Joe Clark, 79 years of age, is a male patient who is receiving hospice care for his terminal illnesses that include lung cancer and chronic obstructive pulmonary disease (COPD). He developed bilateral pleural effusion (fluid that accumulates in the pleural space of each lung), which has compromised his lung expansion. He states that he is short of breath and feels anxious that the next breath will be his last. The patient is admitted to the hospital for a thoracentesis (an invasive procedure used to drain the fluid from the pleural space so the lung can expand). The thoracentesis is being used as a palliative measure to relieve the discomfort he is experiencing. Low dose morphine is ordered to provide relief from dyspnea or discomfort. The patient is prescribed Proventil (albuterol) inhaler 2 puffs per day, as needed, and Flovent (fluticasone propionate) inhaler 2 puffs twice a day. The patient has 2 L/min of oxygen ordered per nasal cannula as needed for comfort. (Learning Objective 9)
October 16, 2021
Each annotation must address the following critical elements: Explanation of the main purpose and scope of the cited work Brief description of the research conducted Value and significance of the work (e.g., study’s findings, scope of the research project) as a contribution to the subject under consideration Possible shortcomings or bias in the work Conclusions or observations reached by the author Summary as to why this research lends evidence to support the potential problem identified specific to your role option. “
October 16, 2021

2.description of the theory,

 
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