Self Directed Learning Package - University of Queensland

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72 • The Palliative Approach ToolkitNow it is your turn.Review the case study of Judy and develop arepresentative genogram (on the next page).(Yes it’s complex… but so are many of the families youmeet in your professional role every day).Case study: JudyJudy has been a resident of your facility for four months.Judy’s elderly husband Paul is being cared for by theirdaughter Rhonda and her husband Derek. Paul suffered astroke a number of years ago and is becoming increasingconfused and distressed because he misses his wife and isshowing signs of early dementia.Judy’s daughter, Rhonda (65 years) is working full time buthas taken long service leave to care for her father. Derek andRhonda have one child Robert (aged 32) who is married toGail. Gail has recently been diagnosed with breast cancer andis undergoing treatment. Gail’s parents (Steven and Pauline)have moved into the family home to help care for Gail andRobert’s four sons. Pauline’s parents Jenny and Geraldare also residents of your facility and have formed a closefriendship with Judy.
73 • Self Directed Learning Package - Advanced Registered & Enrolled NurseDraw Judy’s genogram in the box below:DocumentationIt is particularly important to document the key issues andoutcomes of a palliative care case conference.Equally, it should be clear who is responsible for actions/tasksand when they are expected to be resolved or completed.Follow upOften, in times of stress, residents and family members maynot remember all that is discussed. Suitable resources cancomplement the information you provide in the case conference.Two useful brochures, “Understanding the Dying Process” and“Now What? Understanding Grief” are included in the toolkit.Key PointWritten information should not be used as asubstitute for personal conversations with residentsor family members.
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Self Directed Learning Package - University of Queensland

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