A client is admitted to the hospital with two of the systemic inflammatory response syndrome variables: temperature of 95° F (35° C) and high white blood cell count. Which intervention from the sepsis resuscitation bundle does the nurse initiate?
A) Broad-spectrum antibiotics
B) Blood transfusion
C) Cooling baths
D) NPO status

Answers

Answer 1

A) Broad-spectrum antibiotics. The sepsis resuscitation bundle includes administering broad-spectrum antibiotics within the first hour of recognition of sepsis or septic shock.

With the client having two of the systemic inflammatory response syndrome variables, it is possible that they are experiencing sepsis and antibiotics should be initiated promptly. Blood transfusions, cooling baths, and NPO status are not interventions included in the sepsis resuscitation bundle. A broad-spectrum antibiotic is any antibiotic that works against a variety of disease-causing bacteria as well as the two primary bacterial types, Gram-positive and Gram-negative[1].[2] When a bacterial infection is suspected but the kind of bacteria is unclear (also known as empiric treatment) or when infection with numerous types of bacteria is suspected, these drugs are employed. This contrasts with a narrow-spectrum antibiotic, which works solely against a certain class of bacteria.

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Related Questions

During assessment of a client with amyotrophic lateral sclerosis (ALS), which finding should the nurse identify when planning care for this client

Answers

When planning care for this client, nurses must identify their mobility, nutrition and vital signs.

What is Amyotrophic Lateral Sclerosis?

ALS or Amyotrophic Lateral Sclerosis is a disease that affects the nervous system in a degenerative and progressive way and causes irreversible motor paralysis. Patients with the disease experience gradual paralysis and early death as a result of the loss of crucial abilities such as

speakingmovingswallowing and breathing.

What are the main nursing care?Monitor vital signs.Apply medications.Promote patient safety.Prevent disease complications.Perform basic procedures.Prevention of pressure injuries.

With this information, we can conclude that the neurons of patients affected by the disease wear out or die and can no longer send messages to the muscles. nurses must identify their mobility, nutrition and vital signs.

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You go to the doctor and he gives you 12 milligrams of radioactive dye. After 24 minutes, 5.5 milligrams of dye remain in your system. To leave the doctor's office, you must pass through a radiation detector without sounding the alarm. If the detector will sound the alarm if more than 2 milligrams of the dye are in your system, how long will your visit to the doctor take, assuming you were given the dye as soon as you arrived? Give your answer to the nearest minute.

Answers

Assuming you received the dye as soon as it arrived, the closest minute to getting 2 milligrams of the dye into your system is 13 minutes.

[tex]\frac{6,5}{3,5} =\frac{24}{x}[/tex] = 12,9 minutes ≅ 13 minutes

Which imaging tests use contrast?

RadiographsCT scans and MRI scans

are examples of radiological procedures that may use contrast media. These are chemicals capable of enhancing tissue that would not normally appear clearly on a radiological image.

With this information, we can conclude that The contrasts of radiology and diagnostic imaging exams can be of three substances: barium, iodine and gadolinium. in this case the closest minute to getting 2 milligrams of the dye into your system is 13 minutes.

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The probability that the member selected at random is from the shaded area of the graph is enter your response here

Answers

The probability that the member selected at random is from the shaded area of the graph is 0.0586.

How to calculate the probability?

It should be noted that probability simply means the likelihood of the occurence of an event.

Based on the information, we will use the central limit theorem. This states that the distribution of the sample means will approximate a normal distribution as the sample size gets bigger.

Here, we are to find P(282 < X < 291). This will be:

P(282 < X < 291) = P[(282 - 267)/10 < Z < (291 - 267)/10)]

P(282 < X < 291) = P(1.5 < Z < 2.4)

P(282 < X < 291) = P(Z < 2.4) - P(Z < 1.5)

= 0.9918 - 0.9332

= 0.0586

In conclusion, the probability is 0.0586.

