Mr Jock Jagger Case Study - Medical Science Assignment Help

Assignment Task

Task 

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.

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. 

Answers in this question should consider the following:
• How can the multidisciplinary team work together to facilitate Mr Jagger’s return home from the hospital? 
• What factors should be considered in the discussion with the multidisciplinary team? Eg. advanced care planning 
• Which multidisciplinary team members could be involved in planning and arranging Mr Jagger’s return home? 
• Refer to the case study in your discussion

2. Evaluate two strategies to support families and carers who are providing end of life care. 

Answers in this question should consider the following:
• How can Mrs Jagger be supported while providing end of life care in her home?
• Explain two different support strategies, and evaluate both, ie. the positives/ potential negatives of each strategy.
• Refer to the case study in your response

3. Consider ways to provide coordinated, integrated palliative care that takes into account Mr and Mrs Jagger’s wishes. 

Answers in this question should consider the following:
• Include Mr and Mrs Jagger’s wishes from the case study
• Which multidisciplinary team members could be involved in the care at home?
• How can they work together to ensure their wishes are taken into account? 
• Give examples of palliative care that can be given at home that could address their wishes, eg. pain management strategy

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