The following are cases studies about our Nursing Care.
Case study: End of life care
We take pride is supporting people and their families.
In our Oxfield Nursing Service, we supported E.D, an individual with Down’s Syndrome and Dementia, which was affecting his independence and well-being. We worked collaboratively with E.D and his family in all decisions made, as E.D was assessed as not having capacity to understand what support he needed. We would talk about the changes we might witness and how we would support him in the way they wanted him to be cared for and completed his advance care plan.
As E.Ds health deteriorated, we talked about the importance of putting a do not resuscitate schedule in place and the benefits of having anticipatory medication prescribed.
ED started to struggle to take adequate amounts of nutrition, hydration and was losing weight. We approached the Admiral nurse at Kirkwood Hospice who came to support us and ensure we had the required care in place.
An emotionally lead decision was made by his family supported by his care practitioners, to not have a PEG fitted and we reassured his family of how we would ensure their concerns would be addressed as he was experiencing end-stage dysphasia and dementia.
E.D’s health deteriorated suddenly, but we had put everything in place ensure everything in our service ran smoothly and E.D and his family were supported. The Admiral nurse visited on a regular basis and gave the family a booklet explaining what to expect as ED entered the final stages of his life. His sisters spent the next week holding his hand, reminiscing over memories whilst supported by our staff. E.D died peacefully in the place of his choice, surrounded by his family and carers.