Posted: September 4th, 2023
NURS3017: Health Variations 5: Palliative and End of Life Care
NURS3017: Health Variations 5: Palliative and End of Life Care – Case analysis—Palliative care case study
Assignment Task
Assignment : Case analysis—Palliative care case study
For this assignment, you will produce a 1500 word written response to three short answer prompts. The prompts are based on a case study and highlight common considerations in palliative care. Each short answer response should refer explicitly to the case study. Your responses should be supported by credible policies, peer-reviewed academic research and/or evidenced-based journal articles.
This assignment is an opportunity to demonstrate your understanding of person-centred palliative care, including:
the role of multidisciplinary teams in the provision of care
the use of nursing strategies to support palliative people, families, and carers in the provision of care
ways of providing coordinated, integrated palliative care that reflects a palliative person’s wishes.
Case study: Patient and family integration
Individuals and families facing life-limiting illness require holistic and patient-centred care. This is best achieved through the collaboration of health care teams to provide palliative care.
Palliative care encompasses the physical, psychological, social, spiritual, and cultural domains of patients and their caregivers.
Mrs Emma Tran, a 37-year-old female has been diagnosed with metastatic breast cancer. The metastases have spread to her spine and pelvis. Mrs Tran presented to the hospital outpatients pain service for severe pain to her back. She was admitted for analgesia and control of nausea and vomiting. The progression of the disease was such that treatment was no longer an option, and so symptom relief was the focus of care.
Mrs Tran‘s husband spent much of the day caring for her and their 10-year-old son. Along with physical pain it was evident Mrs Tran worried about the wellbeing of her husband and their son.
Mrs Tran plans to return home when her pain is controlled.
Short answer prompts
With the case study in mind, respond to each of the following short answer prompts. Your responses should reflect your understanding of the case study and knowledge of comprehensive, person-centred palliative care.
Prompt 1: Examine the role of the multidisciplinary team who provide palliative care for Mrs Tran whilst she is an inpatient (500 words).
Prompt 2: Evaluate two strategies to support families and carers who are providing end of life care in the community (500 words).
Prompt 3: Consider ways the multidisciplinary team provide coordinated, integrated palliative care for Mrs Tran in her home (500 words).
Each short answer response should be 500 words in length and refer explicitly to the case study.
Note: You are required to write in an academic style and answer each question separately, not as a single essay.
Research and evidence
You need to include references in this assignment to:
support your evaluation of the case study
provide evidence for your discussion of the short answer prompts.
The references that you use must be credible policies, peer-reviewed academic research and/or evidenced-based journal articles. You should cite your references in-text and list them at the end of your assignment using the APA7 referencing style.
This NURS3017-Medical Science Assignment
Prompt 1: Examine the role of the multidisciplinary team who provide palliative care for Mrs Tran whilst she is an inpatient (500 words).
The multidisciplinary team (MDT) plays a crucial role in providing comprehensive and person-centred palliative care to Mrs Tran during her hospital stay. The MDT is composed of various healthcare professionals with different specializations, including doctors, nurses, physiotherapists, occupational therapists, social workers, and spiritual care providers. The MDT works collaboratively to address Mrs Tran’s physical, psychological, social, spiritual, and cultural needs, ensuring that she receives high-quality care.
The doctors on the MDT are responsible for diagnosing Mrs Tran’s condition, managing her symptoms, and prescribing appropriate medications to control her pain and other symptoms. The nurses on the MDT work closely with Mrs Tran, monitoring her symptoms, providing emotional support, and administering medications as prescribed by the doctors. The physiotherapists and occupational therapists work with Mrs Tran to help her maintain her mobility, independence, and quality of life. They also provide education on pain management techniques and ways to prevent falls and injuries.
The social workers on the MDT work with Mrs Tran and her family to identify and address any social, emotional, or financial concerns that may arise during her illness. They also help Mrs Tran and her family navigate the healthcare system and access community resources that may be helpful to them. The spiritual care provider on the MDT provides support to Mrs Tran and her family by addressing any spiritual or religious needs that they may have.
