This is the part B of a two part unfolding scenario that can be used as a single, stand-alone scenario.
Case A: Palliative patient – admitted to the oncology unit from the ER with end-stage lung cancer.
Case B: 55 year old male client is imminently dying of lung cancer with a Palliative Performance Scale (PPS). of 10%. DNR assigned. Client chose to die at home. He is married and his spouse is at the bedside. The client has 2 adult children and 3 grand-children who live out of town. One of which arrives at the home just after her/his father passes away. Nurses must provide comfort measures to the dying client and support the spouse during the final breaths of life, in addition to breaking bad news to the child who arrives too late to say goodbye.