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Lucy S. is a 64-year-old-german woman admitted to a home care agency for care related to...

Lucy S. is a 64-year-old-german woman admitted to a home care agency for care related to end-stage cardiac disease and renal failure. She has complained of chronic generalized chest pain, frequent cramps in her legs, and worsening arthritis pain related to her immobility. The home care nurse has been in contact with Lucy's physician almost daily for the past week and her analgesics have been steadily increased with little pain relief but an increase in nausea, constipation and sedation. The nurse feels frustrated as she observes Lucy declining rapidly with worsening depression, withdrawal and weeping. Lucy's neighbor has noticed that her lights are left on 24 hours a day and the nurse has noticed that Lucy has several rosaries and pray books now at her bedside. Lucy has refused referral to hospice by the home care nurse has requested a team conference with assistance from the local hospice affiliated with the home care agency.

How can this patient’s pain and suffering best be treated?

Would a Palliative Care approach be more beneficial or an option for her?

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