Dietitian Case Study

1336 Words 6 Pages
Background and introduction
Daniel Jackson was admitted into hospital for a right sided cerebrovascular accident. The impact of this has caused Mr Jackson to develop expressive dysphasia/aphasia, where he is able to understand what is being communicated to him but unable to respond verbally or in writing (Labreche et al. 2016).
Mr Jackson is to be discharged to his mother’s house with a package of supportive care since she refused to have him at home unless he has a Percutaneous endoscopic gastrostomy (PEG) tube. The decision to approve this request would be sensible and PEG tube feeding is also favoured by guidelines (ESPEN 2005). They show that it is more safe, tolerable and simple and offers an improvement in nutritional status and a quality
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The dietitian plays an important role, as he needs to be nutritionally supported entrally. The dietitian needs to make an ethically sound decision, as it states in the Health and Care Professions Council (HCPC) (HCPC 2016) that the expected behaviour is to practice safely and effectively towards service users, using evidence-based clinical reasoning to support the decision-making process, and liaison with an MDT to make a holistic decision. Dietitians should use this to provide a tailored feeding regime to Mr Jackson’s case and monitoring his …show more content…
This agreement is made when the now incompetent patient was previously competent. If Mr Jackson has given that power to his mother the MDT should abide by her request, unless Mr Jackson has given the power to another individual where their decision should be enforced, even if it is against his mother’s decision. Health professionals are also able to act on what they think is in the best interest of the incompetent patient, as seen in the mental health act (2005) especially if the patient has not left any legal abiding proxy or advanced decisions, which seem to be Mr Jackson’s situation. So the MDT is able to make what they think is the best treatment for Mr Jackson which fortunately agrees with his mother

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