HLTENN010-Apply a Palliative Approach in Nursing Practice

Questions:

1.After reading Williams’s story in your subject topics and using the Palliative Needs Assessment Tool as a guide, identify 4 possible health care needs that William and his wife may require.

2.In reference to Michelle’s story (1st video) within your subject topics, what effective communication strategies did Meredith use to give the news to Michelle and Pete about the progression of her disease? – you may like to look at the PREPARED acronym in your study topics to assist.

3.Discuss 3 relevant support services Michelle and Pete may access to provide a supportive environment for the family during the initial stages of Michelle’s new diagnosis.

4.a.Thinking about Michelle’s story, Identify and discuss 4 relevant resources available to Pete and his children that will support their grief and bereavement following Michelle’s death 

b.Discuss 3 ways that you as an Enrolled Nurse can provide emotional support to Michelle and her family in relation to grief, loss and bereavement (Max 80 words).

5.a.As Michelle’s condition deteriorates the family may have questions about what physical changes they may see in Michelle. To assist the family’s understanding of the dying process it is important for you as the nurse to understand the physiology of dying. 

Outline 10 physiological changes of dying that may occur to Michelle 

b.Outline the pathophysiology changes that are associated with a life-limiting illness and the needs of the dying person (in this case Michelle) in regards to 2 common issues - Dyspnoea and Cachexia Anorexia Syndrome.

Note: Pathophysiology is not signs and symptoms. Pathophysiology explains the processes within the body that result in the signs and symptoms of a disease.

6.a.In regards to Bob’s story in your subject topics – please answer the following

b.Discuss the impact that loss and grief can have on Bob and his family including psychosocial impact.

c.Discuss the impact that loss and grief can have on staff members. 

7.a.In Betty’s story from your subject topics, it is noted that she is approaching end of life and may start to exhibit signs of respiratory and swallowing difficulties. 

Identify signs and symptoms of respiratory difficulties.

Identify signs and symptoms of swallowing difficulties.

b.Betty has an advanced care plan in place, outline 4 strategies that can assist in the management for end of life care in regards to respiratory and swallowing issues. (max 60 words)

c.According to the website link from your subject topics “Palliative Care Australia” - Advanced care planning is discussed along with the specific information about Advanced Care Planning in each state. 

Please answer the following: Advance Care Planning – in general what does it mean? Including legal and ethical implications (Max 50 words).

d.Research the specific state you live in, discuss the specific components of their advanced care planning and the process for notification of death.

8.Within your subject topics you look at the multidisciplinary care at the end-of-life for Betty. She is facing the realisation that her condition has deteriorated and states that she has been feeling nauseated and has difficulty swallowing, the team gets together to discuss Betty’s nutritional needs. 

Discuss 3 reasons a patient or family may wish to continue or not continue with nutrition and hydration at the end-of-life.

9.Outline your own role and responsibilities as the Enrolled Nurse and those of other team members involved when assisting in patient–centered palliative care planning. 

10.a.Outline your roles and responsibilities when caring for a person in general, after death. Include what standard precautions are needed and why and who is to be notify when a person dies within a care facility.

b.Outline the appropriate cultural and spiritual care of the death of an Aboriginal person. 

11.Outline 4 ways for each of the 2 areas below, as to how you can provide the person, family or carer with opportunities to discuss spiritual and cultural issues in an open and non-judgmental manner 

12.a.Due to diversity in culture, spiritual or religious factors that underpin a person choices in an advanced care directive at end-of-life, conflicts can arise especially around issues such as organ donation and autopsy’s

Discuss 3 ways an advanced health Directive can reduce conflicts that may occur in regards to the above. 

b.Diversity in culture, spiritual or religious factors underpin a person’s choices at end-of-life. Discuss how advanced care directives may affect their decisions, including issues such as organ donation and request for autopsy.