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A nurse is providing discharge teaching to a client who has a new prescription for sublingual nitroglycerin. Which of the following client statements indicates an understanding of the teaching

Answers

I should lie down when I take this medication is  client statements indicates an understanding of the teaching.

Which of the following client statements indicates an understanding of the teaching?

A nurse is providing discharge teaching to an older adult client following total hip arthroplasty. A nurse is providing discharge teaching to an older adult client following total hip arthroplasty. I should lie down when I take this medication is client statements indicates an understanding of the teaching. A nurse is providing discharge teaching to an older adult client following total hip arthroplasty. A nurse is providing discharge teaching to an older adult client following total hip arthroplasty. A nurse is providing discharge teaching to an older adult client following total hip arthroplasty. A nurse is providing discharge teaching to an older adult client following total hip arthroplasty. A nurse is providing teaching to a client who has an impaired immune system due to  chemotherapy. Change your pet's litter box daily.

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Which of the following medications have no primary effect on heart rate, but can lower blood pressure

Answers

Calcium channel blocker

These medications lower blood pressure and treat other conditions such as chest pain and an irregular heartbeat.

What are Calcium channel blocker ?

Calcium channel blockers are medications used to lower blood pressure. They work by preventing calcium from entering the cells of the heart and arteries.

Calcium causes the heart and arteries to squeeze (contract) more strongly. By blocking calcium, calcium channel blockers allow blood vessels to relax and open.

The medications may also be prescribed to relieve chest pain (angina) and control an irregular heartbeat.

Calcium channel blockers are also called calcium antagonists.

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Which action will the nurse take when a patient receiving morphine sulfate via PCA (Patient controlled Analgesia) has a shallow, irregular respiratory rate of 6/min

Answers

Notify the medical professional and get ready to give naloxone (Narcan).

The Food and Drug Administration (FDA) has approved the drug naloxone for use in treating opioid overdoses. In order to stop the effects of opiates on the brain and to restore respiration, naloxone is used.

What is PCA (Patient controlled Analgesia) ?

You can choose when to receive a dose of pain medication using patient-controlled analgesia (PCA), a method of pain treatment

After surgery, PCA can be used in hospitals to reduce pain. Or it can be applied to excruciating illnesses like sickle cell disease or pancreatitis.

Hospice patients or cancer patients experiencing moderate to severe pain can also utilise PCA at home.

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A nurse is caring for an infant who is receiving IV therapy. Which assessment finding indicates fluid volume excess

Answers

A nurse is caring for an infant who is receiving IV therapy. An elevated blood pressure and bounding pulses are finding indicates fluid volume excess.

what do you understand by fluid volume excess?

Hypervolemia is another name for fluid overflow. It occurs when your body has too much fluid. It can be brought on by a number of various illnesses, such as pregnancy, cirrhosis, heart failure, or renal failure.

Sodium retention by your kidneys leads to fluid volume excess. The fluid and salt balance in your body is controlled by your kidneys. The amount of sodium in the rest of your body rises when something makes your kidneys retain sodium. Your body produces too much fluid as a result of this.

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What type of supplement can improve exercise performance and capacity? Botanical supplement Nutritional supplement Ergogenic aid Herbal supplement

Answers

Ergogenic aid can improve exercise performance and capacity.

A method or substance used to improve performance can be widely referred to as an ergogenic aid. Ergogenic aids can be dietary, pharmacologic, physiological, or psychological, and they can take a variety of forms, from legal and safe methods like carbohydrate loading to illegal and risky ones like the usage of anabolic-androgenic steroids. Many of these methods' effectiveness is debatable, but their harmful side effects are obvious.

Physical therapists should be able to see indications of ergogenic aid usage in patients under their care and be knowledgeable about any negative consequences these drugs may have. The physical therapist may also be a source of knowledge for those looking for details on the advantages and disadvantages of ergogenic devices.

