Discuss the possible benefits of advance care planning

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Reference no: EM131657749

Assignment

Anthony Vella is a 46-year-old man with stage 4 pancreatic cancer diagnosed six months ago after presenting to emergency with severe abdominal pain. Anthony has been married to Luisa for 20 years, they have two teenage children, aged 16 and 19.

Following his diagnosis Anthony underwent course of chemotherapy but his oncologist told him two weeks ago that further chemotherapy was unlikely to be effective. Anthony decides it is best to focus on the time he has at home with his wife Luisa. However, recent severe nausea and abdominal pain forced him to present to his local Accident and emergency. Anthony is admitted to the oncology ward where a referral is made to the Consultative Palliative Care team.

The Palliative team prepare an updated care plan which is implemented in an attempt to manage the symptoms he is experiencing. During the first few days interventions are focused on managing and assessing these symptoms, as well as addressing Anthony's and Luisa's psychosocial care needs. By day 5 Anthony's symptoms are greatly improved and he wants to return home to spend as much quality time with his wife as possible, under the care of community palliative care nurses. One of Anthony's palliative care nurses initiates a conversation about advance care planning, Anthony informs his nurse he will need more time to consider it.

It is expected that Anthony will need ongoing care with likely admissions to palliative care to manage his symptoms. A week later Anthony collapses in a shopping centre, he is non- responsive. A member of the public calls an Ambulance, he is then taken to the Emergency department of a major hospital. Anthony has not yet discussed advance care planning.

Questions

Please discuss the following questions, supporting your discussion with reference to relevant peer reviewed literature/evidence.

Discuss the possible benefits of Advance care planning for Anthony.

At what point might a conversation on advanced care planning be initiated with Anthony? There may be differing opinions on this within the literature, please describe these.

Who should be involved in this discussion of advance care planning with Anthony?

What sort of information would be included in the advance care plan? Discuss any supporting documents (relevant in Victoria) that may be included in the Advance care plan.

When would the advance care plan be reviewed?

When would the advance care plan be activated?

Verified Expert

This assignment was about a case study about Antony who was suffering from 4th stage Pancreatic cancer. He is at the verge of his last days and at this stage planning for an advance care treatment is suggested. Advance care plan is a process which provides efficient treatment to the patient and care and support to both the patient and his/her family. This process is schemed according to the expectations of the patient aiming to give complete psychological and physical state of satisfaction to the patient and also the family.

Reference no: EM131657749

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Reviews

inf1657749

12/27/2017 5:12:54 AM

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len1657749

9/25/2017 8:58:19 AM

Additional comments: It is recommended that you review the available resources on referencing. You have not demonstrated adequate analysis of the key requirements for this patient. You must go to the Study and Learning Centre for assistance before submitting any written work. You must also take note of any guidelines and marking criteria as part of your assignment preparation. Your response is generally adequate, but there are still a number of areas that can be improved upon. Review the comments throughout, and also review the available resources on referencing. To improve your mark in future, you are advised to seek assistance with the Study and Learning Centre before submitting any written work. You have presented a satisfactory analysis of the case study. You are let down at times by your referencing inconsistencies and your underutilisation of key references on this topic. Please read the comments made throughout your paper; and consider them before submitting any written work in the future.

len1657749

9/25/2017 8:58:10 AM

Intext referencing used throughout. Referencing formatted in accordance with APA requirements 2 Formatting of intext references incorrect and not according to APA requirements. Reference list is incomplete and is not formatted according to APA requirements. Your reference list does not meet the referencing requirements of the Discipline of Nursing & Midwifery, as outlined in the Style Guide. [0-0.99] You have not been consistent in your citation of references throughout this paper. You have not formatted your intext referencing according to APA. Your reference list is not formatted correctly. Your reference list is missing some information, and does not adhere completely to APA requirements. [1.0-1.18] Intext referencing is used throughout, but is inconsistent. You need to review the use of quotes and paraphrasing intext. Your use of et al. is incorrect. Your reference list is not in alphabetical order. You must review the APA guidelines. [1.2-1.38] Your use of intext referencing is good, and generally consistent. Reference list indicates good use of APA guidelines for most reference citations.

