MEADOWLARK HOSPICE PALLIATIVE PLAN OF CARE WEAKNESS/ENDURANCE/VERTIGO: No. 42
PATIENT:
ID No:
FREQUENCY: Each POC problem marked will be addressed at each visit by each discipline.
DATE
GOALS/EXPECTED OUTCOMES 1. Patient/caregiver/family will understand progress of terminal illness, including changes in strength and endurance.
2.
Patient achieves and maintains personal satisfactory mobility/independence.
3.
Patient/caregiver/family will have availability of assistance devices (DME) and knowledge of use to provide safe care.
4.
Patient’s energy will be conserved for activities of greatest value to the patient.
DATE RESOLVED
PLAN/APPROACH
ORG
DIS
1.
Assess and educate patient/caregiver on different causes of weakness, decreased endurance and/or vertigo: a. Impact of fatigue on mood, family dynamics, roles, intimacy, social life, hopes for the future b. Control of pain and other physical symptoms c. Evidence of blood loss or anemia d. Presence of infection or fever e. Depression and/or anxiety f. Sleep disturbance g. Activity level, possibility of benefit from therapy h. Medications i. The dying process
H, NF
RN, SW, VC, C, NFS
2.
Assess what activities or goals are the highest priorities for the patient.
H, NF
RN, SW, VC, C, NFS
3.
PT consultation for safety in transfers if necessary, adaptive needs or strengthening if appropriate and desired by patient/caregiver.
H, NF
RN, SW, VC, C, NFS
4.
Provide and instruct on use of assistance devices (DME) as needed by patient/caregiver.
H, NF
RN, SW, VC, C, NFS
5.
Instruct on non-pharmacological interventions: a. Educate regarding adverse effects of prolonged inactivity if applicable b. Realistic goals for daily living c. Prioritize activities—schedule the most important activities during the most energetic periods of the day. d. Counseling on changes in roles and self-image e. Address psychological stressors or spiritual issues f. DME as needed
H, NF
RN, SW, VC, C, NFS
EVALUATION
42. Weakness, endurance, vertigo.doc Revised 08/05, 10/05csc
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