NURS3017-Health Variations 5 & Palliative and End of Life Care - Medical Science Assignment Help

Assignment Task

Task 

Health Variations 5 - Palliative and End of Life Care

Aim of assessment
The aim of this assessment is for students to;
1. outline and explain how the multidisciplinary team can meet the the care needs of a palliative person and their family
2. evaluate support strategies for a palliative persons family or carers
3. consider ways to provide coordinated, integrated palliative care reflecting the palliative persons wishes.

Details
Short answer case study
Mr Jock Jagger, a 67-year-old male has been transferred from the Emergency Department to the Medical ward. His wife brought him in to hospital from home as she no longer felt comfortable managing her husband’s increasing back pain and was worried about malnutrition as Jock had not eaten for two days.

On admission to the ward the clinical manifestations were:

• Pain score 6/10
• Mild restlessness
• Nausea
• Dry mouth

Mr Jagger has a history of bowel cancer and had aggressive treatment 12 years ago. Three (3) months ago, he noticed he was becoming increasingly lethargic, after investigations he was diagnosed with stage 4 (metastatic) bowel cancer and has opted for no further treatment and to focus on managing his symptoms.
Whilst examining Mr Jagger, you chat about being cared for at home and he explains that he wishes to return home, he agreed to come to hospital because his wife is worried about caring for him as he continues to deteriorate. His Advanced Care Plan does outline his wish to stay home but he does not wish to burden his wife. 

Short answer questions

1. Outline and explain the delivery of comprehensive care for Mr Jagger who wants to return home. Your answer should include the role of the multidisciplinary team using a palliative approach. 
2. Evaluate two strategies to support families and carers who are providing end of life care. 
3. Consider ways to provide coordinated, integrated palliative care that takes into account Mr and Mrs Jagger’s wishes.

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