Pro’s and Con’s of Frank’s Care Case Study - Nursing Assignment Help

Assignment Task

Annotate the Case Study 
What are the Key points ? 
Read the case study multiple times to identify issues  Identify areas where you lack knowledge and research these areas  Do you: 
• Know what a GBM is? 
• Understand terminal restlessness? 
• Recognise any breakdown in communication between staff? • Believe the documentation is adequate ? 
• Believe that the family received enough support and education  • Think that the staff advocated for Frank? 
What else can you think of? 
Discussion - What are some issues in the case  
study? 
Some points raised for discussion by  students in drop-in session 
• There were no clear goals of care 
• Goals of care identified were inadequate  
• Social issues – family and patient not prepared particularly on rapid deterioration  • Ongoing Grief and bereavement issues for Frank’s family 
• Not enough assessments of family and Frank as supported by CPG’s (ACU, 2018; ACU, 2020a)  (standards all  
• Ward ? Poor planning ? Do they understand palliative care ??? 
• Does patient need a medical review? 
• Do medications need to be changed? 
• Do we need to have an urgent family meeting with Dr & nursing staff about terminal restlessness  management ? 
• Progressed so quickly that the family got lost in the shuffle of the chaos 
Prepare for writing the Critique  
• After you have annotated the Case Study  
• Identify issues and goals of care that needed to be addressed  
• Communication and education of family ? Was rapport built? Did the family have adequate  support? 
• Did the family understand what terminal restlessness was? 
• Were they educated well enough?  
• Was the documentation provided from the patient notes adequately written?

• Some information not detailed enough 
• Goal of care = Lack of social support and education for family and patient  

• Select your CPG Care of the Dying  
• Does the CPG support areas of care and assessment that were missed? stating that the CPG needs to be updated to support a case  study like Frank’s  
• Plan structure of Critique (A critique can discuss both positive and negative points )  

• Continue researching to strengthen and support your critique 
 

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