverse effects.
c. What patient/family teaching is essential?
4. How can you identify the family’s grief ?
a. What kind of grief would the teenage daughters likely experience?
b. What types of interventions would be helpful?
c. How might the daughters’ grief differ from the patient’s sister’s grief?
d. Would the teenage daughters be at risk for complicated grief? Why or why not?
e. What bereavement services might be provided?
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