Introduction

            Dyspnea is one of the common universal symptoms for the majority of patients who are at the last stage of the pulmonary disease. At least half of the patients suffering from other life-limiting disorders, for instance, neuromuscular disorders and heart failure end up experiencing episodes of breathlessness, regardless of the therapeutic intervention given to control the disease process (Beth, 2015).

1. a) What evidenced-based nursing intervention(s) is (are) important per the article?

In most cases, physicians always encounter several patients troubled with the same symptoms. One of the means of responding quickly to them entails reacting quickly although the available interventions are the ones which have been proven to have the ability of supporting respiration in the ABCs of emergency responses.

                        Conversely, in the process of caring for a dying, in which comfort and not rescue is the ultimate objective, at times it becomes impossible for nurses to intervene. This together with other barriers restricting quick relief of distress has been recognized to have serious consequences for the surviving families and close cycle of friends. Taking into account the current methodical reviews of the main priorities of the end-of-life care, the truth is that patient rated symptom relief is one of the top ranked elements of medical care.

                        The above integrative assessment is the one that aid in confirming these results, hence highlighting the general significance of effective and rapid symptom relief as being ultimately important to patients and their families. Despite that, it should be understood that families and patients might be dissatisfied with the kind of medical attention given to them. The reason for that is because it has been recognized that physicians at times end up being frustrated by some of the institutional barriers in the process of trying to offer quick symptoms relief for some of the dying patients. As result of that, Code Comfort has been perceived as being one of the main approaches that have the ability of overcoming these barriers (Beth, 2015). Ideally, such a strategy has been designed for patients who desire not to resuscitate their status, the policies of the Code Comfort including procedures for managing acute signs and symptoms, for example, dyspnea, agitation, anxiety, and pain.

1. How will you incorporate these interventions into your nursing practice?

            Taking into account the some of the current standing orders, it implies that patients’ physicians are mandated to be able to implement various interventions aimed at moderating symptoms immediately. As a result of that, for some of the severe symptoms or moderate symptoms, as a nurse, it is important to activate the Code Comfort team. The reason for that is because it the one that can aid in fostering quick responses for an emergency condition.

            On the other hand, in the process of including these interventions to my nursing practices, it is vital to understand that individual responses to the Code Comfort will have to take into account chaplains, RTs, nurses, as well as prepared palliative care individuals.  Guided by evaluations and other intervention algorithms, it is important, as a responder, to ensure that I have worked swiftly in providing quick symptom relief. Ideally, the reason for that is because it has the ability of supporting the patient’s nurses, and family from the various distresses that they might be experiencing by that time (Beth, 2015).

            Regardless of that fact that a person can be in a clinical institution that lacks the same protocols, there are various strategies that ought to be implemented as a physician. The reason for recommending these strategies is because they have the ability of preventing as well as relieving the suffering of breathlessness of the dying patients as well as supporting their loved ones. As a result of that, it implies that another possible means of incorporating these interventions to my nursing practice entails enlisting the assistance of the patients as well as their families to aid in assessing and identifying therapeutic approaches. Such an assessment should also take into account evaluating the symptoms that the patient might have encountered earlier and what they mainly use to relief their pain.

1. How will you evaluate the outcomes of your intervention(s)?

            In order to act rapidly, it is vital to ensure that I have the ability of streamlining the clinical systems so as to be in the position of obtaining appropriate medications to all the patients who might be experiencing symptom pains. According to the modern research, it has been recognized that some of the therapeutic policies which has the ability of impeding rapid medical care, for instance, those forcing nurses to document RT, has the potential of harming patients as well as their loved families. As a result of that, it is important as a nurse to ensure that I have audited by unit on a timely basis to some of the therapeutic distressing symptoms. In this case, it is vital to take into account the time that elapses when a patient demands nebulizer, antiemetic, or analgesic, as well as when it was given.

            To streamline these interventions, it is important to ensure that the same therapeutic processes have been streamlined and the available barriers dealt with. The reason for ensuring that there is consistent medical care in the room is because abandonment of patients during distress is one of the helpless horrible feelings. Emotional support, and presence, ongoing monitoring, non-pharmacologic treatment, for example, fan use, distraction, and repositioning ought to be implemented (Beth, 2015). The reason for that is because it is these activities that give time for clinical treatments to be prepared as new orders are being requested for.

            Another means of evaluating the outcome of the intervention entails assessing the impacts of the relationship developed with the patient and the nurse. Ideally, it is important for medical parishioners to ensure that they have dedicated enough time in establishing a solid relationship with patients. The reason for that is because symptom distress has been clinically perceived as being one of the emergency situations for dying patients

                                                            Conclusion

            As a medical practitioner, it is important to give patients and their respective families enough time to take action in the process of addressing such distressing symptoms. The reason for that is because breathlessness is one of the factors that have been perceived to be worsening with anxiety, which is ultimately worsened as a result of the lack of control or continued hospitalization. Such a scenario will have to take into account some of the actions that they come up with in the process of handing those symptoms at home. Since quick treatment is the main goal, evaluating its effectiveness will also take into account the manner in which it could have promoted patients’ comfort as well as the healing of their family members who could have been troubled with those final hours.

 

 

 

 

                                                           

 

 

 

 

 

                                                            Reference

Beth F. (2015). Code Comfort: Prompt symptom relief in end-of-life care. Wolters Kluwer Health, Inc.