Susan is a 55-year-old patient with Stage IV breast cancer.

Susan is a 55-year-old patient with Stage IV breast cancer. She… Susan is a 55-year-old patient with Stage IV breast cancer.  She lives with her husband and two children, a daughter (21), and a son (18).  Lately she has been short-tempered, even angry at times.  Susan has been refusing a hospice referral.  Her husband has been providing most of the physical care, and her daughter helps.  The pain in her legs and back from bone metastases increased in recent weeks, but she does not want to take the medication (morphine) the doctor prescribed until she really needs it.  She’s afraid she’ll either be too sleepy or “out of it”, or that she will become addicted to the medication.  She is no longer able to walk to the bathroom without at least one person’s help, but refuses to use the commode.  Although she was a very social person, with many friends and involved in her community and church, she is refusing all visitors.  Susan’s daughter became engaged a few months ago.  The wedding is planned for next year.  Susan has tried to participate in the plans, but her daughter tells her that everything is fine, and she should not bother about it, but concentrate on getting well instead.  Her pain steadily increases, and she is brought to the outpatient clinic by her husband for an appointment.  You, as the nurse, have a moment alone with her husband, and he informs you of the events of the past few weeks. s: 1. What are some of the physical, psychological, social, and spiritual concerns that both Susan and her family are facing? What immediate interventions might be helpful for Susan and her family? How would you go about setting goals with Susan and her family? What are some of the ways Susan might attempt to find meaning in her illness?  Health Science Science Nursing NURS 3006

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