What goal should be included in the care plan for a patient nearing end of life with a fentanyl patch?

In the context of end-of-life care, it is essential to prioritize the quality of life and comfort of the patient rather than focusing solely on curative measures. When a patient is nearing the end of life and is using a fentanyl patch for pain management, the care plan should address the common side effects associated with opioid use, including constipation.

Selecting a goal related to maintaining a usual bowel pattern is particularly relevant because opioids like fentanyl often lead to gastrointestinal complications, including constipation. Ensuring that the patient can maintain a regular bowel pattern enhances their overall comfort and prevents distressing complications that can arise from unmanaged constipation. This is vital in the final stages of life when maintaining dignity and comfort is paramount.

Focusing on a pain-free experience or achieving solid food intake may not be realistic or appropriate goals for a patient nearing the end of life, as their condition may not allow for such outcomes. Similarly, while maintaining a positive mood is important, it may not directly address the physical aspects of care that can significantly affect a patient's wellbeing as they approach the end of life. Thus, caring for bodily functions like bowel regularity becomes central to managing overall comfort.