During the night her condition deteriorates

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Reference no: EM134012810

Question

You are working in a residential aged care facility and nursing a 74-year-old client who is in the advanced stages of breast cancer - she is not expected to live longer than 6 months. She has developed a malignant wound causing both pain and strong malodour, the latter of which is particularly distressing to the client.

1. During the night her condition deteriorates and is now no longer able to communicate the client had previously written an advance care directive including the following sentence: 'If I am to experience an accident or stroke with an unlikely prospect for recovery, please do not keep me artificially alive. Let me go in peace.'

The patient's son is in attendance and says can't you give her something to end it all? Please discuss whether this would be legal under the voluntary assisted dying act of Tasmania?

How would you respond to her son?

Discuss whether this would be legal under the voluntary assisted dying act of Tasmania.

2. The client's Husband has been appointed his enduring guardian and is aware of the client's advance care directive., The client's heart stops. The Husband pleads for you to do something and says, 'I'm not ready to say goodbye to her yet'.

In Tasmania, what law or legislation relates to the enduring guardian and what law applied to the advanced care directive? And does this situation present an ethical conflict?

3. The client passes away peacefully surrounded by her family, in your presence.

With reference to Tasmania's Burial and Cremation Regulations 2015 legislation, what responsibilities do you have in providing notification of the client's death?

4. The client had registered as an organ donor several years ago and has been identified as an appropriate donor for a corneal transplant. The client's son is unaware his mother registered as an organ donor and is very upset, saying 'I won't let you disfigure her'.

Can the son override his mother's wishes? And how would you respond to the son?

5. A non-coronial autopsy (including the removal of organs) has been requested in order to better understand the effects of the client's treatment program.

What are 3 options the client's children have regarding the proposed autopsy?

6. While providing care, you have developed a friendly professional relationship with the client and her family. The client died peacefully surrounded by her family, and you feel struck by grief. The client's family are crying together, and you also feel the urge to cry.

What is an acceptable way to express your grief in this situation?

What are 3 steps you can take to help maintain your social and emotional wellbeing?

Why might attending a professional debriefing session be appropriate?

7. What will you do to support the client children and what are 2 sources of information regarding grief and bereavement support that may be appropriate to provide to the children? Include the website address for any online resources you identify?

Reference no: EM134012810

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