Overview:
Balvinder Singh is a 60-year-old female who was diagnosed with breast cancer five years ago. She underwent a series of treatments, including surgery, chemotherapy, and radiation therapy. Initially, the treatments were successful in controlling the cancer. However, two years ago, Balvinder’s cancer metastasized to her bones, leading to a significant decline in her health. Despite exhausting all available treatment options, including targeted therapy and clinical trials, her condition continues to deteriorate.
Medical History: Balvinder, who is a baptized Sikh, is now in the final days of her life. She is receiving palliative care at home, focusing on comfort and quality of life rather than curative treatment. The palliative care team provides comprehensive support, including pain management, emotional support, and assistance with daily activities. The client is surrounded by family, primarily her daughter Jas, who is the substitute decision-maker for Balvinder’s care.
Synopsis:
This virtual simulation explores the palliative care journey of a 60-year-old Sikh woman in the final days of her life following the metastasis of breast cancer to her bones. Learners will conduct a holistic assessment to identify Balvinder’s cultural beliefs and values, ensuring her unique end-of-life care needs are recognized and respected. They will also recommend and respond to the anticipated signs and symptoms of the transition to end-of-life, ensuring appropriate symptom management and compassionate support for a dignified death. Additionally, learners will utilize therapeutic communication strategies to foster trust, provide emotional support, and promote culturally sensitive care during this transition. Collaboration with Balvinder, her family, and the interdisciplinary team will be essential in developing and implementing a comprehensive, patient-centred care plan that aligns with her needs and wishes. This case provides an opportunity to apply clinical judgment, cultural competence, and interprofessional collaboration in palliative and end-of-life care.
Suggested target audience:
Healthcare aide learners or nursing students currently enrolled in courses.
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