NUR244 : Scenario for Online Discussion Posts  - Medical Science Assignment Help

Assignment Task:

Task:

NUR244 Assessment Task 1 -Scenario for online discussion posts 
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 Stimulator' 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 
1 DBS surgery involves implanting a thin, insulated lead into the brain (most often in the subthalamic nucleus or the globus pallidus, which are part of the basal ganglia system.) The lead is then connected via an insulated extension to a device called an implanted pulse generator ('IPG'). This is similar to a pacemaker. The extension runs below the skin from the head down the side of the neck behind the ear to the IPG which is usually implanted under the skin in the chest. When switched on, the IPG produces electrical impulses that are sent to the brain. The impulses can be adjusted using a patient programmer. 
 

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