Wilf and Mavis have two children –David and Jenny, both of whom are married and have children, giving Wilf and Mavis a total of six grandchildren. They are a very close, supportive family and all live nearby each other. The following is Wilf’s relevant medical history for you to consider:
- Mild COPD
- Chronic Heart Failure
- Mild Cognitive Impairment secondary to vascular dementia
Wilf’s children talk to their Mum about what has been happening and the strain that it has been putting on her. Mavis wants to keep looking after Wilf but admits that she is suffering at the same time. She tells her children that she is terrified of losing Wilf and she has started to notice that he is becoming more forgetful and getting angry with Mavis more often. She also tells them that he is getting really frustrated because he can’t do the things he wants and is getting out of breath really quickly nowadays but won’t give up the cigarettes. The children are finding all this information a bit confronting but really want to help their parents…
- What are the short and long term goals for Wilf from your perspective? Are there any specific goals relevant to your discipline / profession?
- What do you need to consider to support Mavis?
- What conversations need to be held with David and Jenny, and who is the person most appropriate to do this?
- How can you manage the competing interests of maintaining Wilf’s safety while respecting and facilitating his right to exercise his personal autonomy / decision making?
- In your assessment consider using the clinical reasoning paper to answer these This can be found in Leganto ereadings section 2. The ‘five rights’ of clinical reasoning: An educational model to enhance nursing students’ ability to identify and manage clinically ‘at risk’ patients)
Please note: This is an academic paper and should be written from third person perspective