Assessment type: Case study Length: 1500 words (+/- 10%)
Subject related SiLOs: 1-3
This case study is adapted from Ben’s s story, who you’ll be familiar with from workshops
Ben is a 65-year-old, retired gentleman who lives with his supportive wife Jan. They have two adult children Jason and Rose. Ben was diagnosed with non-small cell lung cancer three years ago, and was treated with surgery, chemotherapy, and radiotherapy. Up until recently Ben had been fit and well, with scans showing no recurrence of the cancer. A month ago, Ben developed a cough and chest pain, and after seeing his doctor was referred for diagnostic imaging. Unfortunately, those investigations revealed a recurrence of Ben’s lung cancer, which has now metastasised. Please watch the conversation between Ben and his doctor here: https://www.youtube.com/watch?v=KPafo1s5N9A
Ben has been well supported by Jan since receiving this news, however Jan has found Ben’s care increasingly difficult to manage. As such, Ben is transferred to an aged care facility for respite care. During Ben’s stay, Ben discusses his concerns about dying with Jen, a care worker at the facility. Please watch the conversation here:
You are required to write a case -based essay that answers the questions listed below. Although you will need to understand the illness trajectory of metastatic non-small cell lung cancer, you are not required to discuss the specific pathophysiology of lung cancer; the focus of this essay is to explore the role of advance care planning in the context of Ben’s chronic illness progression as well as other relevant legislation pertinent to a person with a chronic illness.
Some Victorian Acts to consider are:
What are the differences between the next of kin, a medical treatment decision maker, a support person, a power of attorney, and a guardian in relation to Ben? Please give examples of each describing their legal role involved in Ben’s care. Which one/s would be the most appropriate for Ben to have in his current condition? Why?
Define advance care planning and discuss the possible benefits of advance care planning for both Ben and Jan.
At what point during Ben’s illness trajectory might a conversation on advanced care planning be initiated with Ben? There may be differing opinions on this within the literature, please describe these giving examples as to why the opinions differ.
When would an advance care directive be reviewed? Who can activate it and when?
Planning your essay:
When you plan your essay, consider a person-centred approach to support your discussion. You need to support your discussion with high quality, peer reviewed literature, with a minimum of ten (10) references. Your essay needs to draw from legislation that is relevant to Victoria, as laws and legislation vary both nationally and internationally.