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Fatigue 19. If the person you are caring for has a PPS of 40% and is very fatis has a PPS of 4096 and is very fatinued, what
Palliative Performance Scale (PPSV2) version 2 Victoria Hospice PPS Level Ambulation Self-Care Full Intake e care Conscious L
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To prevent fatigue of a patient who have Palliative performance scale of 40%

1. As the patient is mainly remain on bed because of the disease condition, i will provide balanced diet to full fill his daily calories requirement through per oral or via nasogastric tube feeding. That will improve his fatigue.

2. I will provide the body massage to the patient as it heals the muscle spasm or fatigue.

3. I will assist the patient in daily self care activity so that he will not do his self care alone that will cause him more fatigue.

4. I will guide the patient to take proper rest and sound sleep that will prevent him from fatigue.

To understand the need of a dying person

1. I will ask the question about his preference of food which he want to eat as food is very good point of topic to talk.

2. I will ask the patient about the physical exercise which he want to to with the support of me or other care giver.

3. I will ask the religious priority of person to prove mental calmness to patient.

4. I will ask the patient about his cultural belief that may interfere with the care provider.

5. I will ask about whether he want the treatment at home or at hospital, it must me his choice.

6. I will asked his choice what to eat, what to wear, whom he want to meet.

3. COMFORT MEASURE THAT MIGHT BE HELPFUL FIR PERAON WITH 40% PPS

1. For the palliative patient main concern is to relieve the pain.

The first priority is to relieve the pain of patient as soon as poy.

2. Provide cool and calm environment. Environment should not be noisy, not too hot nor too cool.

3. Symptomatic treatment should be priority for Palliative patient like to relieve abdomen discomfort, breathing problem, skin irritation.

4. Provide emotionally healthy environment by providing to do religious activity he patient want to do.

5. Making arrangements to meet his friends, family, or others person whom patient wants to meet.

6. Stoping needle stick or drawing blood un necessarily.

7. Relaxation and breathing technique to relieve anxiety.

8. Stopping medicine that do not aid to comfort to patient.

So thats all things that can be used for a Palliative patient.

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