Scenario:Mr. John Smith, a 72-year-old man, has been receiv…

 Scenario:Mr. John Smith, a 72-year-old man, has been receiving palliative care for advanced pancreatic cancer. Despite efforts to manage his symptoms, his condition has progressively worsened, and he is now in the final stages of his illness. Mr. Smith recently has had a decreased appetite and has been eating very little. Mr. Smith has expressed his wishes clearly to his healthcare team and family: he does not want to receive IV fluids or enteral feeding. He has discussed his decision with the palliative care team, who support his autonomy and have reassured him that this approach aligns with best practices for comfort care. However, Mr. Smith’s family is struggling to accept his decision. His adult children, Sarah and Michael, believe that withholding artificial hydration and nutrition is equivalent to “starving him to death” and feel that starting IV fluids and a feeding tube would prolong his life and believe it will help him feel better. They argue that not providing these measures is unethical and are pressuring the healthcare team to intervene. This disagreement has caused emotional distress for both the family and Mr. Smith, who feels his autonomy is being challenged. The healthcare team is now seeking to mediate this ethical conflict while honoring Mr. Smith’s wishes and providing support to his family. For each discussion question, please provide a thoughtful response (minimum 2-3 sentences). 3. How can the nurse effectively communicate and educate the family on Mr. Smith’s decision to stop artificial hydration and enteral nutrition? (provide a minimum of 3 specific examples of what you would say to the family members and discuss at least 1 non- pharmacological intervention the nurse or family could provide to this patient for comfort)

Again, take a calming breath…you will be fine! This is the…

Again, take a calming breath…you will be fine! This is the 3rd case so you are totally ready by now writing Care Plans!  “For God has not given us a spirit of fear and timidity, but of power, love, and self-discipline.” 2 Timothy 1:7 (NLT)   Click here for: EHR Go Case 3 (Mariana Luna) and CS Assessment & Plan Template.docx You are a pharmacist at Comprehensive Pharmacotherapy Clinic at a Cancer Institute. You practice on an interprofessional team under collaborative practice agreements and have the ability to start, stop, and modify regimen and order labs for a variety of medical conditions. Mrs. Mariana Luna is a 45-year-old female who recently started outpatient chemotherapy and has just completed her second chemotherapy cycle. She presents to your clinic with complaints of side effects from her cancer treatment, and to review recent labs as well as complete her Annual Wellness Visit. Can you help Mariana? General Instructions:  Utilizing available electronic drug information resources/the internet and any other posted resources on the Case Studies 4 Canvas shell, you have 180 minutes (3 hours) to individually and comprehensively assess the information provided and formulate a patient-centered care plan Remember: no class notes/other notes are permitted besides what is mentioned above Document all resources in AMA format  You may use the AMA citation guide provided on Canvas Please also reference within your Care Plan using superscripts3 or brackets [3] at the ends of sentences where you gathered information Submissions should be free from grammatical errors and written in your own words, meaning do not copy chunks of information from guidelines or other resources Your Care Plans are submitted through TurnItIn Obviously, stating a therapeutic goal, clinical statistic, or clinical number/laboratory marker is factual information that cannot really be altered — which is acceptable Try to reserve 15 minutes prior to the end so you can review your Turnitin similarity report and re-submit if needed Computers/tablets are the only permitted devices The use of cell phones, smart watches or other electronic devices is prohibited You may not assist or interact with other students or use AI-assisted tools As such, obtaining information using other means is not allowed – doing such constitutes academic dishonesty per the Professionalism and Honor Code (PHC)   When finished, please upload your Pharmacist Care Plan to Canvas: Modules > Patient Cases > Case 3 > upload into the assignment   BEST OF LUCK!!! YOU CAN DO IT.

A patient diagnosed with deep vein thrombosis was discharged…

A patient diagnosed with deep vein thrombosis was discharged on warfarin. Review date was not given and she is now presenting with bleeding in casualty. The antidote relevant for warfarin toxicity is:                                                                                         Tranexamic acidEmicizumabAprotininProtamine sulfatePhytomenadione