The nurse works with a variety of clients at a general hospital in a rural area. For which clients would it be most appropriate to administer palliative care? (Select all that apply.)
A) 92-year-old man who has just suffered a stroke
B) 83-year-old woman with end-stage dementia
C) 12-year-old girl with terminal lymphoma
D) 74-year-old man with osteoarthritis
E) 54-year-old woman with high blood pressure
Ans: A, B, C
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Palliative care is interdisciplinary team-based care that is focused on the relief of suffering for clients with serious illness. It attempts to achieve the best possible quality of life, not only for clients, but also for their families. Although clients may be any age, even children, palliative care is especially appropriate when provided to older people who have one of the following: (1) an acute, serious, life-threatening illness (e.g., stroke, trauma, major myocardial infarction, and cancer) in which cure or reversibility may or may not be a realistic goal but the burden of treatment is high; or (2) a progressive chronic illness (e.g., end-stage dementia, congestive heart failure, renal or liver failure, and frailty). Osteoarthritis and high blood pressure are not serious illnesses and would not require palliative care.
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