Case Study Example

Comments (0) Cite this document
Daphne has hypertension, Type 2 diabetes and recently has been diagnosed with vascular dementia. Her diabetes and hypertension are well managed by her General Practitioner (GP), however he has concerns…
Download full paperFile format: .doc, available for editing
GRAB THE BEST PAPER98.9% of users find it useful
Case study
Read TextPreview

Extract of sample ""

Case Study- multidisciplinary team; As OCCUPATIONAL THERAPIST Daphne McCartney is a widow who has two adult sons, Timothy and Jonathon. Daphne has hypertension, Type 2 diabetes and recently has been diagnosed with vascular dementia. Her diabetes and hypertension are well managed by her General Practitioner (GP), however he has concerns that because of her increasing physical frailty she should be admitted to residential care. He also has concerns about her living arrangements with her younger son Jonathon although her older son Timothy is her Enduring Guardian and Power of Attorney. Timothy has informed the GP that he believes Daphne is vulnerable to bullying and pressure from Jonathan, particularly in relation to money and this is adding to her frailty. The GP refers Daphne to a geriatrician for a comprehensive geriatric assessment.
Before the assessment is undertaken, Daphne falls heavily in the shower and fractures her hip. Timothy contacts Jonathon, who calls an ambulance and after assessing Daphne the paramedics transfer her to hospital. Following surgery Daphne spends a month mobilising in the rehabilitation ward before being transferred to the sub-acute Transitional Care Unit. Here she is assessed for continuing transient ischaemic attacks (TIAs) and for further signs of cognitive impairment and memory loss. At the multidisciplinary team case conference it is decided that, due to Daphne’s increasing frailty and cognitive decline, her discharge planning will include an ACAT Assessment for high level care in a Residential Aged Care Facility (RACF). As Daphne’s Enduring Guardian and Power of Attorney, Timothy is contacted to participate in a family case conference with the multidisciplinary team, consisting of a geriatrician, resident medical officer (RMO), physiotherapist, occupational therapist, dietician, social worker, and a transitional unit registered nurse responsible for discharge planning.
Q1: In your allocated role as part of the HOSPITAL multidisciplinary team in the case conference, what are the issues you need to consider in order for Daphne to be admitted to residential care? - 150 words
As an occupational therapist, my role is to assess the home environment to make recommendations for residential care. The ability that Daphne has to look after herself needs to be taken into account, as someone who is unable to carry out daily life without significant help may require admission into residential care. As part of the hospital-based team, I would also consider what type of residential care that Daphne might need – some residential care homes offer more independence than others. Although there is continuing memory loss and cognitive impairment, one of the most worrying aspects of Daphne’s health is the TIAs which could lead to more serious health-related problems in the future and would need to be monitored as part of residential care. Any residential care home for Daphne would need to be able to provide care and monitoring for this. Additionally, her hypertension and Type II diabetes would need to be fully assessed for severity to advise the residential home staff of her requirements.
Q2 In your allocated role as an ACAT assessor, on what issues will you focus in relation to Daphne’s dementia and assessment for high-level care? - 150 words
As an ACAT assessor, I think the main issues to focus on with respect to Daphne’s dementia are the actual cognitive ability that she does possess (awareness of surroundings, ability to form judgments etc.) and how this is affecting her ability to interact with other people and her surroundings. Additionally, I think the rate of decline observed by the GP and her sons over the past few years would also be useful because this could help gauge the future for Daphne. The assessment for high-level care will focus on the ability of Daphne to carry out everyday tasks by herself (washing, cleaning, using the toilet etc.) and this can be used as a guide for future occupational therapy as well as provide information for those working in the residential care home with her. It might also be useful to perform standardized mental ability tests to better understand how Daphne interacts with her environment and how much she understands.
Answer questions 3 and 3a based on YOUR allocated role as the GP or Registered Nurse (Residential Care):At the case conference, Daphne’s older son Timothy expresses concern about his level of understanding of Daphne’s plan for care, her wishes for the future, and her capacity to make decisions. It is explained to him that as part of the discharge planning process, a letter will be sent to their GP who will discuss the options for advanced care planning with Timothy.
Q3 In your allocated role as GP what are the main issues to consider when discussing advanced care planning with Timothy?
Q3a In your allocated role as Registered Nurse (Residential Care) what are your responsibilities in relation to advanced care planning. 150 words
As a GP, it is important that Timothy understands the situation his mother will be in and why this is required. It is important that he understands about the discharge process and how this will affect him, his mother and his brother. It is also important that he understands his mother’s capacity to choose her own treatment and residential care options and how to involve her in the decision as much as possible.
As a Registered Nurse, the main responsibilities are for me to make sure that advanced care meets Daphne’s needs. Additionally, it is necessary to make sure that the correct treatments are delivered to her as and when needed, and that the residential care home that is chosen has the ability to provide this for her. I also think that I would involve her living family members in the decisions that are made, as well as attempting to get information about her own requirements/wishes as far as possible.
Always write the answer from the point of view of an Occupational therapist and to be written on first person.
Registered nurses are often involved in the process of advanced care planning. As the nurse, I would need to be familiar with the medico-legal legislation surrounding advanced care planning in my state, so that I can best talk with the patient and give them advice. Nurses are the primary patient advocate, and are therefore very important in the process. They often have better rapport with the patients and families than doctors, and are therefore more appropriately placed to discuss the process with the patient. In this case I could talk with Timothy and explain the ACP in detail, answering any questions he has and hopefully alleviating his concerns.
Australian Nursing and Midwifery Foundation. (2013). Advanced care planning: The nurses role. Available: Last accessed 7th Oct 2013.
Caresearch. (2011). Advance Care Planning (Nurses Hub). Available: Last accessed 7th October, 2013
Week 13 question:
"Discussion of issues raised by the case with reference to at least one other group members contributions made in [week 12] of this discussion". WRITE 150 WORDS.
This person raises some good points about understanding the medico-legal requirements of the state when it comes to long-term care. For example, there may be issues involved with consent when it comes to someone like Daphne who has some impairment in memory and cognition but apparently still seems to have some awareness of her surroundings. Additionally, it is important to understand how the diabetes and hypertension will play a role in long-term care, despite the fact that the dementia is the primary reason for her requiring residential care. I also think that some of the family dynamics involved in the case are interesting and should be considered, such as Timothy’s desire to fully understand the ACP and the fact that the younger sibling may be taking advantage of her mental disabilities. It’s important to involve the family in making decisions but ultimately it is up to Daphne and the medical team to provide the best service for her care. Read More
Cite this document
  • APA
  • MLA
(“Case study Example | Topics and Well Written Essays - 500 words - 34”, n.d.)
Case study Example | Topics and Well Written Essays - 500 words - 34. Retrieved from
(Case Study Example | Topics and Well Written Essays - 500 Words - 34)
Case Study Example | Topics and Well Written Essays - 500 Words - 34.
“Case Study Example | Topics and Well Written Essays - 500 Words - 34”, n.d.
  • Cited: 0 times
Comments (0)
Click to create a comment or rate a document


