End Of Life Care
Mr. Rivera is a 72-year-old patient with end stage COPD who is in the care of Hospice. He has a history of smoking, hypertension, obesity, and type 2 Diabetes. He is on Oxygen 2L per nasal cannula around the clock. His wife and 2 adult children help with his care. Develop a concept map for Mr. Rivera. Consider the patients Ethnic background (he and his family are from Mexico) and family dynamics. Please use the concept map form provided.
Sample Solution
Concept Map for Mr. Rivera
Patient: Mr. Rivera, 72-year-old male with end-stage COPD
Ethnic background: Mexican
Family dynamics: Wife and 2 adult children
Medical history: Smoking, hypertension, obesity, type 2 diabetes
Current status: Hospice patient, oxygen 2L per nasal cannula around the clock
Full Answer Section
Goals of care: Comfort and symptom management
Concept map:
Mr. Rivera
- End-stage COPD
- Smoking history
- Hypertension
- Obesity
- Type 2 diabetes
- Mexican heritage
- Wife and 2 adult children
Goals of care:
- Comfort
- Symptom management
Physical concerns:
- Shortness of breath
- Coughing
- Wheezing
- Fatigue
- Weight loss
- Muscle weakness
- Edema
- Cyanosis
Psychosocial concerns:
- Anxiety
- Depression
- Fear of death
- Social isolation
- Financial concerns
- Spiritual concerns
Cultural considerations:
- Family-centered culture
- Importance of religion and spirituality
- Traditional beliefs about health and illness
Family dynamics:
- Wife and 2 adult children provide support and care
- Strong family ties
- Cultural values of respect and obedience to elders
Interventions:
- Oxygen therapy
- Medications to manage symptoms (e.g., bronchodilators, steroids, diuretics)
- Nutritional support
- Physical therapy
- Emotional support
- Spiritual support
Outcomes:
- Improved comfort
- Reduced symptoms
- Improved quality of life
- Peaceful death
Notes:
- This concept map is a general overview of Mr. Rivera's medical, psychosocial, and cultural considerations. The specific interventions and outcomes that are most appropriate for him will depend on his individual needs and preferences.
- It is important to be respectful of Mr. Rivera's Mexican heritage and family dynamics. This may involve involving his family in his care decisions and providing support to his wife and children.
- The goals of care for Mr. Rivera are comfort and symptom management. This means that interventions should be focused on making him as comfortable as possible and reducing his symptoms.