SOLEDAD, KRISTINE NCMB314 RLE

ANNE C COURSE TASK 6

BSN 3Y1-2A

1. As the admitting hospice nurse, you recognize that 8 on the pain scale
greatly impair Jane’s quality of life. Using the WHO step approach, what
would be your plan on intervention?
2. Knowing that Jane probably has two types of pain due to the metastasis,
what adjuvant might you consider for the bone pain?
At this point, an adjuvant might be considered for bone pain possibly
decadron, 2-4 mg daily because steroids are helpful for the inflammation of
bone pain. At this time in Jane’s life steroids are appropriate for use because
her life expectancy is weeks or months rather than years and long term side
effects are less of an issue.
3. Looking to the future, what other comfort issues might Jane face as her
metastasis impacts her life?

m
er as
If Jane experiences shortness of breath related to lung metastasis, the

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morphine and decadron are both helpful in alleviating this symptoms.

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o.
4. How could you keep Jane reach her goal of selected activities (e.g.
shopping, lunch, church?)
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A variety of interventions can improve the quality of Jane’s life, allowing her
the freedom and flexibility to continue some favorite activities and the things
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she would like to do.

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5. Make a drug study on the medications given to Jane.

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