CHCPAL001-Deliver care services using a palliative approach

1. Give one example of support that the family and/or carer may require from a palliative care worker.
2. Communication strategies can empower the person, family, carers and/or significant others. Explain how you can empower these people.
3. Describe the legal and ethical considerations for duty of care when caring for a person at end-of-life.
4. Identify three members of the palliative care team and briefly outline their role.
5. Following the death of a person a support worker has cared for, give two examples of behaviour that may demonstrate a need for further support.

The Musculoskeletal System

1. A community nurse is managing the care of an older adult. In an attempt to maximize the patient’s musculoskeletal health and minimize the risk of physical injury, the nurse is preparing educational information to be delivered at the next home visit.

1. What areas of concern should the nurse include in the patient’s information regarding osteoporosis?
2. What areas should be discussed to best address risk reduction and health promotion strategies to reduce musculoskeletal injuries and disease?

2. A worker comes to the pain clinic following a back injury at work while lifting a heavy object. He is complaining of low back pain and leg pain. The nurse practitioner is suspecting a herniated disc.

1. What are the possible causes of low back and leg pain?
2. What assessment findings would confirm the possibility of a herniated disc?

Assessing Older Adults

1. A nurse is about to create a teaching plan for an older adult patient that focuses on health promotion and risk reduction.

a. Which areas of health promotion and counseling are specific to the older adult?

b. Which screening tools are appropriate in the assessment of older adults?

The Musculoskeletal System

1. A community nurse is managing the care of an older adult. In an attempt to maximize the patient’s musculoskeletal health and minimize the risk of physical injury, the nurse is preparing educational information to be delivered at the next home visit.

1. What areas of concern should the nurse include in the patient’s information regarding osteoporosis?
2. What areas should be discussed to best address risk reduction and health promotion strategies to reduce musculoskeletal injuries and disease?

2. A worker comes to the pain clinic following a back injury at work while lifting a heavy object. He is complaining of low back pain and leg pain. The nurse practitioner is suspecting a herniated disc.

1. What are possible causes of low back and leg pain?
2. What assessment findings would confirm the possibility of a herniated disc?

_{Cranial Nerves:}

1. A nurse is about to conduct a physical assessment of an 82-year-old patient.  

What questions should the nurse ask to determine the best approach to this examination based on the patient’s physical and emotional needs?

2.Assessment of the eyes will primarily focus on which cranial nerves?

Assessing Older Adults

1. A nurse is about to create a teaching plan for an older adult patient that focuses on health promotion and risk reduction.

a. Which areas of health promotion and counseling are specific to the older adult?

b. Which screening tools are appropriate in the assessment of older adults?

Cranial Nerves

1. A nurse is about to conduct a physical assessment of an 82-year-old patient. What questions should the nurse ask to determine the best approach to this examination based on the patient’s physical and emotional needs?

2. Assessment of the eyes will primarily focus on which cranial nerves?

You are the nurse working in a cancer center. You have been asked to take a position to help counsel patients about their choices once they are diagnosed with cancer. Your position is not to persuade them one way or the other, but rather to give them the factual information regarding their choices, provide resources to them, and be there for any support.  

provide feedback on areas that you will identify as important to make the patient aware of when they are making the choice, such as:

• cost
• involvement
• time
• side effects
• complications
• prognosis
• quality of life
• family effect
• etc.

Central-venous-catheter-related bloodstream infections (CRBSIs)

what is CRBSIs , causes, signs and symptoms, management

(pharmacological), dressing changes, impact on health care, prevention

Provide one nursing intervention for each risk factor below that would mitigate delirium.

-Dementia

-Polypharmacy

-Infection/dehydration

-Recent surgery

_{Cranial Nerves:}

1. A nurse is about to conduct a physical assessment of an 82-year-old patient.  

What questions should the nurse ask to determine the best approach to this examination based on the patient’s physical and emotional needs?

2.Assessment of the eyes will primarily focus on which cranial nerves?

Assessing Older Adults

1. A nurse is about to create a teaching plan for an older adult patient that focuses on health promotion and risk reduction.

a. Which areas of health promotion and counseling are specific to the older adult?

b. Which screening tools are appropriate in the assessment of older adults?

_{Cranial Nerves:}

1. A nurse is about to conduct a physical assessment of an 82-year-old patient.  

What questions should the nurse ask to determine the best approach to this examination based on the patient’s physical and emotional needs?

2.Assessment of the eyes will primarily focus on which cranial nerves?

Assessing Older Adults

1. A nurse is about to create a teaching plan for an older adult patient that focuses on health promotion and risk reduction.

a. Which areas of health promotion and counseling are specific to the older adult?

b. Which screening tools are appropriate in the assessment of older adults?

Explain each of the following programs in 1-2 paragraphs each:

• Virtual Dementia Tour
• Music and Memory
• Snoezelen rooms
• Hand in Hand dementia training
• Certified Dementia Practitioner
• Validation therapy
• Reminiscence therapy
• essentiALZ certification
• It’s Never 2 Late

For each program, describe a scenario in an assisted/senior living organization where its tenets could be applied. How would the program help a senior with dementia? Which behaviors would be alleviated, and how?

Assessing Older Adults

1. A nurse is about to create a teaching plan for an older adult patient that focuses on health promotion and risk reduction.

a. Which areas of health promotion and counseling are specific to the older adult?

b. Which screening tools are appropriate in the assessment of older adults?

L.C. is a 76 year old female. She had a right total hip replacement 3 days ago, without any complications.

PMH- HTN and Type 2 DM. Diet- 2 Gm Na 1800 Cal ADA diet Activity- OOB with assistance;

PT 2 x/day PRN- Oxycontin 5 mg po q 4 hrs prn pain.  

11 am-Your patient c/o 8/10 right hip pain. You give her oxycontin 5 mg po for pain.

1120 am- The CNA enters the room to assist with her am care. When she is finished she neglects to place the call bell within the patients reach.

1130 am- your patient needs to use the restroom and falls when she attempts to get OOB. You find the patient lying on the floor screaming in pain. Of course she fell on her newly operated hip.

1. Please include your initial assessment of the fall.

2.Your nursing interventions that you would implement after the fall?

3.Any SBAR report that you may need to give to the nursing supervisor, MD, or anyone you feel you must notify;

4. What treatment do you think will be ordered in this situation?

If the article was not current, what would your approach be? Why is a basic understanding of evidence-based research appraisal important to nursing?

Discuss how you would summarize your understanding of how to appraise evidence for your co-workers.