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Discussion Topics 1. A nurse is caring for a terminally ill client who was always a healthy, active person. The client has just seen the newest member of the family, a grandchild. The client tells the nurse, Life goes on while I am approaching death. Learning Objectivet a. What is the clients frame of mind? ACeptence b. How can the nurse help the client face the situation? 2. The nurse is caring for a young client with terminal illness. The2,3,5, clients family is upset at the situation, but the client is praying silently and appears to be calm. How can the nurse help the client in the given situation? How can the nurse help the clients family in accepting the situation? a. b. 3. A middle-aged client has been diagnosed with an advanced stage of leukemia. Medical diagnosis shows that the client is fast approaching death. The family is in a state of shock and unsure of informing the children of the situation. 4, 2 What is the role of the nurse in this situation? How can the nurse help the family in breaking the news to the children? a. b.

4. A client has been admitted to hospice nursing with a terminal illness. The client is angry and depressed at being isolated from the family at a time when the client needs them most. What stage(s) of dying is the client going through? Explain your answer. How can the nurse help the client? a. b. 5. A client diagnosed with a terminal illness is depressed and feels a vacuum in life. The client is upset at having to leave behind everything and everybody that was close to him. At times the client is very upset and focuses on the failures in life. At times he tries to sleep for long hours or speak to close family members and tries to prepare them for a life without him. What stage of death is the client going through? Depress-en

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Answer #1

1.A) acceptance

B) the nurse can help the client face the situation by providing the end life care with dignity and respect, providing the psychological support, fulfilling the clients wish, encouragement of better socialfunctioning.

2.A) maintain silence, observe patient of which stage he is, when he is praying and still calm he is in stage of bargaining, encourage the patient to ask doubts, clear all his doubts, involve him in social functioning, provide him all holistic care, provide psychological support involve family members in caring for the patient.

B) the nurse can help the family for accepting the situation by providing them psychological support, explaining the patient condition and they can make him happy with the time present, encourage the family to ask doubts, clear all the doubts of family, involve the family in care of patient, educate the family in which way they could be the best strength for the patient.

3.A) they are at the stage of deniel. Reassure them, provide them the necessary support, explain them the patient situation and how important it is to be discussed with their children and their role in his last presence, assist them in managing the patient and educating them about their self esteem and courage in providing psychological support to the patient.

B) the nurse can help family break news to their children by assessing the children's maturity of understanding the situation, educate them about how children's play important role in being with their father/ mother, bring the children introduce to the environment, make children see the client and slowly the situation has to be explained by providing complete support to the children and make them understand their role in this situation.

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