CMCT01_Case_Studies 2015

CASE STUDY 13 – TREVOR

Trevor is a 45 year old single caucasian male hospitalised for 4 days following a drive by shooting, whilst travelling at full speed on his Harley Davidson motorcycle on the freeway. Trevor has multiple injuries including a gun shot wound to his left shoulder, second degree burns to his abdomen and a broken left tibia and fibula. Trevor is a heavy smoker and is receiving frequent visitors, all of whom are members of the same motorcycle club. These visitors are intimidating nursing staff and removing Trevor off the ward for extended periods of time. Upon returning to the ward, staff suspect Trevor is under the influence of other drugs. Swabs from his left shoulder have indicated staphylococcus aureus and Trevor frequently interferes with the dressings to his abdomen.

Trevor and his visitors are increasingly derogatory and abusive to hospital and medical staff, other patients and visitors.

Hospital security is under resourced and unable to effectively support ward staff and respond quickly to all incidences.

You have been called to a multidisciplinary meeting as nursing staff are now refusing to be assigned Trevor.

Trevor lives alone and is not medically fit to be discharged.

Instructions: 1.

Please answer each of the questions below.

2. Please complete this activity with reference to the resource materials provided. 3. Please document and report your findings back to the group.

Questions: 1. What guidelines from each of the CMSA National Standards of Practice for Case Management would you utilise in this case? 2. How does your proposed case management provide evidence of: A. Facilitating the personal development of Trevor? (i.e. his individual, diverse and special needs, including his aspirations, choices, expectations, motivations, preferences and values) B. Advocating for Trevor’s rights? (including developing Trevor’s strengths to advocate for himself) C. Addressing Trevor’s needs? (i.e. purposeful case management) D. Promoting sustainable solutions for Trevor? (i.e. balances Trevor’s needs with the available resources and any of your possible limitations as a case manager) E. Effective communication? (i.e. with Trevor and all other Key Stakeholders)

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