Recent Question/Assignment

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Course : HLT51612 Diploma of Nursing (Enrolled-Division 2 Nursing)
Course Offer : 16NDONC1
Course Unit : HLTEN511B Provide nursing care for clients requiring palliative care
Assessment Type : Work sheets
Total Number of : 3
Questions : Ashma Basnet
Student Name : S164369
Student ID
Attempt : 1
Marking Type : Marking by Assesor Pass Percentage : 100%
1. Scenario 2

Consider the following scenarios and answer the questions that follow.
Mrs Camillero has been in the residential aged care home where Caro (an EN) has worked for just over a year.She has recently been suffering bouts of nausea and vomiting, pain in her ribs and has lost weight. Caro is upset after finding out her test results.She has bone cancer and is only expected to live for another two to three months.When Caro goes in to help her get up she decides to ask her about her results. Camillero starts talking about her diagnosis at lightning speed mentioning her fears. Caro sits quietly with her and listens carefully. When she begins to calm down,Caro asks her questions to discover her real fear that she won’t be able to see her first great grandchild due in 4 months. She has no real fear of dying as she is strongly religious and looks forward to seeing her husband again. Caro talks gently to her about hope and positive attitudes and she calms down. Caro holds her hand, gives her a hug and promises to ring her daughter to ask her to come in as Mrs Camillero needs to talk. Whilst Caro assists her to shower and dress her they reminisce about Mrs Camillero’s big family and she even laughs about her youngest brother who has just remarried at 75. Caro has written all this information into Mrs Camillero’s folder and she reports to the care manager, RNs, other care workers and some allied health personnel. Mrs Camillero is not actually afraid of death as she is a strong Catholic but is desperate to see her first great grandchild. She also reports on the desire for advanced directives to be part of the care plan and that having large family numbers visit and pain control remain a worry for her.
1.1. Indicate what reflects quality practice in palliative care in each situation in regards to oral communication skills, written communication skills and interpersonal skills.
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1.2. State the effects of life-limiting illnesses on Mrs.Camillero activities of daily living.
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2. Scenario 3
Mrs Camillero’s daughter, Rose, approaches Caro later the same day and asks her to assist in putting together advanced directives for her mother at the end of her life. Rose is worried about pain control as her mother is already in some pain and none of the family wants her to suffer.She is worried about how they might cope with the large family at home and

3. Scenario 1
Read through the scenario below and answer the questions that follow.
Mr. Joe 72 has lung cancer. He is admitted to the hospice today. He was a frequent visitor to the hospice day center over the past few months, and several staff has noted has a positive attitude and seems to have been coping physically and emotionally. Joe’s condition has deteriorated now and he is not expected to live for more than a few more days. He is anorexic, not eating and on IV and clear fluids. He is getting Patient controlled analgesia (PCA) morphine and other nursing measures such as massage, positioning, gentle exercise etc. He is alert but extremely agitated and depressed at the moment. His wife Margaret can’t understand his reaction and doesn’t know how to manage the situation and is finding his agitation distressing.
3.1. Enumerate the special needs of Joe requiring a palliative approach to care.

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3.2. Analyse your role and responsibilities as an enrolled nurse, and those of other team members involved in the delivery of palliative care to Mr.Joe.

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3.3. Reflect your understanding of the palliative approach to care of clients and their family.

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3.4. Enumerate the patho-physiological process and changes you may encounter while caring Mr.Joe.

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2.6. Mrs.Camillero’s daughter Rose would like to know about the social and community support systems available. What is available to her?

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