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Title: Holistic nursing care plan for terminally ill patient

Total Pages: 5 Words: 1497 Works Cited: 5 Citation Style: APA Document Type: Essay

Essay Instructions: Task: create an appropriate nursing plan in which you do the following based on the scenario below
a. explain how your own perceptions about quality of life and health promotion might affect your care for a dying patient with a lingering illness such as cancer
b. discuss 3 stratergies that you could use in the Thomas's situation to improve the quality of life for Mrs. Thomas and her husband during this illness
c. create a holistic nursing action plan appropriate for managing Mrs. Thomas's care at home:
1. discuss ways to optimize Mrs. Thomas functional ability at this stage of her illness
2. discuss ways to provide care for Mrs. Thomas once self-care is no longer possible
d. explain how you as the community health nurse can intervene in this siutation in the management of Mr. Thomas's chronic depression
e. if you use sources, include all in-text citations and references in APA format
save files as *.rtf or *.pdf NO MORE THAN 30% of a submission can be directly quoted or closely parapharsed from sources even if cited correctly.
Mrs Thomas is 56 yr old. w/history of breast cancer. 3 of her 5 female relatives died before 50 yr with the same illness. A year ago she underwent a mastectomy (right breast) with the removal of 5 axillary lymph nodes followed by chemo and radiation therapy. She suffered moderate lymphedema and pain in her dominant right arm. Six months ago, she felt a pea-sized hardened lump in her left breast. She underwent a second mastectomy with chemo and radiation. After treatment the cancer had metastasized to her lungs and futher surgery is not an viable option. She has been given poor prognosis for recovery and palliative care is not recommended.
She experiences moderate pain on most days and although she had been prescribed Vicodin she endures the discomfort w/out the pills because she says she does not want to become "addicted to drugs". However her pain level is increasing and she spends much of the day crying in bed. She can no longer hold her job which supplements her husband's income and it is difficult to make ends meet. Mrs Thomas has medical insurance but no long-term healthcare insurance. All of her close female relatives have died so she has few people to help her. She does not want to call on friends or coworkers for support.
She lives w/her husband of 31 years in a home in the suburbs of a large city. Mr Thomas has suffered from chronic depression managed w/medication. He i a police officer who is extremely supportive of his wife and is attempting to provide care for her at home. However, he is showing increased signs of depression because of difficulties at work and the stress of his wife's condition. He often forgets to take his medication due to stress. Mrs Thomas is concerned because she fells he is suicidal. This in turn is causing her more stress as she feels he is suffering because of her illness. Because of her condition they do not go out and do not have people over to visit.
She has two sons who live out of state with their wives and children. They are very upset about their mother's condition. They telephone regulary but find it too painful to visit in person. The lack of personal contact with her family makes her even sadder yet she says she does not want to "bother" them with her problems.
As the community nurse you have been asked to visit the Thomas family to assess their support needs. After reviewing Mrs Thomas's case history you recognize that the family is under a great deal of physical and emotional stress due to the chronic and terminal nature of Mrs Thomas's cancer.

Excerpt From Essay:

Title: Holistic Skin Care Verses Conventional Skin Care Slowing Down the Aging Process

Total Pages: 5 Words: 1596 Bibliography: 5 Citation Style: APA Document Type: Research Paper

Essay Instructions: The essay must be APA format.

The topic is Holistic Skin Care verses Conventional Skin Care: Slowing Down the Aging Process using herbs and lifestyle changes i.e., diet and cosmetics verses

"The goal in-life is to die young-as late as possible," anthropologist Ashley Montagu

Excerpt From Essay:

Title: Holistic Medicine Holistic Healing

Total Pages: 6 Words: 1642 Sources: 0 Citation Style: APA Document Type: Essay

Essay Instructions: I need examples of poetry, music, essays,and short stories that have been written about or people involved in Holistic Medine, and also general information about the subject. Out of the ten sources could eight be from journals, article, etc., and could you site at least 1 source of information from each source.

Thank You

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Total Pages: 3 Words: 1212 References: 1 Citation Style: MLA Document Type: Research Paper

Essay Instructions: Unit 9 Assignment: Holistic Health Promotion
For the Unit 9 project, you will complete a holistic health promotion strategy on your virtual family. In a 3 ??" 5 page paper, you will include the following:

•A health promotion strategy for each family member. Be sure that you document physical concerns, spiritual beliefs, spiritual support, and areas of potential distress. Be sure to refer to the specific data for your family members (which has been obtained throughout the course) as well as any relevant course readings to explain your health promotion strategy.
•A discussion of the importance of the preparation of a holistic health promotion strategy.
•The ways in which physical, cultural, and developmental assessment data can be used in the development of a holistic health promotion strategy.
•Strategies which the nurse can use to effectively communicate the health promotion strategy to all members of their virtual family.
Submission Directions
Follow the submission directions found on the NU304 Major Assignments page.

There are faxes for this order.

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