Dipali answered on
Oct 02 2023
WRITTEN ASSIGNMENT 3
Table of contents
Episode One: Admission One (UTI) 3
Improvements for Episode One 4
Episode Two: Admission Two (UTI and Cognitive Decline) 6
Improvements for Episode Two 6
Episode Three: Admission Three (Hip Fracture) 8
Improvements for Episode Three 9
Episode Four: Decision for Hospice Care 10
Improvements for Episode Four 10
With reference to cu
ent evidence-based literature, the End-of-Life Care Clinical Practise Guideline (CPG), the National Palliative Care Standards, and the Nursing and Midwifery Board of Australia (NMBA) standards, the care given to Maureen, a 76-year-old patient with a complicated medical history, is evaluated in the following critique. The case of Maureen includes several hospital stays, each of which reveals a different component of her medical journey, such as hip fracture, bouts of urinary tract infections (UTIs), and cognitive deterioration. The treatment given to Maureen will be scrutinised throughout this research, emphasising both positive practises and those that may be done better. It is important to stress that the goal is to analyse how these principles are used in Maureen's care, not the standards or rules themselves. Beginning with Admission One, the initial episode of care, this assessment focuses on Maureen's UTI diagnosis and management. It then examines Admission Three, focusing on Maureen's hip fracture, before diving into Admission Two, where UTI and cognitive deterioration interact. The choice to place Maureen in hospice care will then be discussed. This thorough analysis aims to highlight the benefits and drawbacks of Maureen's care, ultimately enhancing knowledge of palliative care procedures and emphasising the significance of abiding by accepted standards and guidelines to guarantee the highest level of care for patients in similar situations.
Episode One: Admission One (UTI)
The treatment given to Maureen for a urinary tract infection (UTI) in Admission One had both good and bad aspects. In keeping with evidence-based procedures and the End-of-Life Care Clinical Practise Guideline (CPG), healthcare workers quickly identified the UTI and started antibiotic therapy (Grant Back & Dettmar, 2021). The patient's possible consequences and suffering were greatly reduced because to the quick action taken to treat the illness. The inability to designate Lisa as Maureen's primary carer, however, was a critical flaw that prevented efficient communication and care coordination. The Nursing and Midwifery Board of Australia (NMBA) criteria, which emphasise the value of thorough patient evaluations and contact with the patient's support network, were not met by this omission. Healthcare professionals should make sure that a patient's comprehensive care plan contains details on their primary carer or family support system in order to enhance Episode One. Additionally, family communication should be proactive, particularly when the patient's cognitive function is impaired, as it was in Maureen's case. The National Palliative Care Standards emphasise the importance of include families in care choices and keeping them informed throughout the patient's journey, and this improvement is in line with those standards. Healthcare practitioners may improve the level of care and assistance given to patients like Maureen who are receiving palliative care by addressing these problems.
Improvements for Episode One
The quick diagnosis and treatment of Maureen's urinary tract infection (UTI) during Episode One was a good development, but there are still a number of areas that might be improved to raise the level of care given throughout this episode as a whole.
· Comprehensive Assessment: Healthcare professionals should prioritise a thorough first evaluation that considers the patient's general health, medical history, and social environment in addition to the presenting symptoms (Jones et al., 2021). Given the significance of this information, Maureen's case should serve as a reminder that this should also involve identifying the patient's primary carer or support network. The Nursing and Midwifery Board of Australia (NMBA) standards, which emphasise comprehensive patient evaluations, are in line with this.
· Communication and Documentation: It is crucial to communicate clearly with the patient's family as well. The medical staff should have made sure Lisa, Maureen's daughter, was designated as her primary carer right away. For care coordination and decision-making, clear documentation of this information is essential. The fact that they did not in this instance was a critical oversight that has to be fixed going forward.
· Education and Support: It is crucial to educate and assist the patient's primary carer. In this situation, Lisa may have benefited from advice on infection prevention techniques and symptom detection. In order to create a collaborative approach to care, healthcare practitioners should also make sure that carers are aware of the resources and support services that are accessible.
· Cultural Competency: Healthcare professionals should demonstrate cultural competency by understanding and respecting Maureen's different cultural background and practises. This can entail communicating healthcare information in a way and language that is sensitive to cultural...