3011OL Palliative Care Nursing – Assessment 3 Case review Students are required to read through the case review and respond to the questions in each section. This case review has a 2250 word limit and...

PALLIATIVE CARE NURSING – ASSESSMENT 3 CASE REVIEW
Table of Contents
Section 1    3
The Pathophysiology of Motor Neuron Disease and Whether It Can Be Considered a "Life-Limiting Illness"    3
The Illness Trajectory That Is the Best Model for This Illness    3
The Effects of This Disease on Sharon, Including Current Symptoms and Losses She Will Face as Her Illness Advances    4
Some Issues That George Might Need to Consider in The Near Future    5
The Roles of the Multidisciplinary Team Members Who Will Be Involved in Sharon's Care    5
Section 2    6
Preparation For a Meeting with Sharon and George to Discuss Palliative Care    6
Introduce And Explain What the Palliative Care Team Can Offer Sharon and George    6
The Purpose of a Family Meeting and The Nurse’s Role in A Family Meeting    6
‘Goals Of Care’ And the Specific Areas Needed to Be Considered in Advance Care Planning for Sharon    7
Section 3    7
How To Prepare George, Tom and Sophie for Sharon’s Impending Death    7
The Spiritual Considerations That Are Needed to Be Aware Of    8
Care Of the Family That Is Involved at This Time    8
References    10
Section 1
MND is a rare, quickly progressive neurological disease characterised by bulbar muscular and limb weakening, which can lead to lung failure. MND advances fast because as patient gets tired of his or her physical movements and eventually succumbs. Notwithstanding scientific headways, specialists still cannot seem to find a treatment for the sickness. Patients with MDN have two essential difficulties: adapting to a fatal illness and genuine actual impedance. Patients with motor neuron disease withdraw from society, increasing their chance of acquiring additional significant mental disorders like sadness, exhaustion, and mood swings.
The Pathophysiology of Motor Neuron Disease and Whether It Can Be Considered a "Life-Limiting Illness"
Amyotrophic Lateral Sclerosis (ALS), commonly called motor neuron disorder, is a severe condition that damages the neurones in the brain and spinal cord (Rojas et al., 2020). The disease disrupts the transmission of information from the spinal cord to the muscles. As a result, MND has an impact on how people walk, grasp objects, communicate, and even breathe. MND symptoms, on the other hand, might take a long time to manifest, causing them to be missed at first. Since there is no solution for the condition, the two patients and specialists centre on offering fundamental types of assistance by suggestive alleviation however rather than searching for cures.
Given MND's proclivity for assaulting the sensory system and discouraging patients' development, one might infer that the sickness is destructive. A daily existence restricting sickness is one in which passing is an immediate outcome of the ailment, for example, because of engine neuron illness. Patients ordinarily stress concerning their family's mental necessities, just as the enormous pressure that their condition might be causing them. As indicated by the affirmation, people ought to be mindful around debilitated individuals and try not to take an interest in unseemly discussions that may deteriorate the patient's wellbeing. Patients with MND require a spacious, comfortable environment to help them cope with their pain (Åkerblom et al., 2021).
The Illness Trajectory That Is the Best Model for This Illness
The development of motor neuron disease (MND) throws up a plethora of roadblocks that make it difficult to make decisions. Acute disease management and later part care are key things to address while dealing with MND because it is a chronic multisystem disease with no cure. Motor neuron diseases progress fast and in a short amount of time after the beginning of symptoms (Tahedl et al., 2021). Furthermore, medical options for addressing some of MND's long-term symptoms are limited. Clinical manifestations and phenotypes are all examples of MND symptoms. The majority of the patients are suffering from significant physical deterioration, with 80 percent having difficulty communicating. Cortical problems in other patients have been related to cognitive impairment.
Motor neuron disease has been considered as one of the most difficult to care for due to alterations in behavioural and cognitive skills (Kodavati, Wang & Hegde, 2020). Patients and their families are routinely confronted with troublesome choices about the arrangement of care and the personal satisfaction of the influenced person. On the other hand, the presence of behavioural and cognitive abilities has an influence on the competitiveness process, which is impacted by the patient's memory and cognitive function. Treatment is challenging due to the disease's intricacy, as well as its management and quality of life.
The Effects of This Disease on Sharon, Including Current Symptoms and Losses She Will Face as Her Illness Advances
MND is divided into four types, each with its unique set of symptoms. However, as the illness advances, the indications of each of the four sorts of MNDs will in general be something very similar. As previously stated, motor neuron disease has no cure, but the symptoms can be managed, therefore improving the adherence to treatment (Finegan et al., 2019). Given the passage of time, it is evident that the majority of Sharon's symptoms have worsened. Sharon's speech, on the other hand, does not appear to have been impaired by the disease in the first 18 months, as she discusses her situation openly with her doctor.
Sharon was sent to the hospital after a series of falls at home caused her to lose control of her movements. Sharon's voice was a bit muffled, but she was understandable. MND patients frequently experience speech problems, with speech becoming sluggish or inaudible. Swallowing problems would escalate to feeding problems, providing a significant health risk to the patient. Diet is an important element of the care...