Sconset (Siasconset), Nantucket, Massachusetts


Terminal Colon Cancer Patient with Bowel Obstruction and Pain

1 in stock

SKU: ff16f8e1a363 Category:


About the Client:
We are a compassionate and dedicated nursing team committed to providing comprehensive palliative care for our elderly client diagnosed with terminal colon cancer. Our primary goal is to support the client in managing symptoms, improving comfort, and enhancing quality of life during this challenging time.

Project Overview:
We are seeking skilled and empathetic nurses to join our team in providing specialized care for our elderly client with terminal colon cancer. This project involves collaborating with healthcare professionals, including palliative care specialists and surgeons, to deliver pain management interventions, palliative care services, and surgical consultations to address bowel obstruction and alleviate severe pain.


Conduct thorough assessments to evaluate the client’s pain levels, symptom burden, and overall physical and psychosocial needs.
Collaborate with healthcare providers to develop individualized palliative care plans tailored to the client’s goals, preferences, and prognosis.
Implement pain management interventions, including pharmacological and non-pharmacological approaches, to effectively control pain and promote comfort.
Monitor the client’s response to pain management interventions, assessing pain levels and medication effectiveness, and adjusting treatment plans as needed.
Coordinate palliative care services, such as symptom management, psychosocial support, and spiritual care, to address the client’s holistic needs and enhance quality of life.
Facilitate surgical consultations and interventions, working closely with surgeons and other specialists to address bowel obstruction and alleviate symptoms, while considering the client’s overall prognosis and goals of care.
Provide ongoing education and support to the client and family members regarding the palliative care plan, treatment options, and end-of-life care decisions.

Certification as a registered nurse with a minimum of 3 years of relevant experience in palliative care, oncology, or hospice nursing.
Proficiency in pain management interventions, including the administration of analgesic medications, symptom assessment tools, and supportive care techniques.
Strong understanding of palliative care principles and practices, including symptom management, end-of-life care, and advance care planning.
Ability to communicate effectively and compassionately with clients and family members, demonstrating empathy, sensitivity, and cultural competence in addressing their needs and concerns.
Excellent collaboration skills, with the ability to work closely with interdisciplinary teams, including physicians, surgeons, social workers, and chaplains, to coordinate care and optimize outcomes for the client.
Flexibility and adaptability to work in a dynamic and emotionally demanding healthcare environment, prioritizing tasks and managing time effectively to meet the client’s evolving needs and goals.
Patient Case:

Terminal Colon Cancer

Client: 69-year-old man

Condition: The client is diagnosed with terminal colon cancer and is experiencing bowel obstruction and severe pain. He requires comprehensive palliative care, pain management interventions, and surgical consultations to manage symptoms, alleviate pain, and improve comfort during the end-of-life phase.

Care Plan:

Pain Management: Implement a tailored pain management plan using a combination of pharmacological interventions (e.g., opioids, adjuvant medications) and non-pharmacological approaches (e.g., relaxation techniques, heat therapy) to effectively control pain and promote comfort.
Symptom Management: Address other symptoms associated with terminal colon cancer and bowel obstruction, such as nausea, vomiting, and constipation, using evidence-based interventions to optimize symptom control and enhance quality of life.
Palliative Care Services: Coordinate palliative care services, including psychosocial support, spiritual care, and symptom management, to address the client’s holistic needs and provide comprehensive support to him and his family throughout the end-of-life journey.
Surgical Consultations: Facilitate surgical consultations and interventions to address bowel obstruction and alleviate symptoms, collaborating closely with surgeons and other specialists to explore treatment options and make informed decisions based on the client’s goals of care and overall prognosis.
Advance Care Planning: Engage the client and family members in advance care planning discussions, facilitating open and honest communication about treatment preferences, end-of-life wishes, and goals of care to ensure that care decisions align with the client’s values and preferences.
Family Education and Support: Provide ongoing education and support to the client and family members, addressing their informational needs, emotional concerns, and practical considerations related to palliative care, pain management, and end-of-life care.


Total Budget: $496,735.20