Case Exemplar

1374 Words6 Pages
Everyone will have to deal with the death of a family member or friend, as well as his or her own mortality. The certainty of the end of life can be very stressful and overwhelming. Many aspects of caregiving, treatment, and pain management are all part of the journey towards the end of one’s life. Many people are unclear about pain and symptom management during the end of life. Some believe that if you choose to medicate for pain then they are hastening or responsible for the death of their loved one. Others believe that all measures should be taken to help prolong their loved one’s life. No all deaths are the same. Some people pass away peacefully, while others will have difficulty transitioning through the end of life stages…show more content…
In order for Mrs. S to obtain optimum pain management, she required multiple medications. As she became progressively worse, the hospice nurse monitored her pain, pain relief, and adverse effects. Mrs. S often resisted taking medications that might sedate her, because she was the primary caregiver for her 90-year-old mother who had late-stage dementia. Mrs. S's own primary caregiver was her husband of 45 years. He was very distressed about her illness and did not know what to do as his wife had always taken care of everything. Pain is understood to be a whole person experience that has not only a physical source but also psychosocial and spiritual dimensions. Therefore, comprehensive pain relief must include interventions that target psychological, spiritual, and social distress. There are many complementary therapies for pain. Heat, cold, and massage are helpful in treating physical pain. Psychological approaches such as relaxation, distraction, meditation, and attention to spiritual distress are methods for addressing psychological pain. Complementary therapies offer family members opportunities to comfort the patient at the end of life. In the case of Mrs. S, involving her husband in positioning her, use of massage, playing calming music, and reading from her Bible provided an opportunity for him to replace his sense of helplessness with a sense of helpfulness. As her disease
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