Gen 2 Multi-Function Patient: End of Life Care - End Stage Heart Failure

Semester 1

Semester 2

Hector Fernandez, a 62 year-old Hispanic male, was admitted to a long-term care facility several months ago with chronic heart failure and recurrent falls. He was subsequently diagnosed with new onset diabetes mellitus and developed an infected pressure ulcer. Months later, he contracted Influenza A during a nursing home outbreak, causing a further decline in his health. He was recently admitted into hospice care with end-stage heart failure. Students provide care to Hector who is actively dying and provide therapeutic communication to his family member who is at the bedside

• Assess a hospice patient with advanced chronic conditions in the long-term care setting, differentiating between expected end-of life changes and those indicative of acute exacerbations.
• Conduct a comprehensive head-to-toe assessment of a hospice patient considering the unique needs and comfort measures required in end-of-life care.
• Provide health teaching to clients and their family members on the progression of chronic conditions, symptom management at end of life, and the goal of comfort in the end-of-life stage.
• Demonstrate safe and compassionate medication administration techniques tailored to the needs of a hospice patient in the long-term setting.
• Perform necessary comfort-oriented treatments, focusing on symptom relief and enhancing the patient’s quality of life in the end-of-life stage.
• Utilize therapeutic communication techniques that are sensitive to the emotional psychological needs of the patient and their family during the end-of-life journey.
• Effectively communicate with the healthcare provider using the ISBAR format in the context of hospice care, ensuring clear and efficient exchange of critical information for decision-making and care planning.

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