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To help a nurse decide if a task is within his or her individual scope of practice, a prudent nurse should

Answers

To help a nurse decide if a task is within his or her individual scope of practice, a prudent nurse should obtain a list of tasks a nurse may perform from the BON

What is healthcare?

Healthcare simply refers to an organized medical care given to an individual, community or an organization

So therefore, to help a nurse decide if a task is within his or her individual scope of practice, a prudent nurse should obtain a list of tasks a nurse may perform from the BON

Complete question:

To help a nurse decide if a task is within his or her individual scope of practice, a prudent nurse should

A. consider utilizing the Scope of Practice Decision-Making Model.

B. obtain a list of tasks a nurse may perform from the BON.

C. ask a physician wh

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a nurse is assessing a client who is at 36 weeks of gestation. which of the following findings should the nurse identify as a potential prenatal complication

Answers

The six biggest and most common complications in pregnancy are

Threat of premature birth. Iron deficiency anemia in pregnancy. Gestational diabetes. Eclampsia.placenta previa. Toxoplasmosis.

What are obstetric complications?

Obstetric complications refer to interruptions and disturbances of pregnancy, labor and birth, and the early neonatal period.

With this information, we can conclude that Complications can be many and diverse in the prenatal period, so uninterrupted medical follow-up is important.

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Consider our Moon, a white dwarf, and a neutron star. Which of the following lists them in the correct order of size (diameter), from smallest to largest

Answers

Neutron star, moon and the white dwarf is the correct order from smallest to largest.

What is the size of Neutron star, moon and the white dwarf?

The size of neutron star is 20 kilometers, the size of moon is 3,474.8 km and the size of a white dwarf is 4,300 kilometers. According to this data, neutron star is the smallest one which is followed by moon and the biggest one is the white dwarf star. We know that more in diameter represents more in size and less in diameter shows less in size.

So we can conclude that neutron star, moon and the white dwarf is the correct order from smallest to largest.

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Your health will benefit from including physical activity in your daily routine/lifestyle because it ______.

Answers

Your health will benefit from including physical activity in your daily routine/lifestyle because it helps in weight loss/control, reduces blood pressure and strengthens bones and joints.

What is health?According to WHO, health is defined as 'a state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity'.There are five main aspects of personal health: physical, emotional, social, spiritual, and intellectual.Physical activity refers to all movement including during leisure time, for transport to get to and from places, or as part of a person's work.Physical activity improves your physical and emotional health, boosts mood. A healthy lifestyle can not only help you feel better, but it can also reduce the risk of some diseases, lengthen your lifespan, save you money and benefit the environment.

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Part of the problem with regulating herbal drugs is that it is unclear whether they should be classified as _____.

Answers

Part of the problem with regulating herbal drugs is that it is unclear whether they should be classified as foods, drugs or herbs.

Herbs are plants with medicinal properties. Herbs can be used as whole plants or parts of plants in the form of medicine.

Herbal drugs are generally sold in the form of tablets, capsules,  dried or fresh extracts of plant parts, etc. Herbal drugs are taken by people for improving their health and maintain a healthy body.

Some people believe herbal drugs are safe as they are natural, but herbal drugs require to go through testing before their use just like other drugs. Herbal drugs are generally considered to be less effective than synthetic drugs.

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Aside from a Medicare Advantage Plan or other health plan that includes prescription drug coverage, how else could a Medicare-eligible consumer get Part D prescription drug coverage

Answers

They could sign up for a pharmacy savings card through their local pharmacy. There is no other way a Medicare consumer could get Part D prescription drug coverage.

Pharmacy

Pharmacy is the clinical health science that unites chemistry with medicine. It is responsible for the discovery, manufacturing, elimination, safe and effective use, and control of prescriptions and drugs. Excellent drug knowledge, as well as understanding of side effects, interactions, mobility, and toxicity, are essential for successful pharmacy practice. It also necessitates a comprehension of the disease process as well as therapy knowledge. The range of a pharmacist's work includes more conventional tasks like making and dispensing pharmaceuticals, as well as more contemporary activities related to health care like clinical services, examining medications for efficacy and safety, and giving out information about medications.

