hi
APN105: Applying Nursing Practice (A) - Assessment 1B Brief: Case Study APN105: Applying Nursing Practice (A) 2019 ASSESSMENT BRIEF Course HLT54115 Diploma of Nursing Subject Code and Title APN105: Applying nursing practice Unit(s) of Competency HLTENN010 Apply a palliative approach in nursing practice HLTENN013 Implement and monitor care of the older person Performance criteria, Knowledge evidence and Performance assessed PC: HLTENN013 – 1.8, 1.9, 2.1, 2.4, 2.6, 2.7, 3.2, 3.3, 4.2, 4.3, 4.4, 4.5, 4.6 HLTENN010 – 1.2, 1.2, 1.4, 1.5, 1.6, 2.1, 2.2, 2.3, 2.4, 3.1, 3.2, 3.3, 3.4, 3.5, 3.6, 4.1, 4.2, 4.3, 4.4, 4.5, 5.2, 5.2 PE: HLTENN013 – 1, 2 HLTENN010 – 1, 2, 5 KE: HLTENN013 – 2, 4, 5, 10, 16 HLTENN010 – 1, 2, 3, 4, 5, 6, 9, 10, 11 Title of Assessment Task Case Study Type of Assessment Task Case study with short answer questions Length 1500 words Submission Due by 11:55pm AEST Sunday end of Week 9 (module 5) APN105: Applying Nursing Practice (A) - Assessment 1B Brief: Case Study APN105: Applying Nursing Practice (A) 2019 Introduction Palliative care services in hospitals and care facilities has increased by 25.6% between the years 2012 – 2017. In 2017 almost 77,400 patients were receiving palliative care in a healthcare setting. With the current growth and aging population in Australia it is expected that the number of patients requiring palliative care services will continue to grow. (Australian Institute of health and welfare) Palliative care aims to provide holistic care to the client and their families and loved ones by enhancing the quality of life, maintaining independence, anticipating, preventing and / or managing suffering to any person with a serious or chronic illness. Palliative care is a multidisciplinary team (MDT) approach, including doctors, nurses, allied health, support personnel (for example Chaplin, priest), families, loved ones and the client. The aim of the MDT is to address the physical, intellectual, emotional, social, and spiritual needs of client and their families and loved ones. Summary This assessment requires you to respond to a number of questions based on a case scenario and develop a plan of care for a client based on the responses to your questions. The case scenario presents an older person and their family, dealing with issues that need to be analysed, understood and planned for, using accepted nursing interventions. Please refer to the Task Instructions for details on how to complete this task. Task Instructions To complete the assessment, you must respond to a number of questions, which are based on the case study and to develop a plan of care for the client. These questions must be answered in full. When responding to the questions, please pay attention to the entire question being asked, as well as the prescribed word count, if provided. Use the correct medical terminology when answering all questions. Case Scenario: You are an Enrolled Nurse working in a residential facility. Mrs Hong has been a resident at your facility for 10 months. After the initial settling in period, which Mrs Hong found difficult due to her limited English and early dementia, she is now settled and has a good routine that she and her daughter are happy with. Mrs Hong’s daughter Yu Yang visits her mother daily and assists with bringing in Asian food for Mrs Hong. At times however, Mrs Hong still finds it challenging to interact with other residents and staff and can become quite upset and distressed, especially if her daughter is late with her food. 5 months ago, it was noted that Mrs Hong had a deformity in her right breast. On examination it was determined that Mrs Hong had stage 3C breast cancer. Mrs Hong and her daughter Yu Yang were provided with information relating to the condition and the options available and have decided to opt for palliative care. Mrs Hong does not want any active treatment and an advanced care directive has been completed with her instructions. In the last 2 days, Mrs Hong has shown signs of deterioration with her condition, is unable to eat or drink and is confined to bed. She remains conscious at present and her daughter Yu Yang is with her for most of the day. As part of your role, you are working with a Registered nurse to provide care for Mrs Hong considering her choices for palliative care. Character Briefs reviewed: Mrs Fei Hong: Mrs Hong is a 70 year old lady of Chinese origin. Mrs Hong’s background includes; APN105: Applying Nursing Practice (A) - Assessment 1B Brief: Case Study APN105: Applying Nursing Practice (A) 2019 Comes from one child family Chinese background Speaks little English Has no extended