Graded: Summative Assessment
Weighting:
50%
Length: 2000 Words
Due Date: See the Statement of Assessment Methods or Key Dates for further information.
Submit at: Assessment 2: Case Study

Mrs Georges is an 87 year old woman. She has been a resident of St Francis, a high level residential facility, for 3 years.

Mrs Georges has a long history of peripheral vascular disease. Her other co-morbidities include Diabetes Mellitus type II, ischaemic heart disease,
and chronic renal failure. One of the care staff noticed that Mrs Georges’ foot was blue and cold. She reported this to the RN. After speaking with the GP,
the RN arranged for Mrs Georges to be transferred to the emergency department of a major hospital. She was assessed by the vascular surgical team
who advised that the only surgical option would be a below knee amputation. However, the team felt that this would be a high risk procedure due to
Mrs Georges’ co-morbidities.

A family meeting was held where Mrs Georges’ son and daughter were present. Mrs Georges was adamant that she did not want an amputation.
She understood that her condition was likely to deteriorate. Mrs Georges has never had an advance care directive as she prefers to ‘take things as they come’.
In the meeting, however, she expressed a wish for her life not to be prolonged.

While an inpatient she deteriorated clinically. She developed high fevers and became unrousable.

As the ward nurse looking after Mrs Georges you decide to call her family to come in as you feel she is dying.