title: Care study: providing effective care in palliative nursing.
abstract: Currently, nurses are under great pressure to demonstrate effective, evidence-based patient care. In this article a single case study will be used to demonstrate that care can be based on recent research within a palliative care setting to produce effective outcomes. Research-based interventions, which were used to provide care for a patient who will be referred to as Maria, will be discussed and evaluated to illustrate the contribution that evidence-based practice made to her nursing care. Although it is a single case study and the findings cannot be generalized, it is suggested that this article can be used to demonstrate the need for accurate interpretation of assessment data, illustrate the use of research to support nursing interventions in pain management, constipation and skin pressure damage, and show that empirical evidence alone may not be a sufficient basis for care and that moral issues must be taken into account.
authors.affiliation: Altnagelvin Hospitals Health and Social Services Trust, Altnagelvin Area Hospital, Londonderry, Northern Ireland.
authors.forename: K
authors.initials: K
authors.lastname: Dunne
authors.forename: V E
authors.initials: VE
authors.lastname: Coates
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000150:complications / Q000451:nursing*; D003248:Constipation / Q000209:etiology / Q000517:prevention & control; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D015399:Nursing Research; D010146:Pain / Q000209:etiology / Q000517:prevention & control; D010166:Palliative Care / Q000379:methods*; D010347:Patient Care Planning; D003668:Pressure Ulcer / Q000209:etiology / Q000517:prevention & control