End Stage of Cancer: Strategies for Coping and Support in Palliative Care

The nurse is performing care for a client in the end stage of cancer. How can the nurse best facilitate the client and family’s ability to cope? Select all that apply.A. Inform the family that there is nothing they can do for their loved one.B. Refer the client and family to hospice services.C. Assist the client and family with the preparation for end-of-life.D. Assist the client with activities of daily living (ADLs).E. Encourage the family to leave and let the nurse take over care.

To facilitate coping for a client and family in the end stage of cancer, the nurse should consider the following options:

B

To facilitate coping for a client and family in the end stage of cancer, the nurse should consider the following options:

B. Refer the client and family to hospice services: Hospice services specialize in providing care for individuals in the end stage of life. They have expertise in managing pain and symptoms and can provide emotional and spiritual support to the client and their family. Referring them to hospice can help ensure that they receive the appropriate care and support during this difficult time.

C. Assist the client and family with the preparation for end-of-life: Facilitating discussions about end-of-life wishes, such as advanced care planning, funeral arrangements, or other personal preferences is essential. The nurse can help the client and family navigate through these decisions, providing resources and emotional support.

D. Assist the client with activities of daily living (ADLs): As the disease progresses, the client may require assistance with ADLs such as bathing, dressing, feeding, and mobility. Assisting the client with these activities can help promote comfort and maintain their dignity and sense of self.

Options A and E should not be selected as they do not promote coping or support for the client and family.

A. Inform the family that there is nothing they can do for their loved one: This option can be disheartening for the family. While it may be true that the client’s condition is terminal, there are still things the family can do to support the client emotionally and provide comfort. It is important for the nurse to communicate that their presence and emotional support are valuable during this time.

E. Encourage the family to leave and let the nurse take over care: The family’s presence can be a source of comfort to the client, and their involvement in providing care and support can be therapeutic for both the client and the family. Encouraging the family to leave could deprive the client and family of opportunities for meaningful connections and expressions of love and support.

In summary, the nurse should refer the client and family to hospice services, assist them with end-of-life preparation, and provide assistance with activities of daily living as needed.

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