This essay will explore the interprofessional working environment’s challenges, solutions to barriers and problems, as well as how these scenarios have been translated or could have been avoided on the case of Tom.
Discussion Case Summary: Tom had a profound and multiple learning disabilities and attended a residential special school. One year prior to his death, a hospice consultant recommended an investigation by a gastroenterologist but the medical assessment promised during the NHS assessment never materialised. Tom’s parents relayed their concerns based on Tom’s expressions of pain on numerous occasions but it the social services workers did not heed the reports. The school interpreted Tom’s discomfort as dislike for school even whilst his parents insisted he needed medical investigation.
When brought to a hospice, the consultant suggested his digestive system be further investigated. During the discussion with his GP, Tom’s parents were not included and the GP decided that a PEG feeding tube will not be tolerable and that there was unclear direction as to how Tom could receive adequate nutrition. After leaving school, the professionals also decided there was nowhere suitable for Tom to go to. ...Show more