Sample assessment tool -- Observation and demonstration checklist Knowledge questions Part A – Descriptive questions: 1. Discuss ways an enrolled nurse could identify needs of the person in palliative...

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Sample assessment tool -- Observation and demonstration checklist



Knowledge questions

Part A – Descriptive questions:

1. Discuss ways an enrolled nurse could identify needs of the person in palliative care, and their family or carers, when providing palliative care support to them. Include in your response examples of specific assessment tools a nurse may use and common needs and preferences they must identify.




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2. Explore and discuss legislation on advance care planning, advance care directives and notification of a death in your State/Territory in relation to a person admitted in a hospice/aged care facility/ hospital setting.
Include in your responses an enrolled nurse’s role in applying the legislation.




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3. Discuss diverse cultural, religious and spiritual factors underpinning the person’s choices at end-of-life using appropriate examples. How is this understanding vital in providing nursing care?




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4. Discuss the following ethical and legal issues related to a palliative care approach:
· Decisions regarding advance care directives
· Conflicts that may occur in relation to personal values and decisions made by or for the person ▪ Organ donation
· Request for autopsy
How could each of these ethical and legal issues affect your nursing practice?




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5. Briefly describe the hydration and nutrition requirements of an adult patient during palliative care and at end-of-life. Discuss ways a nurse could address the hydration and nutrition requirements of the patient when providing palliative care or end of life care.




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6. Discuss the use of syringe driver and intima sub-cut lines in administering analgesic medications for a patient receiving palliative care or end of life care. Include in your answer:
· Examples of analgesics administered using a syringe driver or intima sub-cut lines.
· Indications and contraindications for use of syringe drivers in administration of pain medication.
· Indications for intima sub cut lines for pain relief, anti-nausea and steroid injections.
· Role of an enrolled nurse in administering medications via a syringe driver or intima sub-cut lines.




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7. Discuss common non-pharmaceutical and complementary care in pain management for a patient receiving palliative care or end of life care using examples.




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8. Discuss the impact of loss and grief on the person receiving palliative care and their family or carers. How could a nurse manage these impacts?




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9. Discuss the impact of loss and grief on nurses and other team members. How could they manage these impacts?



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10. Identify and briefly describe three (3) relevant resources available to those requiring grief and bereavement support in your State or Territory.


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11. Discuss own role and responsibilities as an enrolled nurse in palliative care provision.






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12. Discuss role and responsibilities of doctors, registered nurses and personal care assistants/nursing assistants in palliative care provision.




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PART B – CASE STUDY QUESTIONS

Case Study A:

Alfred, 68 years old, is admitted in your palliative care setting following the recent diagnosis of signet ring cell carcinoma which has affected his intestine, stomach and lungs. Alfred appears tired and extremely upset.

a. What is signet ring cell carcinoma? Discuss the potential needs of Alfred in relation to the pathological changes associated with this condition.




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b. Discuss the assessment you must perform on Alfred. Include in your response the role of impeccable palliative care assessment.




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c. Identify and discuss the application of any three (3) principles of palliative care and the palliative approach in undertaking holistic assessment of Alfred.




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d. Discuss the timing and frequency of assessment of pain in this scenario.





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e. You observed that Alfred is struggling to follow instructions even after explaining procedures and care aspects in detail on every occasion. He appeared lost and forgetful. This is frustrating you. How should you respond to this situation and why?




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Case Study B:

You have been caring for Barb, a 72-year- old woman with advanced breast cancer and multiple metastases. Barb complains of pain in her abdomen, feeling bloated, very uncomfortable and generally unwell. Due to pain and shortness of breath, her mobility is limited to short distances using a rollator.
Medication ordered for pain relief includes MS Contin 50mg twice daily and paracetamol 1000mg four times a day. She also has an order for Morphine 2.5-5mg 4/24 prn. It has been two hours since Barb’s last dose of Subcut Morphine 2.5mg and her pain has not reduced at all.
The RN asks you to take Barb’s observations, assess her pain and symptoms, and discuss a suggested plan of care. The completed assessment indicates that Barb is constipated. This is exacerbating her pain.

a. What are the likely causes of Barb’s constipation?




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b. Discuss an EN’s role in prevention and management of constipation.




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c. Barb tells you that she would like to use something other than drugs to manage her pain. What pain management strategies should you implement in this situation?




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Case Study C:

Assume that a person you care for has views, beliefs and needs in relation to their lifestyle, social context and emotional and spiritual choices that contradict your beliefs and interests.

