Assessment 1: Case Study- Part 1

Summative Assessment 1
Running Head: NURSING ASSIGNMENT
Assessment 1: Case Study- Part 1

Summative Assessment 2
Introduction
To provide the quality care and effective treatment to the patient, Wilf who suffers from
the critical illness with a lot of health problems like hypertension, osteoarthritis, chronic heart
failure, mild COPD and Mild Cognitive Impairment, it is important for healthcare professionals
to communicate the family members to prepare a plan of care with different objectives and
priorities. At present, Wilf needs the palliative care in the form of person-cantered care services
for getting the professional medical guidance from the physician along with the effective care
from the care provider to get the right treatment for his wellness and quality life. This assessment
discusses the short-term and long-term goals as well as the specific goals from the perspective of
Wilf’s health safety and wellness through the Medical supervision and involvement of the family
in the care support of Wilf (Department of Health and Ageing, 2011).

Summative Assessment 3
Goals:
Short-term Goals:
The first goal of the care plan will be to help Wilf to have access to best quality of the
life. In order to achieve this goal, it is important for the nurse or other health care professional to
provide appropriate support for Wilf to stay pain free. From the assessment of the medical
history of Wilf, it has been identified that Wilf faces health problems like chronic heart disease,
Mild COPD, Mild Cognitive impairment, osteoarthritis, and hypertension. Due to the problem of
osteoarthritis, the patients suffer from pain in joints, which should be treated by healthcare
practitioner. This kind of pain can damage the quality of life and behavior of patient. Second
goal of this care plan is to provide care through the medical intervention by the palliative care
team in order to ensure relief from pain, stress and symptoms of the complex health problems in
Wilf (Stephens, 2018). Educating and consultation can help to enable Wilf to understand that his
wife is no longer able to support him. The nurse or other appointed healthcare staff should
provide friendly guidance to Wilf to comply with the prescriptions mentioned on different
medicines. The health professional should also communicate the consequences that may occur, if
he fails to timely take the medicines.
The third short term goal of care plan for Wilf should be to conduct health check-ups and
tests of Wilf like blood pressure, heart rate, sugar level etc (Wirtz, Cribb, & Barber, 2006). This
will help to prevent consequences arising from hypertension, heart disease and unexpected death
with the patient.
Long-Term Goals:
The first goal of care plan is that Wilf should be provided psychological treatment (Stone,
2018). It is observed from the analysis of given case that Wilf gets angry and frustrated with

Summative Assessment 4
Mavis frequently. On basis of these symptoms, it can be said that Wilf is exposed to risk of
cognitive impairment disorder. These are also the symptoms of anxiety in a person. The
behaviours like anger and frustration should be handled by nursing staff as well as family
members through use of different tactics like positive influence on Wilf to stay happy and
spending time with family members, reading some books and watching interesting shows (Care
Search, 2018). Wilf is also exposed to issue of forgetful. In this context, the memory exercises
can be suggested to Wilf.
The second goal of care plan will be to ensure the care setting for Wilf to live in a healthy
and supportive environment for feeling pain-free in the life. This can be done through reducing
the boredom, anxiety, and distress in his life. The palliative care intervention can be adopted for
Wilf for encouraging involvement in different activities that will reduce his boredom, stress, and
pain. Example of these activities includes walking, light exercise, playing games with
grandchildren, watching T.V. etc. But involvement of Wilf in these activities will depend fully
on the free choice of Wilf (The Australian Government: the Australian Institute of Health and
Welfare, 2017).
What to Consider for Support to Mavis:
It is very important to support Mavis so that she could stay fit and able to care for herself
and her husband. Firstly, Mavis is in the need to get assistance from the home-based palliative
care support for better care of Wilf. Mavis should not raise her temper and always work with the
cool mind so that she could create a friendly environment for Wilf. Mavis should avoid the
heavy works or maintenance of home. This will reduce the physical and mental burden on
Mavis.