family Came to Australia to help her daughter, Yu Yang raise her son 19 years ago. Is beginning to demonstrate signs of dementia Interferes in parenting of twins Dictates cooking must be Asian Has hearing and sight impairment Mrs Yu Yang McFarlane: Mrs McFarlane is Mrs Hong’s daughter. She is 38 years old and married to George McFarlane. She has a son Jason and 3 year old twins. Mrs McFarlane’s background includes; Came to Australian as a University student Fell pregnant at the age of 19 – did not marry Married George 5 years ago Has 3-year old twins at home One twin has developmental disorder English language is good Was/Is isolated with no extended family Her issues will be those of isolated immigrant Prefers to cook Asian food Needed help with raising child and invited Chinese mother to Australia to help out Mr George McFarlane: Mr McFarlane has been married to Yu Yang for 5 years. He is 53 years old. Mr McFarlane is reliant on Yu Yang to complete all domestic duties as he is not self-sufficient. He is a long haul truck driver and is often away for work. He earns good money. Submission Instructions Assessment 1 Part B is to be submitted via the learning portal by 11:55pm AEST Sunday end of Week 9 (module 5). Assessment Process All items must be submitted. All items must be satisfactorily answered / addressed / completed in order for you to achieve a “Satisfactory” outcome for this assessment. Please note that this is one assessment from the range of assessment tasks you will complete. You must complete all assessment tasks in this subject. Please refer to your subject outline for information on the other assessment tasks. Clear, constructive and accurate feedback will be given to you on your results and performance The assessment items you submit will be retained by the college as evidence of your performance. College Policies and Procedures relating to assessments, and associated forms, are available via http://www.think.edu.au/studying-at-think/policies-and-procedures http://www.think.edu.au/studying-at-think/policies-and-procedures APN105: Applying Nursing Practice (A) - Assessment 1B Brief: Case Study APN105: Applying Nursing Practice (A) 2019 Marking Guide The table below is a guide for you. It outlines what a satisfactory response to each question should include. It is not a list of the correct answers, but a tool you can use to check that you have sufficiently responded to the criteria required for each question. Your assessor will record the results from this table in your grade centre. Part 1: Medium Response Question Assessment Item Satisfactory Response Tip Result Insert the Assessment Task/Question Provide tips on what students should include for a satisfactory response. Please indicate if the student’s response was satisfactory or non- satisfactory Describe the term ‘holistic care’ Provide 10 examples of how you would provide holistic palliative care to Mrs Hong and her family. Consider physical, emotional, cultural, spiritual, social support for both Mrs Hong and her family, including pain relief. S NS What document would outline Mrs Hong’s wishes for her care if she was unable to tell you? What details might this document include? S NS Discuss your values, beliefs and attitude towards death and dying. Include your reflection on how these may affect your provision of care to the client. S NS What is the scope of practice for an Enrolled nurse when caring for a dying client? Refer to the NMBA Enrolled nurse standards for practice and code of conduct. S NS Identify 4 possible physiological changes that you may observe in a client who is dying S NS Provide examples of how each member of the MDT can provide holistic care to Mrs Hong and her family. Consider each member of the MDT including, doctors, nurses, allied health staff, support personal and family. Provide examples for each on the roles and responsibilities in planning and provide holistic care to Mrs Hong S NS Identify signs of swallowing and breathing difficulties. What management strategies could you use in these cases? Discuss signs of respiratory and swallowing difficulties. What care could you provide to assist a client who has these difficulties? S NS APN105: Applying Nursing Practice (A) - Assessment 1B Brief: Case Study APN105: Applying Nursing Practice (A) 2019 Why is oral care important to consider in a client who is unable to eat or drink? Mrs Hong’s breast tumour has developed into a malignant wound. What does this mean and how would you care for it? Discuss the term ‘malignant’ wound and provide possible examples of care. S NS What signs/ changes may you observe in Mrs Hong that