How should you react to the client’s needs in this situation when providing care and support to the person?






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Case Study D:

The registered nurse asked you to liaise with Mathew, an adult receiving palliative care in your setting, and his wife and daughter who are currently with him, to explore if they have any concerns and issues they would like to discuss in relation to their spiritual and cultural background.
a. Identify three (3) questions you should ask Mathew and his family to explore any concerns and issues they may have in relation to their spiritual and cultural background.



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b. Discuss appropriate strategies that may assist in conversations with Mathew and his family around spiritual care and spiritual and cultural issues. Include in your answer the importance of facilitating such conversations.



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c. Mathew’s wife shared a concern that one of the staff members at the facility had approached them multiple times asking for an opportunity to pray for them. The colleague sounded like a gospel preacher and Mathew was upset at this colleague’s approach as his beliefs were different. He didn’t want to voice his concern and annoy anyone during these last days of his life.
How should you respond to this situation?



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Case Study E:

James was unconscious and in his end-of-life phase. He had experienced noisy and rattly breathing since this morning and his family members were concerned about this change in his breathing.
How should you respond to family members who are concerned about James’ noisy and rattly breathing? Include in your response what other strategies you should implement in this situation to manage James’ noisy and rattly breathing.





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Case Study F:

One of the patients in your clinical setting is in his end-of-life care and his daughter is experiencing normal grief reactions.

a. Discuss the emotional support you should provide to the person’s daughter in this situation.





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b. When the patient passed away, you observed that another family member was going through complicated bereavement. The family member displayed intense yearning for the deceased, excessive guilt and remorse, anger etcetera. Outline options available for referral for individualised support in this complicated bereavement situation. How will you discuss these options with the family member?




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c. Consider if you were the nurse caring for the person and his family on the day he died. How would you ensure positive coping and stay healthy, mentally and physically? Include in your response physical, social and inner self-care strategies and discuss why these self-care strategies are important.


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Assessment Task 3


1.Identify and briefly describe five (5) common sources of stress in a clinical setting when working as an enrolled nurse.






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2.Briefly describe four (4) personal triggers to stress.





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3.Briefly describe four (4) strategies to prevent, reduce and manage stress.








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4.Briefly describe two (2) internal and two (2) external options and resources for additional support in managing personal stress in a nursing context. Include in your response the role of informal/formal debriefing sessions and/or workplace counselling.





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5.How might the following complex client behaviours act as sources of stress in a health care work environment?

a.Emotional client:





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b.Aggressive client:





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c.Client with cognitive deficit:





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d.Non-compliance with management and treatment:





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6.How might the following potential sources of stress generally manifest in a health care work environment?

a.Grief and loss experienced by nurses:





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b.Exposure to stressful working conditions:






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c.Stressful incidents such as unexpected death of a patient:





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7.Outline four (4) legal rights relating to the Fair Work Act 2009 that you must be aware of when working in an organisation. How can a nurse ensure that their employer addresses these employee rights?






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8.Briefly describe the impact of self-care strategies such as exercise, appropriate diet and nutrition on the physical health of a person.





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9.Identify and briefly describe five (5) complementary and alternative health options a nurse can access for self-care.




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10.Discuss an appropriate nursing work plan for a morning shift in an aged care facility. Discuss how you should apply work prioritization techniques and time management strategies when planning your shift.





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11.Briefly describe how a nurse could apply work/life balance strategies.



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Document: HLTENN010 Candidate Assessment Guide
Date created: 22 July 2019
Version: 2.0
Date implemented: 22 July 2019
Next review: 22 July 2022
Responsibility: Academic Manager (VET)

Page 56 of 59

Document: HLTENN010 Candidate Assessment Guide
Date created: 22 July 2019
Version: 2.0
Date implemented: 22 July 2019
Next review: 22 July 2022
Responsibility: Academic Manager (VET)

Page 8 of 12

Document: HLTENN010 Candidate Assessment Guide
Date created: 22 July 2019
Version: 2.0
Date implemented: 22 July 2019
Next review: 22 July 2022
Responsibility: Academic Manager (VET)

Page 11 of 12
Answered 10 days AfterMay 14, 2021HLTENN010Training.Gov.Au

Solution

Dr. Vidhya Bhushan answered on May 24 2021
19 Votes

Sample assessment tool -- Observation and demonstration checklist



Knowledge questions

Part A – Descriptive questions:

1. Discuss ways an enrolled nurse...

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