Case study

...? Implementation of Information System Number: Due: Introduction often have the mandate to select software within their budget and this is a requirement from the developers. Therefore the decision for Worplestrop to conduct a cost analysis for its software development is vital. This decision is important to Worplestrop so that it is able to do away with software providers that are more costly or risky in relation to the business needs. The intention of the software to be given a cost estimate for the provision of their service is to eliminate such solution providers that do not meet the preliminary cost criteria (Blaike 2008). Having a reliable cost estimate in place for the Worplestrop company would be important... Implementation of...
5 Pages(1250 words)Essay

Case study

... Analysis of the Operations of Garden Ltd Part Stakeholder analysis A stakeholder is any group or individual whoseactions can have an impact on or can be impacted by an organisation’s performance (Freeman 1984). In order to be successful at making changes to the organisation the management at Garden City Ltd needs to be able to identify its stakeholders and where possible gain an understanding of their man interest and any potential for conflict. It is also important that the level of influence and power as well as their importance and likely impact on the business as a result of their action or inaction is known. The table below represents analysis of six of the company’s stakeholders. Table - Initial Stakeholder Analysis... Analysis of the...
6 Pages(1500 words)Essay

Case Study

...?Case Study Table of Contents Table of Contents 2 Task One 3 Task Two 5 Task Three 6 Work Cited 7 Task One The Human Resource (HR) manager of a medium sized company, because of unfavorable condition of the HR Department, is expected to motivate as well as improve the performance of the employees for the attainment of the objectives pertaining to the company. The task of the HR manager is to ensure that the entire workforce comprising 25 staffs who are employed on full time basis are performing in an efficient manner. The employees who are to be recruited needs to be provided with proper training as along with developing their morale for superior performance and acceptance of their duties. The HR manager...
3 Pages(750 words)Case Study

