Sample assessment tool -- Observation and demonstration checklist Candidate Assessment Guide HLT54115 Diploma of Nursing Unit of competency: HLTENN013 Implement and monitor care of the older person...

Nursing assignment


Sample assessment tool -- Observation and demonstration checklist Candidate Assessment Guide HLT54115 Diploma of Nursing Unit of competency: HLTENN013 Implement and monitor care of the older person Knowledge questions Part A – Short-answer questions: 1. Describe the potential impacts of dual or multiple diagnoses in a nursing perspective on identification and prioritisation of the older person’s needs. 2. Briefly describe the purpose of providing counselling and support services for the elderly in an aged care context. 3. Describe the role of bereavement counsellors in a residential aged care facility. 4. Describe the role of the Older Persons Mental Health Service (OPMHS) in South Australia. 5. Differentiate between end-of-life care and palliative care. 6. Discuss the limitations and legal ramifications of the following forms of restraint. a. Physical restraints b. Chemical restraints c. c. Psychological restraints: 7. For each area below, discuss the legal aspects (surrounding both the legislation or assessment tools) and its relevance to the aged care sector. a. Advance care directives b. b. Aged Care Act 1997 (Cwlth) c. c. Aged Care Funding Instrument (ACFI) d. d. Carers Recognition Act 2005 (South Australia) e. e. Aged care risk classification system f. f. Code of Ethics for Nurses in Australia g. g. Code of Conduct for Nurses (NMBA) h. h. Residential care quality assessment (RESCAREQA) 8. Briefly describe the role of primary health care services in supporting older people. 9. In addition to GP clinics, what other resources and facilities offer primary health care services to older people? Discuss two (2) resources and facilities. 10. Physical triggers for behaviours of older people may vary. Describe how the following physical triggers contribute to behaviours of older people: a. Untreated or chronic pain: b. Not wearing the prescribed hearing aids or not using alternative listening devices: 11. Discuss the prevalence of cancer in older people. Provide three (3) examples of commonly found cancers in older people. 12. What are complementary therapies? Discuss nurse initiated complementary therapies. 13. Briefly describe the application of distraction and behavioural modification in responding to challenging behaviours. 14. Briefly describe the management of overflow incontinence. Discuss various equipment and aids used in continence care (urinary) of older people in general. 15. Research and discuss: · Key considerations and documentation requirements after the death of a person · Preparation of the person’s body for the family to view or send to the mortuary or to a funeral facility (standard procedure). 16 Research and briefly describe the oral hygiene fo Include in your response: partial or fully edentulous person. a • Care of dental prosthetics • Care when cleaning dentures •Screening for oral health conditions • Care of oral soft tissues 17 Briefly describe the functional assessment tools f ssessing older people. Include in your response: nd fall risk • Assessment of patients with gait instabilit• Screening for cognitive impairment. 18. Briefly describe legal and ethical issues and considerations relevant to older people. 19. Explore and briefly describe: · What dementia is · Strategies and nursing interventions that can be used with people with dementia. 20. Outline five common stereotypes associated with ageing. Discuss influences of stereotypes on ageing. 21. Discuss the importance of a safe, physical, social and emotional environment for all older people, especially people with dementia. Part B – Case Study Questions: Case study 1: Mrs James, 65-year-old, was admitted to your residential aged care facility three days ago with extensive Alzheimer’s disease. Mrs James generally appears tired and sleepy in the morning. Mrs James takes a single dose oral Frusemide 20mg daily along with her antihypertensive medication. The medication is being administered at 2000 hours everyday. 1. What is the effect of Frusemide on Mrs James especially when administered at night time? 2. What adjustments can you make in the administration of Frusemide in this situation and whom should you liaise with to make any adjustments? Case study 2: You are taking care of a newly admitted 78-year-old resident, Ms. Wong, in the low care wing of a residential aged care facility. She suffered a stroke last year resulting in right sided weakness of both her right arm and right leg. She now walks with the help of a 4-wheel frame and needs assistance with her ADLs due to the weakness of her right arm. She is a retired Registered Nurse. She has a past medical history of Type 2 diabetes mellitus, hypertension and osteoporosis. She is currently on multiple drugs for all these conditions and is worried about forgetting to take her medications on time. When her medication was checked, it appeared that she had missed her doses on several occasions. She lives alone and has always been single. Her mother passed away 2 years ago and Ms. Wong, who was much attached to her, deteriorated both mentally and physically after the incident. Ms Wong was living alone after her mother’s death, occasionally being visited by her daughter who lived 400km away. 3. Identify and discuss 3 chronic health problems faced by Ms. Wong. 4. Briefly discuss the possible impacts of osteoporosis on Ms Wong’s capacity to perform daily living activities. 5. What are the implications of Ms. Wong’s admission to the residential aged care facility? How will you ensure Ms Wong’s family and/or carers (who are visiting her now) understand these implications? Case study 3: Imagine that you are working with Kevin Mills, 78 years old, who lives alone in an independent living unit. Mills has type 1 diabetes. You visited Mills today to check his blood sugar and ensure that he maintains his health in his best possible way in relation to the agreed nursing care plan. Mills’ daughter is at home now and she visits Mills two days a week to check on his welfare. Mills’ blood sugar is 10.2mmol/L at 10:00 am. He had his breakfast at 08:30am (two toast, raspberry jam and tea with two sugars). Mills stated that he did not document the previous blood sugar values and doesn’t want to follow the diabetic diet plan as he feels the diabetic diet is ‘boring’. 6. Provide two (2) examples of strategies you would implement as a nurse in promoting the health maintenance of Mills. 7. Identify and describe a community service/resource Mills and his daughter could access in promoting his health maintenance in relation to the identified issue in addition to the home nursing services. 8. Briefly describe how you could apply advocacy skills in relation to this scenario. Literature review topic Some personal care assistants in a residential aged care facility demonstrated inappropriate behaviour towards the residents. Their unprofessional behaviours included, but were not limited to, the following: · Force feeding residents · Neglecting residents’ needs and requests on the assumption that ‘they will forget it soon’ · Arguing with residents when there was a delay in receiving a response from them to their (PCAs) questions · Being impatient and forcing them to mobilise faster · Performing tasks without seeking consent · Making statements such as ‘older people are boring’ and ‘older people are so dramatic’. The residential aged care workforce must possess an understanding of the application of the theories of ageing and physiology of the ageing process as it is related to disease processes and resident behaviours. Conduct a literature review and submit a writing on this topic, linking it with appropriate examples from the case scenario provided above. Refer to the marking rubrics for further guidelines and marking criteria you must include in your literature review. Word limit: 1200 to 1500 words excluding references Document: HLTENN013 Candidate Assessment Guide Date created: 01 March 2019 Version: 2.0 Date implemented: 01 March 2019 Next review: 01 March 2022 Responsibility: Academic Manager (VET) Page 10 of 81 Document: HLTENN013