1. Answer to questions at the bottom of the case study provided.
2. What was the most intriguing idea/concept of case study? Why?
3. What was the biggest challenge in choosing a case study to expand on? Why?

Pat is a 34 year old male with mild intellectual disability. He has had several unplanned admissions to hospital recently and a recent complicated discharge home to a family situation needing additional support. Pat has multiple health conditions and frequent hospital admissions, including admissions for mental illness. He has a discharge plan, developed with his program worker and the disability clinical nurse consultant (CNC). On a previous occasion when unwell and out of area, he was taken to an unfamiliar hospital. The disability CNC was able to discuss a risk assessment and discharge plan with staff at case conferences. The admission and discharge home went smoothly and Pat was subsequently enrolled in community chronic health programs for his respiratory and cardiac health issues. More recently he collapsed and was taken by ambulance to his local, and familiar, hospital where he was an inpatient for ten days. Pat had been in the Intensive Care Unit (ICU) and was subsequently transferred to the ward, where he spent two days. The family had been involved in brief bedside discussions with the treating team while Pat was in ICU, but no case conferences had been organized. Hospital staff informed the disability CNC / caseworker of Pat's admission after a week and the disability CNC had asked the treating team, via the hospital Nursing Unit Manager, to keep Pat's support network and family informed of plans for discharge and to follow his discharge plan. Pat's discharge was determined on the medical round one morning, without the family or ward staff being present. When the family arrived mid-morning, Pat was in an agitated state, pacing and ready to go. Pat's family spoke with the treating doctor about being unfamiliar with his daily dressings and injections. They were advised to take him to the general practitioner each day. The doctor was unaware that Pat was unlikely to co-operate with this plan. The long wait for the discharge summary, discharge medications and organizing community services meant Pat's behavior escalated to violent outbursts and the family took him home without the documentation and services in place. The difficulties the family was experiencing managing Pat's health and challenging behavior, the family was divided about his need for supported accommodation. They were focused on the stress of the most recent hospital admission and discharge. Pat and the family continue to receive support around decision-making. Pat continues to be non-compliant with medications and therapy for his multiple health issues. Questions - Case Study 1 1) How do you proceed? 2) What considerations must you make? 3) Who are the stakeholders involved? 4) How/Why did you come to your resolution