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Suppose that surplus labor in a pakistani village is used to build a medical clinic and dig several wells. This is an illustration of?

Answers

The kind of pay illustrated here is called nonfinancial or in-kind investment.

What is in kind?

The term "in kind" has to do with a payment that is not done by the use of money. This implies that what is given to the individual is not the financial due of the work that he/she has done. Rather, some kind of benefit that is non - financial is given to the individual in return for a service that is rendered.

Pakistan is a country in South Asia that has an abundance of labor that can always be used for any purpose as required by the peculiar occasion in each context.

Hence, suppose that surplus labor in a Pakistani village is used to build a medical clinic and dig several wells. This is an illustration of nonfinancial or in-kind investment.

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A client has gained 55 lb in the last 3 years and is concerned about developing type 2 diabetes mellitus. Additionally, the client's healthcare provider has diagnosed metabolic syndrome. What are the conditions contributing to the development of metabolic syndrome

Answers

Explanation:

busted fghuioogtddgioobbvb be

Signs and symptoms common to both type 1 and type 2 diabetes mellitus (DM) include all of the following except: Group of answer choices polyphagia. weight loss. polydipsia. polyuria.

Answers

This question is hard cause they are all both in type 1 and 2 .

Studies show that a 1% increase in dietary saturated fatty acids will raise the risk of heart disease by what percentage

Answers

Studies show that a 1% increase in dietary saturated fatty acids will raise the risk of heart disease by 2%.

Saturated fatty acid :

A saturated fatty acid is a type of fatty acid that lacks unsaturated linkages between carbon atoms. This type of fatty acid is saturated because it no longer has any double bonds, which prevents it from absorbing any more hydrogen. Animal fats frequently contain saturated fatty acids.

In the worldwide, cardiovascular disease (CVD) is the leading cause of death and disability. Additionally, a poor diet is a major CVD risk factor. Therefore, changes in diet may help to considerably lower the occurrence of CVD. It is well known that saturated fatty acids (SFA) raise LDL cholesterol, a major risk factor for cardiovascular disease.

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1.how can a blue whales age be determined? 2.how are a blue whales length and weight compared in the audio?

Answers

Counting the layers of a deceased whale's wax like earplugs provides information about the age of the blue whale.

How can a blue whales age be determined?

Scientists have discovered that counting the layers of a deceased whale's wax like earplugs provides information about the age of the blue whale. The oldest blue whale found using this method was determined 110 years old but the average age is 90 years.

So we can conclude that counting the layers of a deceased whale's wax like earplugs provides information about the age of the blue whale.

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A patient with chronic hypertension is admitted to the hospital. During the admission assessment, the nurse notes a heart rate of 96 beats/minute, a blood pressure of 150/90 mm Hg bibasilar crackles, 2 pitting edema of the ankles, and distention of the jugular veins. What will the provider order in response to this assessment data

Answers

Furosemide [Lasix] is prescribed.

What is the use of drug Furosemide?

Furosemide is used to treat illnesses like heart failure, liver disease, and renal disease that cause the body to retain extra fluid (edema). This can minimize symptoms including breathing difficulties and arm, leg, and belly swelling. Additionally, this medication is used to lower blood pressure. Bringing down high blood pressure reduces the risk of heart attacks, kidney issues, and strokes. A "water pill" (diuretic), furosemide makes you urinate more frequently. This helps your body get rid of surplus water and salt.

Take this drug by mouth once or twice daily, with or without meal, as prescribed by your doctor. To minimize needing to get out of bed to use the restroom, it is advisable to avoid taking this prescription within 4 hours of going to bed.

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Antipsychotic medications work well on ________ symptoms associated with schizophrenia but are less effective on ________ symptoms.

