Rosiane is a 50-year-old Rwandan woman (born in the month of May)

Question Answered step-by-step Rosiane is a 50-year-old Rwandan woman (born in the month of May)who arrived in Australia 18 years ago as refugee.  She arrived with her husband (Lonji) and their 3 daughters (aged 12, 10 and 8 years) as refugees from Cogo where they had fled following The Rwandan crisis in 1994.  They have settled well into Australian life; their family has been very important to them and has now grown to include 2 grandchildren with another grandchild due in 6 months’ timeRosiane and Lonji are practising Muslim’s (Sunni) and are both very active in the local African community. Rosiane is currently working 4 days per week in Lonji’s Home Cleaning business to help meet their financial needs however this has become increasingly challenging for her as she has recently become unwell.She presented to her GP, Dr White, 2 months ago with increasing fatigue, shortness of breath, mild confusion and hardening of the Right Breast with ‘peau d’orange’ (orange dimpling) causing pain and discomfort in her breast.   Dr White referred Rosiane to Mr Sheal, a Surgical Oncologist who completed a full physical examination and undertook the following investigations: -R) Breast ultrasound -R breast fine needle biopsy  -Sentinel lymph node biopsy            -CBC, LFT, GFR, HBV, HCV                      -IHC test (ImmunoHistoChemistry) for HER2 Gene -MRI L) and R) Breast, Chest and Head -Chest X-rayOn review of all the findings Mr Sheal confirms that Rosiane has stage 4 Advanced R) Breast Cancer with lymph, lung + brain metastases.  Mr Sheal discusses the diagnosis with Rosiane and Lonji and explains that approaches to treatment were now not curable but rather palliative in intent.  You are the GP Practice nurse assisting Rosiane through these early stages of diagnosis and follow-up tests  1) Discuss four (4) key elements of a ‘palliative approach to care’ in relation to Rosiane.  2) Describe how you would complete a holistic assessment on Rosiane?  3) As part of a Palliative Care approach to care discuss two (2) legal and ethical implications of implementing advanced care planning and advanced care directives4) Discuss the state legislation, that you reside in,( south Australia) relevant to Advanced Care Planning.5) Discuss the state legislation, that you reside in (South Australia), relevant to Advanced Care Directives  Health Science Science Nursing NURSING HLT54115 Share QuestionEmailCopy link Comments (0)