Answer the following: 1.A deficit refers to ‘a lack or impairment in mental or physical functioning’.  Using the information from the case study, identify and define four (4) deficits that Ms Singh presented with (200 words).
2.After review by the speech pathologist, Ms Singh is no longer Nil by Mouth (NBM) and has been placed on a special (modified) diet.  
A)Identify and give an example of each of the 3 (three) levels of modified foods and fluids that are recommended to clients with dysphagia (100 words).
B)Identify five (5) strategies used to assist the feeding of patients with hemiplegia and dysphagia (100 words – bullet points acceptable).
3.Assessing Mobilisation: A)Identify six (6) factors that the nurse needs to consider before mobilising Ms Singh (100 words – bullet points acceptable).
B)What is the most suitable risk assessment tool used in this situation (and why)? (50 words)
4.As a result of the (R) sided hemiplegia, Ms Singh requires assistance to empty and change her colostomy bag.  Outline the steps involved (for the nurse) to change her colostomy bag (100 words – bullet points acceptable).
After 5 weeks on your ward Ms Singh’s condition has shown no improvement.  She requires full assistance with all aspects of her ADLs and still has dysphagia and dysphasia.  Her daughter approaches you in tears stating “What’s going to happen to mum now? I work full-time and cannot look after her.  Surely she can’t go home?”
Answer the following: 5.What is the nurse’s role in the discharge planning of Ms Singh?  In your answer include when the discharge planning process should commence and the members of the multidisciplinary team involved (150 words)
6.The Australian Nursing and Midwifery Council (ANMC) have a guide of standards that all nurses must uphold in order to ensure the 'good standing' of the nursing profession - it is known as the 'Code of Professional Conduct for Nurses in Australia'.  http://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Codes-Guidelines.aspx .  From this document, identify the most applicable conduct statement(s) relating to cultural awareness that apply to the case study (50 words).

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