Answers

Antipsychotic medications work well on delusions symptoms associated with schizophrenia but are less effective on lack of emotions symptoms.

Antipsychotic drugs are used to treat a person with a mental disorder also known as psychiatric drugs. Mental health disorder like Schizophrenia occurs too early in people between the age of 16 to 30 due to the alteration in the dopamine and serotonin neurotransmitters in the brain. A person with Schizophrenia cannot distinguish between the real and the imaginary world due to the improper functioning of the brain. It causes symptoms of impaired vision, hallucination, anxiety, memory loss, etc.,

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The volume of a cone with a radius of 7 cm is cubic centimeters. Which expression can be used to find h, the height of the cone

Answers

Height of cone is 9 cm

Complete Question

The volume of a cone with a radius of 7 cm is 147π cubic centimeters. Which expression can be used to find h, the height of the cone?

Given:

radius of cone = 7 cm^3

volume of cone = 147π

To Find:

height of cone

Solution:

This expression will be use to find volume of cone

147π = (1/3)π(7^2)(h)

π = 3.14

147 x 3 = h

49

h = 9 cm

So the height of Cone is 9 cm

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The Medicare program is made up of several parts. Which part is affected by the Centers for Medicare

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The Medicare program is made up of several parts. Which part is affected by the Centers for Medicare Medicaid Services - Hierarchical Condition Categories.

Centers for Medicare and Medicaid ServicesUnder meaningful use, and now the MIPS part of MACRA, CMS determines whether healthcare providers have successfully used health IT systems.Sets Medicare and Medicaid reimbursement rates for healthcare providers that use federally certified health IT systems.Hospital Insurance, medical Insurance, medicare Advantage Plans, prescription drug coverage are the four parts of medicare.Each component of Medicare has a distinct cost and includes a variety of services. Maximize the Medicare coverage by being aware of what each section covers and how much it costs.

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The obesity pandemic is primarily due to Group of answer choices the production of high-calorie, low-fat foods even though people still have a high exercise level. a lack of physical exercise. a combination of lower calories and more exercise. the increased ability to produce and consume inexpensive, high-fat foods.

Answers

The increased ability to produce and consume inexpensive high-fat food causes the obesity pandemic.

Obesity has now become the most spread chronic disease globally which occurs due to the storage of excessive amounts of fat in the body. The USA and Europe are the first countries for the high cases of obesity and overweight population. This disease is caused by consuming high-fat foods, processed marketed foods and drinks, and very less physical activity. This results in weight gain, increasing the risk of cardiovascular diseases, type 2 diabetes, depression, cholesterol, hypertension, etc., Other factors like environmental and genetics can also increase obesity.

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Marcus is a sedentary, 40-year-old man. He weighs 200 pounds. Based on his body weight, what is his Recommended Dietary Allowance (RDA) for protein

Answers

The Recommended Dietary Allowance (RDA) for protein for Marcus with a weight of 200 pounds is 72.72 grams of protein.

The Recommended Dietary Allowance (RDA) is the amount of food that a person should eat regularly to fulfill all the nutritional needs of the body. It is frequently used to help people plan diets that are sufficiently nutrient-dense.

RDA for protein is 0.8 grams of protein per kilogram (Kg) of body weight. Marcus's weight in kg will be:

200/2.2= 90.9 kgs

RDA for protein for Marcus= 90.0 X 0.8= 72.72 grams of protein

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You are attempting to control bleeding on a victim who sustained a deep cut to the forearm. You have help pressure for 10 minutes and applied a pressure dressing. You note that blood is beginning to seep through the pressure bandage. You should

Answers

The blood is beginning to seep through the pressure bandage. You should  add more cloth or bandage and continue applying pressure to the cut for another 10 minutes. After the bleeding has stopped, cover the cut with a clean bandage.

