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:
HLTENN010 – 1.1, 1.2, 1.3,1.4, 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, 5.1, 5.2
HLTENN013 – 1.8, 1.9, 2.1, 3.3, 4.2, 4.3, 4.4, 4.5, 4.6
PE:
HLTENN010 – 3,4,, 5
HLTENN013 – 1, 2
KE:
HLTENN010 – 1, 2, 3, 4, 10, 11, 12, 14, 15, 16, 17
HLTENN013 – 2, 4, 5, 10, 13, 15, 17
Title of Assessment Task: Case Study
Type of Assessment Task: Case study with short answer questions
Length: 1500 words
APN105 Applying Nursing Practice Assignment 1 B -Laureate international university AU.
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.
APN105 Applying Nursing Practice Assignment 1 B -Laureate international university AU.
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: –
- 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
APN105 Applying Nursing Practice Assignment 1 B -Laureate international university AU.
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.
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