Bob Case Study - Motor Neurone Disease - Nursing Assignment Help

Assignment Task :

Bob is a 64.year old gentleman Bob was diagnosed with motor neurone disease (MND) just over a year ago, and because of his work as an electrician, it was deemed too dangerous for Bob to keep on working Bob has no other medical past history and had been fit and well prior to diagnosis Bob and his wife Margaret initially didn't know what motor neurone disease was, as such Bob's neurologist referred Bob and Margaret on to the MND association Bob found the MND information pretty confronting at first Bob found the MND brochures lobe very frank about what happens Bob reflects on his diagnosis MND is a cruel disease I was really angry for a few weeks and you immediately think 'why me, 'why now' I didn't take it very well, I really took it out on the family. Everyone's different of course but you've just gotta do what's best for you I found others that were coming to terms with issues like 'what it's like to not be the bread winner anymore' and you know that sooner or later you're going to have to relinquish some of your responsibilities, but you just can't do everything These were some of the hardest adjustments I've had to make, but it's hard when you think people just aren't listening to what you want Everyone seems to be an expert on what you should be doing' Three months later Bob's illness progresses Bob has severe weakness in his arms but is still able to walk around Bob has been referred to a physiotherapist and occupational therapist to determine what can be done to improve his physical and social functioning When the physiotherapist visits Bob, she finds Bob is increasingly experiencing speech difficulties and is becoming frustrated by his decrease in independence 
 

Question :

• Discuss the possible benefits of Advance care planning for Bob and Margaret 
• At what point throughout Bob's illness trajectory might a conversation on advanced care planning be initiated with Bob? There may be differing opinions on this within the literature, please describe these. 
• What sort of information should be included in the advance care plan? Discuss any supporting documents (relevant in Victoria) that may be included in the Advance care plan. 
• When would the advance care plan be reviewed and activated? 

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