Introduction

Palliative consideration has been characterized by WHO the World Health Organization that states that a methodology that improves the personal satisfaction of people and their families confronting the issues related with dangerous sickness, through the counteractive action and help of enduring by methods for early recognizable proof and flawless appraisal and treatment of agony and different issues, physical, psychosocial and profound (Smith & Brown, 2017).

WHO further states that palliative care is:

• Always try to come forward to help get away from a distressing situation.

• They didn’t have Plans either to rush or defer passing; 

• They always try to coordinate the mental and profound parts of patient consideration;

• Palliative care offers an emotionally supportive network to enable patients to live as effectively as conceivable until death (Smith & Brown, 2017).

• Utilizations a group way to deal with the location the requirements of patients and their families, including deprivation directing, whenever showed; 

• Will improve personal satisfaction, and may likewise decidedly impact the course of sickness;

• Is pertinent right off the bat over the span of ailment, related to different treatments that are expected to delay life, for example, chemotherapy or radiation treatment, and incorporates those examinations expected to all the more likely comprehend and oversee troubling clinical intricacies (Silbermann, 2015). 

A palliative approach to manage Mrs. Brown’s symptoms with a nursing strategy

Mrs. Brown needs palliative consideration that may encounter a portion of the accompanying side effects, contingent upon their sickness. These manifestations can affect their personal satisfaction and be troubling for their family and considerations.

We should be comfortable with these side effects and work with our group to figure out what can be tended to: 

•    Agony 

•    Ridiculousness

•    Nourishment and hydration 

•    Windedness 

•    Oral medical issue (Lee, 2015)

Nutrition and hydration

Numerous elements can add to diminished nourishment and hydration at end of life. Contributing variables for Mrs. Brown are included: 

•    Trouble gulping 

•    Poor oral wellbeing 

•    Perplexity/not perceiving sustenance 

•    The requirement for expanded help to eat 

•    Diminished eating and drinking habit (Lee, 2015)

Counterfeit sustenance and hydration may not be profitable in the last periods of life and does not haul out life. In specific models, it assembles the person’s uneasiness and the body does not require it over the last couple of significant lots of life. It is basic, regardless, to have the discourse with families around phony sustenance and hydration (Lebel, 2016).

The team introduced therapy with a view to enhance sustainability and endurance of restricted lung function and lessen lung dysfunction, knowing that breathlessness can be deadly. A controlled study was conducted on Mrs. Brown participating in breathing clinic and showed the need for medical intervention because of breathlessness, dysfunction, and problem in day to day activities (Corner, Plant & Warner, 2018). 

This analysis on Mrs. Brown was done to assess a nursing intervention for this symptom shown by lung cancer patients and to redo the study done before. The result of this study validates the previous study results and presents that Mrs. Brown can be aided by the intervention which is based on psychological assistance, control in breathing and different coping mechanisms (Green, 2016).

Breathlessness (dyspnea)

Breathlessness is known as a displeasing and irritating feeling which creates complication while breathing. It affects Mrs. Brown’s living standards, everyday activities, socialization, strength and flexibility and causes anxiety and panic (Carlson, Lim & Meier, 2015). The symptoms noticed in Mrs. Browns are:

• Notice changes in breathing pattern along with breathing frequency and depth.
• Note the symptoms of panic or agitation that makes it difficult to breathe.
• Mark the changes found in functioning capability caused by breathlessness.
• Notice change in complexion or skin pigmentation.
• Evaluate the timing of breathing difficulty which includes the frequency, timing, duration of the problem and amount of time between the occurrences (Bredin et al., 2018). 

To manage Mrs. Brown’s breathlessness following steps can be helpful:

• Reduce anxiety, panic or agitation
• The person should be positioned upright.
• Deliver words in a comforting and calm manner.
• Speed up physical activity
• Based on the reason, the pharmacological agent can be appointed (Corner, Plant & Warner, 2018).  

Breathless can be very troublesome for elderly people and their families. That is why it is important to make them aware of the management and information regarding this matter.  Breathlessness is not just identified as a sign of breathing disorder. It is also a complicated interchange between various bodily functions of body, brain, and emotions (Carlson, Lim & Meier, 2015). The percentage of lung cancer patients who suffer from breathlessness is 10% to 15%. Among them, 65% experience the signs of the disease during their illness. Besides coughing, breathlessness is the indication as stated by most patients with lung cancer. Breathlessness may not occur based on the range of the disease. Different factors such as anxiety can make this problem worse, which can also be seen from the perspective of a deadly disease like lung cancer (Bredin et al., 2018). 

Authorized or unauthorized medical interventions for this problem have not been assessed. The main focus of the treatment is on the emission of pleural effusions and pharmacological medication is implemented to lessen the perception of the signs- still, it is proved that medications used or not, breathlessness stays unredeemed (Carlson, Lim & Meier, 2015). 

To find out and assess the nursing techniques for breathlessness management acquired a different perspective on it together. This approach focuses on ensuring the connection between psychological and physical features of the symptom (Bredin et al., 2018). 

Conclusion

At the end of the study, it can be said that Mrs. Brown is suffering from control and intervention and serious discomfort and agitation because of breathlessness. She was in poor condition and breathlessness exacerbated it. In the field of palliative care research, this case study of Mrs. Brown is long intervention study results with random ill patients is a great achievement. There has been no report of multicenter trials of nursing intervention and this study is believed to be the first in the Australia. The cooperative model used by specialist nurses and the coordinating center for the study shows a practical approach to control innovation is done through challenges which may be of great value in the future for any study like this.