Section: Hands on
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Ateca Borregán M, Romero Lara M. Cuidados paliativos domiciliarios. A propósito de un caso clínico. Metas de Enferm dic 2009/ene 2010; 12(10): 10-15
María Ateca Borregán, Margarita Romero Lara
Enfermeras del Centro de Salud Miraflores, Área 5, Alcobendas, Madrid.
C/Arquitectura, 13. 28794 Guadalix de la Sierra (Madrid)
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Within home-based care, the palliative care of patients with advanced and incurable diseases occupies a very special place. The clinical case herein presented addresses the palliative care of a 76-year old patient with advanced cancer disease, tracheotomy and gastrostomy in the home setting. After performing a comprehensive assessment, different nursing diagnoses and collaboration problems were identified and a care plan was implemented, prioritising care of the ineffective cleaning of the air pathways and pain management. Over the course of the care process, communication, emotional support, ongoing assessment and family involvement, in this case the patient’s wife as the primary carer, proved to be essential.
palliative care; nursing assessment; home-based care; Primary Care; nursing diagnosis; collaboration problemsclinical case
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