Case Study

...above evaluation product development strategy would fit SAB more as it would enable it to protect its existing market from competitors, maintain its reputation and increase its market share at less cost compared to other options (Birgham & Daves , 2009). References Birgham E F and Daves P R, 2009: Intermediate Financial Management, ( 10th ed), Cengage Learning, OH  Donald D, 2008, Mergers, Acquisitions, and Other Restructuring Activities. New York: Elsevier, Academic Press. pp. 740 Hal Lux, 'Miller time (Mergers and Acquisitions). (South African Breweries acquires Miller Brewing Co.)', “Institutional Investor International Edition, vol. 28, no. 1 (2002)”. Hobday,N 'Tapped out', The Daily Deal, 8 September (2003). N. Chaloner and D....
4 Pages(1000 words)Essay

Case Study

...? CASE STUDY ETHICAL DILEMMA Your School of Engineering, Social Sciences, etc Number and of Date of Paper Abstract This paper presents some of the common problems encountered in the course of making ethical decisions in the business environment by emphasizing the core of ethics which includes the discipline of decency, upholding the values of leadership, competence, integrity and professionalism. This paper explains moral awareness, as it represents the first stage in an intertwined, multiple-stage decision-making process that shifts from moral awareness to moral judgment, then to moral motivation and lastly, to moral character. The application of the Utilitarianism approach was chosen in coming-up with an ethical decision... , as it is an...
6 Pages(1500 words)Essay

Case Study

...?10. Analysis The LRC’s website gives information about the club and its achievements along with the news related to the club. The website links to Rowing Tasmania website because the club does not have the required ability to run their website completely. Along with the link to Rowing Tasmania website, the club’s website also has the links to many other websites because of its good reputation and recognition by other companies. LRC can also use this reputation to attract people to join the club. Another thing is that the club does not have its own server and it has to rely on Quill Consultancy Pty Ltd. Moreover, there is no specialized IT staff in the club. Some employees do have some know how of IT but they are not skilled... Analysis The...
2 Pages(500 words)Case Study

Case Study Analysis Paper Case Study

...CASE STUDY ANALYSIS REPORT Case study analysis paper Amber Jeffiers of Phoenix ABC Inc. faces several problems and what could be the route cause How did things go wrong was the question that haunted Carl Robins. He had recruited 15 people in early April from campus for his company but when the time came for inducting these new recruits several things were missing. He had assured Operations Supervisor, Monica Carrolls, to have all the new hires working for her by July. With his head down on the table he's now thinking what went wrong. He wouldn't have recollected what the management and lifestyle book told: "To begin with the end in mind means to start...
2 Pages(500 words)Case Study

Case study Case Study

...Assignment (Answers in Bold) Part A The following questions were answered based on the case of: Peter Smythe v Vincent Thomas [2007] NSWSC844 (3 August 2007) Available at: Question 1: In what court was the case heard (1 mark) The case was heard in the New South Wales Supreme Court. Question 2: Name the judge and explain his title. (2 marks) The judge is named Rein, and Rein is an administrative judge as evidenced by the title AJ. Question 3: Name the plaintiff and defendant and their counsel. (4 marks) The plaintiff is Peter Smythe and the defendant is Vincent Thomas. The plaintiff's counsel is B. Kasep,...
6 Pages(1500 words)Case Study

Case study analysis - will upload case study

..., but over and above, they themselves admitted that one would not have been so successful in the absence of the other. (Yoffie, 2009, p. 1) This notion quite obviously reflects the strategic decisions, which the two companies often come up with to capture the different unexplored segments of the market. However the carbonated soft drinks industry in the United States of America suddenly declined as the annual consumption of carbonated soft drinks decreased in US, and in the year 2004 it reached a constant low. (Yoffie, 2009, p. 1) The two companies definitely got affected by the downward trend of the industry, but in different ways. This particular case study analyzes the strategic management decisions...
10 Pages(2500 words)Case Study

Case study Case Study 6

...Case Study 6 – Examining the Role of the Program Goals and Objectives on Evaluation Process With the sample shown for the case of eleven out of seventy smoking participants who quit with no relapse during the evaluation, the smoking cessation approach, while within hours of work, reflects the measure of the feasible extent to which desired results may be achieved and exist with stability in relation to meeting the standards of the program objectives. Since the provision is offered to target an improved quality of life and to extend its length, such goal is to be detected not as a mere end but in the course of each stage at which progress is anticipated (Posavac). The trial period of the...
3 Pages(750 words)Essay
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.

Let us find you another Case Study on topic Case study for FREE!

Contact Us