1. Discuss the holistic assessment strategy for Gavin and comment on the implications of the institutional context, guiding the team in their planning of Gavin’s care,

2. Discuss the triggers for advanced care planning and your role in this process including the discussion with patients and family/guardian,

3. Examine the issues arising out of Gavin’s social, medical and mental health history and how this might impact on the decision-making process in relation to advanced-care planning. Include and justify the options that might have been available for Gavin.

4. Apply the Nursing and Midwifery Board of Australia (2013) Nursing Decision Making Framework (DMF) to Gavin’s care including everyone in the multi-disciplinary team the MD team to manage Gavin’s complex health and social problems.

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