Question

Case study 1 

Janine works as palliative care nurse at a regional health facility and relates the following conundrum. Janine describes looking after Jack who recently returned to the palliative care service after a further unexpected exacerbation of his respiratory lung cancer. Jack is rapidly deteriorating with little tolerance for any activity and cannot undertake any activities of daily living. Shirley, his wife is constantly at his side offering as much support as possible. Jack is highly dependant and has several HCP ‘s attending to him including physiotherapists, doctors, nurses, occupational therapist and other allied health workers including kitchen and cleaning staff. Jack received care for the past 6 days at which time he was in and out of consciousness and his lucid moments were characterised by confusion due to his severe low oxygen saturation rates. Whilst confused he tried to leave or get out of bed and required constant supervision, and at night restraint. Shirley was at his bed side frequently. Shirley in conversation with Janine, complements her and the team on the care that Jack has received, and reminisced with her and over the last few weeks they had spent together on a cruise to New Zealand and surrounding Islands. Janine realise that cruise was associated with a severe outbreak of COVID19. Janine asks Shirley, “why didn’t you let us know of your trip”? Shirley states that if she did, she might not have been allowed to see Jack. Subsequently, Shirley was not allowed to visit Jack, Jack died 2 days later. His pathology result was positive for COVID 19. Janine has explained the issue to all the staff associated with the care of Jack. The paramedics who cared for of Jack were also informed of his infective status prior to his death.

Case study 2

Henry works for a large metropolitan health service as a (HCP) physiotherapist and specialises in respiratory physical therapies for Intensive care patients post intubation. Over the last month Henry has explored his options of continuing to work due to the prevailing risks associated with COVID 19. Henry has sought counsel from his friends in relation to the issues of him working whilst he is also a parent with his wife Catherine and 2 children Josie 5 and Declan who is 11. Henry has a few thoughts and options to explore, and these include taking his long service leave for the next 8 weeks. Taking leave without pay for a period of six months. Henrys central concern is around protecting his children and wife from being infected with COVID 19 as the risks of workplace exposure are very real. Henry finds himself in conflict with his duty of care and worries about his family should he continue to work. He discusses his quandary with his line manager, who suggests that should he contract this illness he will be supported by the health facility and that he should secure accommodation away from his family whilst he works. Over the past week Henry has become even more distressed with having to work with the ICU team to decide how they ration the beds available to them and how they prioritise who receives care in their unit of 10 beds

Answer 1

Case study 1-

In this case,the patient Jack are suffering from the respiratory lung cancer condition.in this condition patient having problem of breathing.his body oxygen saturation level is also low.body saturation level check by the oximeter.where the jack having low oxygen Saturday level.at this time jack need ventilation.his wife Shirley come from New Zealand trip where the trip was with covid 19 affected people.in that case Shirley also infected with covid 19.where the covid 19infection are cause by corona virus and infection spread from direct contact with patient or Carrier. Where the jack infected to covid-19.and problem is severe because his problem with the respiration and corona attack on aslo respiration.that why jack died.shirley is in direct contact with hospital staff, paramedics and jennine so they also infected with the covid 19.so go for swab test.

Case study 2-

In this case the Henry work as respiratory physical therapist.In this case his deals with Covid 19 possitive patient.beacuse covid 19 infection caused by the corona virus and attack directly on respiratory system.Chance of infection cause to a Henry.where Henry leave with his wife and children and parents.parents are old and children having age of 5and 11 having less immunity.If children were affected to covid 19infection because of low immunity the may die also.Beacuse of this reason he Henry need for the break.but and the time of pendamic it is need or ethically wrong to leave.so hi should be work and take caution that to avoid covid 19 spread.he sanitize his hand with sanitizer.also clothes,appron used in the hospital should be santize and wash.keep social distencing from family avoid covid 19, infection to his family and he work without any problem.