NUR244 : Rita Case Study - Post-Operative DBS Complications - Nursing Assignment Help

Assignment Task :

Prelude:  

Rita is a registered nurse with advanced expertise in psychiatric ward, and she works as a  member of a multidisciplinary team looking after Treatment Resistant Depression (TRD)  patients. Rita oversees patients discharge from the hospital. Prof S, the leader of her team,  heavily relies on her reports before making discharge decisions. Mr R, one of her patients,  died by suicide when he jumped from the 8th floor of an hotel adjacent to the hospital, after  having been discharged.  

Mr R’s family raised several concerns about his treatment to the Coroners Court. These  included:  

• Appropriateness of the qualifications of the treating nursing team and their  assessments of Mr R and role in the decision to discharge Mr R from Hospital;  • A lack of an appropriate consent process for the implantation of a Deep Brain  Stimulator1 technology (DBS) and particularly, a failure to advise Mr R that suicide  and reversible changes in mood/personality were risks associated with DBS surgery;  

• Lack of communication by the clinicians with Mr R’s family;  

• Post-operative DBS complications;  

• Management of his physical concerns in Hospital;  

• The management of his mental health;  

• The death could have been avoided had his medical advice and treatment been  different.  

Case:  

Mr R, a twenty-seven-year-old patient, received the diagnostic of depression when aged  fifteen. When Rita first met Mr R, he self-reported more than 30 ineffective and/or poorly  tolerated medication trials and an ineffective course of electroconvulsive therapy which  have lead him to seek last recourse treatment. During their first meeting, Rita suggested to  Mr R to consider the possibility of enrolling in a new experimental DBS trial for TDR, where  she sits as co-researcher with multiple colleagues, under the leadership Prof S.  

One week following Rita first meeting with Mr R, he consulted Prof S to undergo an  experimental usage of DBS targeting TRD. During the consultation, Mr R was accompanied  by his brother. Prof S advised Mr R that DBS was an experimental treatment potentially  targeting TDR symptoms. Prof S says that he advised Mr R that the potential risks of the DBS  surgery include death, permanent disabling stroke, infection of the brain or the IPG, seizure  disorder, and reversible changes in mood/personality. Mr R was also told that DBS therapy 

Task description

In this task, you are required to engage in a minimum of five discussion board interactions in relation to the Treatment Resistant Depression (TRD) scenario that has been provided to you for this purpose.

In preparation for your discussion interactions, you will investigate the ethical and legal considerations underpinning or arising from the Treatment Resistant Depression scenario.

You will need to examine and reflect on your own attitudes and beliefs towards the issue and explore how these are supported or challenged by the ethical and legal requirements of the nursing profession. You will be required to engage with literature to explore how your beliefs compare to existing research in the area.
 

Instructions

Your post should draw on scholarly/research literature to underpin the discussions. The discussion board forum will be moderated. 

Here are further details about Assessment Task 1: Discussion posts (online):

1. Compose an initial discussion posting setting out the legal and ethical considerations noted from the TRD scenario and your reflection on these (500 words). Note: You will not be able to view other students’ postings until you have made this initial posting. You are not allowed to post an irrelevant or unrelated publication on this discussion board (e.g. fake post) to access and view other posts. Penalties will apply if you do not comply to rules.
   You will also need to engage with other students’ discussions and reflect on and reply to students who provide comments on your posts.

2. Respond to a minimum of two other students’ postings (250-300 words per post).

3. Reply to a minimum of two responses to your own posting received from other students (250-300 words per post).

The intention of this assignment is to get you to interact with each other (see marking rubric, criterion 4) while engaging with the Unit contents and materials. As such, we are encouraging you to respond to different people rather than engaging in what would essentially be a two-person conversation. 

You do not have to limit yourself to two persons - you can respond to as many people as you want, it's just that you will only submit the number of responses required for the actual assessment. More responses would give you more to choose from. 

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