NUR504 Simulation Lab Prework: Samuel Green's End-of-Life
Care Scenario
a. Samuel Green is a 75-year-old male actively dying from pulmonary cancer. He became acutely ill after his last round of chemotherapy and, at his request, has
been admitted to inpatient hospice for pain control and comfort care measures only. His documented code status is DNR. His wife and son are present and are
aware that he is dying.
b. Admitting Diagnosis: End of life
Please review your patient scenario located in the associated blackboard assignment tab. Please complete the information below based on your
interpretation and findings of the scenario.
1. PRIMARY DIAGNOSIS: End of life
a. Pathophysiology (what occurs within the body r/t this condition) of: pulmonary cancer
Exposure to carcinogens especially cigarette smoke led to genetic mutations and affect protein synthesis. The cell cycle becomes
disturbed, and carcinogenesis occurs.
b. Based on your knowledge of your patients’ primary diagnosis, what are the potential causes and/or risk factors for this diagnosis?
• Smoking
• Asbestos
• Other carcinogens
• Radiation
• Metal exposure
• Lung disease
NUR504_FA2021_SimulationPrework_Pilot | CRP 2021 1
)
, c. What are the associated nursing interventions for the treatment of this diagnosis?
• Surgical
o Lobectomy
o Pneumonectomy
o Chemotherapy
• Interventions
o Maintain airway
o Reposition frequently
o Deep breathing exercises
o Monitor ABG
• Interventions for end of life
o Assess anxiety present in family and pt
o Encourage pt to do whatever possible: self care, sit in chair, visit family or friends
o Facilitate trusting relationship with pt or family
o Manage pain
d. What are the prevention strategies for this diagnosis?
NUR504_FA2021_SimulationPrework_Pilot | CRP 2021 2
)
Care Scenario
a. Samuel Green is a 75-year-old male actively dying from pulmonary cancer. He became acutely ill after his last round of chemotherapy and, at his request, has
been admitted to inpatient hospice for pain control and comfort care measures only. His documented code status is DNR. His wife and son are present and are
aware that he is dying.
b. Admitting Diagnosis: End of life
Please review your patient scenario located in the associated blackboard assignment tab. Please complete the information below based on your
interpretation and findings of the scenario.
1. PRIMARY DIAGNOSIS: End of life
a. Pathophysiology (what occurs within the body r/t this condition) of: pulmonary cancer
Exposure to carcinogens especially cigarette smoke led to genetic mutations and affect protein synthesis. The cell cycle becomes
disturbed, and carcinogenesis occurs.
b. Based on your knowledge of your patients’ primary diagnosis, what are the potential causes and/or risk factors for this diagnosis?
• Smoking
• Asbestos
• Other carcinogens
• Radiation
• Metal exposure
• Lung disease
NUR504_FA2021_SimulationPrework_Pilot | CRP 2021 1
)
, c. What are the associated nursing interventions for the treatment of this diagnosis?
• Surgical
o Lobectomy
o Pneumonectomy
o Chemotherapy
• Interventions
o Maintain airway
o Reposition frequently
o Deep breathing exercises
o Monitor ABG
• Interventions for end of life
o Assess anxiety present in family and pt
o Encourage pt to do whatever possible: self care, sit in chair, visit family or friends
o Facilitate trusting relationship with pt or family
o Manage pain
d. What are the prevention strategies for this diagnosis?
NUR504_FA2021_SimulationPrework_Pilot | CRP 2021 2
)