len1657749

9/25/2017 8:57:47 AM

Utilises relevant and contemporary references in response 2 No or inadequate references cited throughout your paper. References used are not contemporary or reflective of current practice. Many of your references are older than 5 years. Many of your references are web-based and are not peer reviewed. [0-0.99] You have met the reference requirements at a basic level only. Some references used are older than 5 years. You have overused non peer-reviewed and web-based information, which does not lend credibility to your responses. [1.0-1.18] References used reflect adequate research into the topic, although your use of web-based information does not adhere to the case study guidelines. You need to use more evidence-based peer reviewed journals. [1.2-1.38] You have provided a relevant list of references; though you still need to ensure that the majority of references used are contemporary and peer reviewed. [1.4-1.58] You have provided an excellent list of references; with the majority of references contemporary and peer reviewed. [1.6-2.0]

len1657749

9/25/2017 8:57:42 AM

Conclusion provides a concise summary of main points covered 1 No conclusion is evident. You have not summarised the main components of your paper. [0-0.49] Concluding comments are too brief, and do not summarise the main components of your paper adequately. [0.5- 0.59] You sum up the major focus of the case study satisfactorily, but need to also contextualise the key points of your responses to the case study. [0.6—0.69] You summarise the main components of your responses, but need to link them more consistently to the case study. [0.7-0.79] Your conclusion provides a high quality summary of the major points covered in your responses, all linked well to the case study. [0.8-1.0]

len1657749

9/25/2017 8:57:35 AM

Provides a comprehensive response to the criteria of the question 6 The question is inadequately answered. You have not provided rationales for the points that you identify. Your response is too general and not focused on the case study. [0-2.99] Your response to the question is answered to a adequate level only, and require more detail and also to be applied more specifically to the case study.[3.0-3.54] Your answer is satisfactorily researched, and addresses the key criteria. When you focus on only one or two key points, you need to justify this and also briefly list the other points not covered in detail. [3.6-4.1] You have answered the question well, and in appropriate detail. You could have provided more detail in some areas. [4.2-4.74] You have comprehensively answered the question to a high standard of detail. [5.4-6.0]

len1657749

9/25/2017 8:57:26 AM

Topic is introduced clearly and succinctly 1 Your introduction is either absent or too brief, and doesn’t state what you intend to cover in your submission. [0-0.0.49] Your introduction is only a restatement of what the case study is about, and doesn’t adequately state how you are going to set out your response to the question. [0.5-0.59] You introduce the case study well, making clear links to the topic question. You have not stated clearly enough how you intend to set out your response. [0.6-0.69] Your general introduction is good, with a clear summary of the key points to be covered. [0.7-0.79] You provide an excellent introduction to your submission, and clearly explain how you intend to answer the case study question. [0.8-1.0] Content Provides a comprehensive response to the criteria of the question 6 The question is inadequately answered. You have not provided rationales for the points that you identify. Your response is too general and not focused on the case study. [0-2.99]

len1657749

9/25/2017 8:57:10 AM

Spelling, grammar and paragraph structure meets academic standards 2 Many spelling and punctuation errors. Sentence structure is often unclear. No use of meaningful paragraphs to allow logical flow of content. Poor use of professional language. No definition of terms. You need to consult with the Study and Learning Centre for assistance with writing skills; before completing any further academic writing assessments. [0-0.99] There are a number of spelling and grammatical errors throughout, which detract from your content and flow of ideas. Terms are inadequately defined throughout, with your use of professional language limited. Paragraphs are not structured correctly, with too much use of point form in your responses. You need to review correct paragraph structure and its use in academic writing. [1.0-1.18] Your submission reads well, though some sentences are a bit confusing and/or rambling. You use professional language well, but still need to define some terms. Your paragraphs need to each have a key idea or focus, which then links to the next logically, enabling a flow of information. [1.2-1.38]

len1657749

9/25/2017 8:56:50 AM

in text referencing at least 2-3 in one paragraph & at least 20 references Written Assignment Marking Guide (50%)Criteria for Marking Weighting Mark Awarded Fail Comments Pass Comments Credit Comments Distinction Comments High Distinction Comments Style & Presentation Adheres to style requirements; including use of assignment guidelines; such as word limit, double-spacing, use of header & footer, page numbers, and size-12 font 2 You have not adhered to the style requirements in accordance with the assignment guidelines. No double spacing. Font size incorrect, making it difficult to read. Word limit not adhered to. No cover sheet. No title page. No page numbers. No use of headings to guide the reader. [0-.0.99] You have adhered to the style requirements at a basic level although you have not followed the guidelines fully. Word limit not adhered to. Some basic formatting requirements not included; such as page numbers, headings, double spacing, font size readable. [1.0-1.1.18] You have met the assignment guidelines satisfactorily, although you have not followed two or more of the required criteria. [1.2-1.38]

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