End Of Life Care

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.