The role of the pressure bandage is to protect the injured part and control bleeding without stressing the normal circulation. If attempting to control bleeding on a victim who sustained a deep cut to the forearm. Already have helped pressure for 10 minutes and applied a pressure dressing. But the blood is beginning to seep through the pressure bandage. In such cases add another bandage on he wound or cut and press it firmly. Bleeding from most injuries can be stopped by applying direct pressure to the injury. When heavy bleeding occurs where a major artery has been severed, the pressure may be insufficient and a tourniquet may be necessary.

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Which condition is associated with the excessive concern over underdeveloped muscles, consumption of steroids and supplements, and hours devoted to weight lifting

Answers

The condition that is associated with the excessive concern over underdeveloped muscles is called Bigorexia (muscle dysmorphia).

What is Bigorexia (muscle dysmorphia)?

Bigorexia (muscle dysmorphia) is defined as a health disorder that prompts an individual to build up their muscles.

This concern leads them to involve in the following activities such as:

consumption of steroids and supplements, and

hours devoted to weight lifting.

Therefore, the condition that is associated with the excessive concern over underdeveloped muscles is called Bigorexia (muscle dysmorphia).

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The condition associated with the excessive concern over underdeveloped muscles is bigorexia.

What is Bigorexia ?

The term Bigorexia  refers to  situation in which a person is overly concerned about the development of muscles causing the devotion of many hours to weight lifting.

This may lead a person to consumption of steroids and supplements thus preoccupying the person with the thought of being muscular.

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child is exhibiting increasingly abnormal breathing patterns and the breaths are shallow. There are unusual lung sounds upon observation. What is the most likely problem associated with these symptoms

Answers

If a child is exhibiting increasingly abnormal breathing patterns and the breaths are shallow. There are unusual lung sounds upon observation. These are symptoms of development of bronchitis.

Bronchitis is a disease of the lungs where the bronchi are effected. This blocks the main air passage of the lungs and sequentially results in inflammation of the lungs. Bronchitis is common in children and infants and is usually easily curable. As the airway is inflamed it narrows the passage for air to pass through. This is the reason for shallow breaths and unusual lung sounds. The most common cause of bronchitis in children are viral infections. It might also be caused due to bacterial infection by spores or from various different allergens.

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When suctioning a client with a tracheostomy using an open system, which actions by the nurse would help to prevent hypoxemia during the procedure

Answers

Tracheostomy is the opening created at the front of the neck where a pipe is being inserted for a patient to breath normally.

What is suctioning of tracheostomy?

The suctioning of tracheostomy is a nursing procedure that is being carried out by a Train band certified registered Nurse.

The process requires a careful step to prevent the patient from suffering from hypoxemia, which is decreased oxygen content of the blood.

In order to prevent hypoxemia during the suctioning procedure,

Pause for 30 to 60 seconds between suctioning attempts.

Limit suctioning to 10 to 15 seconds each time.

Hyperventilate the client with 3 to 6 breaths before suctioning.

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Hesari et al. 2019. The effects of teaching methods of palliative care on life pattern of old women with chronic pain. Eur J Transl Myol, 29(4)

Answers

Chronic pain is among the problems of old people and causes changes in their life patterns and processes.

Abstract:

Elderly persons with chronic pain can live active lives by learning palliative care. The purpose of this study was to ascertain the effects of palliative care education on the daily routines of older women with chronic pain. The current study was carried out on 30 older women with chronic pain in Iran in 2018 using a quasi-experimental design with pre-and post-tests. Before the intervention, a questionnaire to assess the older population's pattern of life with pain was completed. A group education program on palliative care was then used, and the questionnaire was then refilled immediately as well as one and three months afterward.

The mean changes before teaching palliative care were significantly different from those immediately following the educational program, as well as one and three months later (p = 0.0), respectively (p = 0.004). The stages immediately after the educational program, those occurring one month later, and those occurring three months later all differed significantly (p = 0.001, p = 0.002) from one another. Between the stage immediately following the educational program and those before the intervention and three months after it, there were statistically significant variations in the personal life patterns (p = 0.005, p = 0.000).

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