Problem: Pain management at end of life is a clinical practice problem. Studies report an increase in pain as common side effect in advance disease towards end of life (Davies, 2016). Pain management requires skilled nurses to help patients with life limiting illness manage pain by working together with doctors in coming up with a plan. A plan with intervention, and follow up. Having knowledge about pharmacological and non-pharmacological interventions is important and a core competency when caring for patients with advance end of life illnesses. The goal is to provide better care to the dying and participate toward the purpose of a "good death" (Davies, 2016).
Another clinical practice problem is patient with catheters getting recurring urinary tract infections (UTI). UTI are the most common kind of healthcare associated infection due to the use of catheters, and are a risk factor for incidence of Gram-negative bloodstream infections (Smith et al., 2019). Studies have found that many times catheters are inserted with no appropriate indication and left inserted longer than necessary. This leads to increases risk for infections. There is a possibility to prevent UTI's by avoiding the use of urinary catheters when not necessary. Placing interventions like an insertion checklist by first using ultrasound bladder scanners to determine if a catheter is really necessary. Offering coaching calls to patients and caregivers from educated staff. Ongoing assessment to find out if the catheter is still needed or it can be removed based on clinical review (Smith et al., 2019).