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A critical analysis concerning one aspect of the nursing care of older people who require palliative care

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Paul B.
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  1. Introduction
  2. The palliative care of nausea and vomiting
  3. Brooker and Nicol on chemotherapy drugs
  4. The route of administration of anti-emetics
  5. The emotional experience of the patients and family
  6. Assessment
  7. Conclusion
  8. Bibliography

Cancer is a significant health problem in the UK today and according to Redfern and Ross (1999) is a major cause of mortality in the ageing population. Brooker and Nicol (2003) added that cancer is a medical diagnosis that covers the most distinctive diseases. Cancer Research Campaign (1999) highlighted that the most common people diagnose of cancer are those people over sixty years of age. Whilst Cancer Research UK (2004) states that sixty-five per cent of all cancer occurs in people over the age of sixty-five. Cancer is the most frightening disease and anyone can be diagnosed with it, regardless of their age. However, in this assignment the author will only be focusing on one aspect of nursing care for older adult. The author will focus on the palliative care for patients whose suffer from nausea and vomiting as a symptom of cancer.

[...] Nutrition of the Elderly. New York. Raven Press. Kaye, P. (1996). A-Z Pocketbook of symptom control. Northampton. EPL Publications. Kubler-Ross, E. (1970). On Death and Dying. London, Tavistock. In Lichter, I., and Hunt, E. (1990). The Last 48 Hours of Life. Palliative Care: 7-15. Mystakidou, K., Befon, S., Liossi, C., and Vlachos, L. (1998). Comparison of the efficacy and safety of tropisetron, metoclopramide and chlorpromazine in the treatment of emesis associated with advanced cancer. Cancer: 1214-23. Nursing and Midwifery Council (NMC) (2004). [...]


[...] It is very important to address this issue to prevent poor oral care hygiene, as medications play a role in the production of dry mouth, especially some antihypertensive, antibiotics and cancer treatment such as chemo/radiotherapy causes irritation of oral mucosa (Camody and Forster 2003). On the other hand, palliative care for older people with cancer is the most fundamental for the healthcare professionals. Nurses play a vital role to care for a palliative care patients. Brooker and Nicol (2003) state, that the goal for palliative care is achievement of the best quality of life for patients and their families. [...]


[...] According to WHO (1990) goals of palliative care aim for the best possible quality of life their patient and for the family, therefore symptom control and attention to the whole patient, for example, psychological, social and spiritual dimensions would be the first priority. Caring for all patients is the most fundamental aspect of nursing care. There are many symptoms associated with cancer including pain and fatigue, but this assignment will concentrate on nausea and vomiting. Diverse factors may lead to nausea and vomiting ranging from relatively innocuous constipation or transient gastrointestinal infection to drug side- effects and as Redfern and Ross (1999) added, also with a serious underlying disease such as cancer. [...]

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