NSG3NCI Chronic Illness

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Task:

You are required to write a case -based essay that answers the following questions. You are not required to discuss Ben’s specific medical diagnosis, as in 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. This will require you to understand the illness trajectory of metastatic lung cancer.

▪ Discuss the possible benefits of Advance care planning for Ben and Jan

▪ At what point throughout 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.

▪ What sort of information should be included in the advance care plan? Discuss any supporting documents (relevant in Victoria) that may be included in the Advance care plan.

▪ When would the advance care plan be reviewed and activated?

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. Your essay needs to draw from legislation that is relevant to Victoria, as laws and legislation vary both
nationally and internationally.

In your essay:

• Identify Ben, his diagnosis of metastatic lung cancer and how it applies to the progression of his chronic illness to set the context for your discussion. To do this you will need an understanding of the illness trajectory of metastatic lung cancer, and how the progression of the disease will impact Ben.

• Include an introduction, body and conclusion in your essay. Use headings to indicate the topic you are discussing. The four essay questions can be used as headings. Please refer to the La Trobe University Nursing & Midwifery Assessment

• Discuss why advance care planning is important in relation to person centred care, and informed decision making by drawing from your research sources and their arguments. You are required to use peer reviewed, scholarly articles to support each point you make. You may use Australian government or other authoritative websites as a point of reference, however the use of web- based sources, or any non -peer reviewed sources is not acceptable (ie Better Health channel, Wikipedia).

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