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Providing Quality End-of-Life Care to Critically Ill Clients Critical care nurses provide care to seriously ill clients who often have multiple concurring illnesses Some of the clients they care for lose their battle with their illnesses and pass away It is important that nurses continue to provide quality end-of-life EOL care to their clients despite their terminal state This paper will discuss research related to providing quality EOL care the nursing interventions proposed strengths and limitations of these interventions and a plan of quality end-of-life care for the client TL is a 69 year old Caucasian male hospitalized for respiratory hemorrhage sepsis decreased blood pressure and an intracranial hemorrhage During his admission assessment TL indicated that he is a minister and husband He and his wife own and operate a radio station for Hispanics in his community His wife stated he is a good Christian man A health history taken revealed he is allergic to Penicillin and its derivatives TL has been hospitalized since April 5 2002 He has a No Harvey Team order per his physician He had a chest CT on 612 to check the status of his empyema He has a chest tube that is draining bloody drainage He receives continuous feeds through his Percutaneous Endoscopic Gastrostomy PEG tube and hyperailmetation He has a foley catheter TL is seen by a Respiratory Therapist He is on continuous mandatory ventilation CMV with a rate of 80 tidal volume of 700 positive end expiratory pressure PEEP of 50 fraction of inspired oxygen FiO2 of 40 His sputum is positive for Methicillin-resistant Staphylococcus Aureus MRSA He is trached and suctioned as needed producing a moderate to large amount of thick yellow secretions He has elastic compression stockings on both legs to the knee He is on a continuous Dopamine 3mcg5cc infusion and a titrated Cardizem to keep his heart rate below 100 last
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