Case Study A: Analyzing a Nursing Patient with Acute Illness

This case study examines the nursing care of Wendy, a patient with acute illness, focusing on the impact of hospitalization and discharge. The analysis explores potential impacts on Wendy and her family, considering factors such as personality changes, lack of confidence, and communication b...Read More

RUNNING HEAD: CASE STUDY A 1
Nursing patient with acute illness Case
Study A
Student Details:

CASE STUDY A 2
Question 1- During Hospitalisation
Part A
Acute care infirmaries have a role in handling the healthcare requirements patients affected
by cancer. Great rates of respite care usage near the end of life may recommend that community
and end of life care may not be appropriable for the patient requirements. Admitting the cancer
patient is appropriate because of disorder development and there is a requirement for positive
administration of treatment problems for intensive upkeep. Therefore, the impacts identified to a
patient or family of the patient is lack of confidence, financial barriers, and problems with
communication with providers, capability, and inadequate information (MJ Pearce, 2012). It has
been observed that patient like Wendy does not believe in respite care and choose Euthanasia
over respite care settings. As per Wendy’s case, concluded that Wendy is actually close with her
daughter’s family and being from a Chinese family they do not believe in Respite care.
Consecutively, impact of recommending Respite care can be lack of communication with the
family along with lack of confidence. Furthermore, Wendy’s family also want to provide care
and communicate with her at end of life (L Barker, 2011). Additionally, when she will get to
know about Metastatic cancer, she will be requiring the emotional support of her family.
However, as per recommendations, Wendy and her family should take a decision in a timely
manner as the Metastatic Cancer is progressing and Wendy needs highly intensive care.
Furthermore, if the family will not take appropriate decision on time it may lead to more illness
and alterations in personality can be observed (D Hui, 2014).
Part B
Furthermore, to answer the impact and discussions regarding roles, I will include Nurse
Leader. Therefore, while discussion with the patient regarding impacts, Nurse Leader and the
other team included will recommend Wendy to take admission in Respite Care. The team will
address the impacts with the family and patients like lack of confidence, capability, financial
barriers, and other impacts as well (MT Kassin, 2012). However, as per Wendy’s case, I can
conclude that the major impact of admission in Respite Care on Wendy will be a lack of
communication with the family members in Respite Care. Therefore, the team will make the
family and patient understand about the outcomes in Respite Care like highly intensive care
under supervision, symptom management and improved quality of life. The outcomes of
admission in Respite care will be improved behavioral alterations like reduced anxiety,
depression and social functioning. Respite caregivers coordinates, manages and provide older
adults healthcare and LTSS (EB Schneider, 2012). The nurse leader will lead to discuss about the
consequences comprising impeding knowledge sharing among family care providers and
providers of care, adversial health system interaction and expensive and unwanted maintenance
which is inconsistent with older adult’s preferences. Furthermore, I will inspire the family care
provider to encourage the older person to ask related questions for the increment of her

CASE STUDY A 3
involvement in the improvement of health outcomes. Additionally, encouragement in radio,
television, brochures, and visits to the facilities will be discussed to overcome the
communication barrier in Wendy’s case (E Silander, 2012).
Question 2- During Discharge
Part A
As per Wendy’s case, observed that Wendy’s quality of life is impacted upon discharge
during hospitalization. It has been observed that bed rest, multiple tests and screening can affect
the quality of life. Quality of life is perceived differently be every person and is fundamental to
treat every patient individually by providing both psychological and physical by improving their
quality of life. Exceptionally, a progressive worsening of all indications will be observed like
loss of appetite, fatigue and sleepiness. However, as a nurse, we can improve the quality of life
by patient’s decision making autonomy and providing right to self-rule (VT Trinh, 2015).
Additionally, as per ethics, patient decision should always be respected and should be
accompanied by whole and exhaustive knowledge on the evaluated risks, alternatives and
benefits of each intervention (Butts, 2019). Another key which can influence the quality of life is
family support in Wendy’s case. Physicians also suggest that communication with family can
help in the recovery of patient’s anxiety, post-traumatic stress and depression. Maintaining
quality of life is also considered more important than assessing clinical skills (Harrison, 2010).
One more procedure to maintain quality of life during hospitalization is patient-provider relations
which can be attained by focusing on Wendy’s expression of emotions and feelings.
Furthermore, achievement of spiritual and religious support, professional staff should also
provide spiritual and religious support to the patient and their family members rather than
implying set of prescribed rules. Additionally, psychological invention and communication can
also improve the quality of life during hospitalization (AJ Patel, 2015).
Part B
In Wendy’s case, I found possibility of improvement of quality of care and enhanced
family support at the end of life. Therefore, I have selected Wendy’s case wherein analysed the
various impacts and recommendations. Furthermore, as per Wendy’s case, her family support is
highly required as she is close with her husband and daughter’s family which can help in the
improvement of quality of life for metastatic cancer. Additionally, Wendy’s husband observed
personality alterations in recent times (HC Hung, 2013). Therefore, for the improvement of
quality of care, Wendy is suggested to move into Respite care setting. The suggestion of respite
care is to have a break from care provider and patient. Additionally, taking care of cancer patient
and family requires emotional and mental support too. Therefore, specialised and trained
professional team will provide their best services wherein registered nurses are mostly available
all the time for the patient. Consecutively, admission in respite care will improve the quality of
life and will potentially reduce the anxiety and depression in Wendy with scheduled medicine
and food intake (SM Smeets, 2015).

CASE STUDY A 4
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