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HLTENN013 Assessment Answers Implement And Monitor Care Of The Older Person

tag 11 Downloads 17 Pages / 4,189 Words tag 22-12-2019
  • Course Code: HLTENN013
  • University: TAFE Queensland
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  • Country: Australia

Questions:

1a) You are the nurse receiving Mrs Walker and as such, will need to complete a health assessment.
Discuss the primary and secondary sources that you might access to retrieve information about Mrs Walkers past medical history.

1b) In detail, discuss what the interview stage of a health assessment is.
1c) Discuss why the use of assessment tools specific to the older person are important in a health assessment. Name at least 2 specific tools you would consider using for Mrs Walker.

2a). You are concerned about Mrs Walker who seems very anxious and emotional. You have tried various types of communication, however, Mrs Walker is not engaging and her family are distressed.
 
What assessment tools may you consider using? After collecting data, identify the person you would immediately discuss your concerns with. What you would need to relay?

2b). Identify (and provide a brief explanation) of the specific Standard (include the number) for the Enrolled Nurse which relates to “decision making and provision of care”.
 
TOPIC LAW AND ETHICS – PRACTICE STANDARDS.
 
“Recognises the RN4 as the person responsible to assist EN decision-making and provision of nursing care.”

3a) Define restraint (5 types) and describe who is ultimately responsible for authorising its use.

3b) Discuss the type of restraint used for Mrs Walker in the facility and describe your obligations once it is in place.

4a) You are unable to weigh Mrs Walker as she is not compliant. Discuss in detail at least 4 possible reasons for Mrs Walkers weight loss. (Please note that it is not acceptable to produce a list without detailing giving reasons)

4b) Discuss how Mrs Walker’s physical disability may be a contributing factor to her weight loss.

4c) Discuss the specialist health professionals Mrs Walker may be referred to (at least 3) for her weight loss.Remember she already has a Psychogeriatritian.
NUTRITION/ DITETITION, PHYSIOTHERAPIST, DENTAL TECHNICIAN, OCCUPATIONAL THERAPIST, SPEECH PATHOLOGY

5) With her daughter’s help, you are finally able to get Mrs Walker to sit down and have a drink. You decide to try and take the opportunity to complete an oral assessment.
a) Create a list detailing at least 4 examples of how poor oral care can contribute to poor health in the older person

b) Create a list of things you will look for during the oral health assessment for Mrs Walker

c) You check Mrs Walker’s dentures which are chipped and stained and look too big. The daughter asks you the best way to care for dentures. Discuss in detail what you will tell Mrs Walker’s daughter.

6) Mrs Walker is unsteady on her feet and needs a more comprehensive assessment than a FRAT. Discuss what type of assessment you might refer Mrs Walker for and the health care professional who would do it.

7a) You are discussing the diagnosis of Alzheimer’s disease with Mrs Walker’s son, he tells you he doesn’t understand what dementia means and asks you if there is a cure? Provide a definition of dementia with particular reference to what Alzheimer’s disease is… Include Pathophysiology & 3 stages.

7b) Mr Walker asks you if his mother will die soon, discuss the difference between palliative and end of life care

8a) After 2 weeks of residing in the facility, Mrs Walker has not engaged in any activities and continues to pace the corridor, although not with the same level of anxiety. You discuss your concerns with the activity officer, what Diversional Therapies might she suggest for Mrs Walker?

8b) Discuss the need for the Mrs Walker to feel as though her environment is both physically and emotionally safe… what will happen if it’s not?

ASSESSMENT ONE PART B
 
Complete the following short answer questions
1.Why was the carer’s recognition act 2010 implemented?

2.List 3 legal or ethical considerations included in the 10 key principles in the Carers recognition Act 2010?

3.What organisational policies and procedures do you need to pay attention to when caring for a deceased client? Include those required for a Coroners case.

4.What specific standard precautions do you need to apply when caring for a deceased body?

5.Part of your role is to provide support and comfort for the grieving family or carer. Within your scope as an Enrolled Nurse, list 2 ways you can achieve this.
 
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