The MDT also works closely with Mrs Tran’s family, ensuring that they are informed about her condition, involved in decision-making, and supported in their role as caregivers. The MDT provides education to Mrs Tran’s husband on how to provide physical care for his wife and manage her symptoms at home. They also provide him with emotional support and referrals to community resources such as respite care and support groups.
Overall, the MDT plays a critical role in ensuring that Mrs Tran receives comprehensive and person-centred care during her hospital stay. The MDT works collaboratively to address her physical, psychological, social, spiritual, and cultural needs, while also providing support to her family.
References:
Australian Government Department of Health. (2018). National Palliative Care Standards. Retrieved from https://www.health.gov.au/resources/publications/national-palliative-care-standards
Palliative Care Australia. (2018). Standards for Providing Quality Palliative Care for all Australians. Retrieved from https://palliativecare.org.au/wp-content/uploads/dlm_uploads/2018/06/PCStandards2018_Final.pdf
Prompt 2: Evaluate two strategies to support families and carers who are providing end of life care in the community (500 words).
Providing end of life care in the community can be challenging for families and carers. It is important to provide them with support to ensure that they are able to provide high-quality care while also maintaining their own wellbeing. Two strategies to support families and carers who are providing end of life care in the community are respite care and bereavement support.
Respite care is a strategy that provides temporary relief to family and carers from their caregiving responsibilities. It can be provided in various forms, including in-home respite, day programs, and residential respite. Respite care provides an opportunity for family and carers to take a break from their caregiving responsibilities, allowing them to rest and recharge. Respite care can also help to prevent burnout and reduce the risk of carer stress and depression.
Bereavement support is a strategy that provides emotional and practical support to families and carers following the death of a loved one. It can include grief
Prompt 2: Evaluate two strategies to support families and carers who are providing end of life care in the community (500 words).
Families and carers providing end-of-life care in the community often face various challenges, such as managing complex symptoms, providing physical care, and dealing with emotional stress. To support families and carers in providing end-of-life care in the community, two strategies that can be implemented are providing respite care and offering psychosocial support.
Respite care is a strategy that provides temporary relief to family members or carers who are providing care to someone with a life-limiting illness. Respite care can be provided in different settings, including the home, hospice, or residential care facilities. Respite care can be offered in various forms, such as in-home respite care, day centre respite, or overnight respite care. Respite care provides an opportunity for the primary caregiver to take a break, attend to their own needs, and engage in self-care activities. It also enables them to maintain their own social connections and participate in activities that they enjoy. Respite care can be especially valuable for families and carers who have limited support networks or who may experience burnout.
Psychosocial support is another strategy that can help families and carers provide end-of-life care in the community. Psychosocial support is a type of support that focuses on the emotional, social, and psychological well-being of the individual and their family. This support can be provided by a range of professionals, including social workers, psychologists, and counsellors. Psychosocial support can help families and carers navigate the complex emotional challenges that arise during end-of-life care, such as grief, loss, and bereavement. It can also help them develop coping strategies and skills to manage stress, anxiety, and depression. Psychosocial support can be provided in various forms, such as individual counselling, support groups, or educational programs.
Both respite care and psychosocial support are essential strategies to support families and carers who are providing end-of-life care in the community. These strategies not only support the well-being of the family and carers but also promote better outcomes for the person receiving care. By providing respite care, the primary caregiver can have time to rest and recharge, allowing them to provide better care to the patient. Psychosocial support can help families and carers to cope with the emotional and psychological stress associated with end-of-life care, promoting their resilience and well-being.
References:
Australian Government Department of Health. (2018). National Palliative Care Standards. Retrieved from https://www.health.gov.au/resources/publications/national-palliative-care-standards
Hospice UK. (2019). Respite care. Retrieved from https://www.hospiceuk.org/what-we-offer/clinical-and-care-support/respite-care
Palliative Care Australia. (2018). Standards for Providing Quality Palliative Care for all Australians. Retrieved from https://palliativecare.org.au/standards/
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