[Solved]: You are the home health nurse assigned to care for…

You are the home health nurse assigned to care for a patient who is in the terminal phases of breast cancer. Mrs. D. is 48 years of age and underwent bilateral mastectomy 4 years ago. She had lymph node involvement at the time of surgery, and recently has been diagnosed with metastasis to the bone.She has been taking one 5-mg tablet of oxycodone every 4 to 6 hours for pain as needed. She is not sleeping through the night and is now complaining of increasing pain to the point that her quality of life has decreased significantly. She wants to stay at home during the terminal phases of her illness butneeds to have adequate and safe pain control. Her husband of 18 years is very supportive. They have no children. They are both college graduates and have medical insurance.1. Mrs. Do’s recent increase in pain has been attributed to bone metastasis in the area of the lumbar spine. At this time, the oxycodone is not beneficial, and you as the home health care nurse need to advocate for Mrs. D. to receive adequate pain relief. Mrs. D. visits her physician and receives a different opioid medication that is given around-the-clock, plus an additional medication to help with any breakthrough pain.2. What type of drug is given for breakthrough pain?3. After 1 week, Mr. D. finds Mrs. D. awake but lethargic, and speaking with slurred words. What do you think has happened? What should Mr. D. do?4. Mrs. D. is taken to the emergency department and is treated for oversedation.Her physician is contacted, and the medication doses are adjusted to a lower dose. How can this problem be prevented in the future?