This case study analyzes a nursing incident involving an 81-year-old patient who experienced deteriorating health leading to death. The assignment identifies professional practice issues, including lack of duty of care, poor communication, and inadequate documentation. The analysis highlights violations of the non-maleficence ethical principle, failure to provide timely interventions, and ineffective communication among healthcare professionals. The student reflects on these errors, emphasizing the importance of patient-centered care, timely assessments, effective communication, and comprehensive documentation. The assignment outlines implications for future practice, including improved patient assessment, adherence to nursing principles, and proactive communication with clinical managers. The student aims to develop assertive communication skills and engage in continuous learning to enhance nursing skills and provide quality patient care. The case underscores the significance of professional behavior, emphasizing that proactive communication and a sense of urgency could have potentially improved the patient's outcome.