General Instructions: 1. This assessment must be typed in Arial font, size 12, double line spaced. 2. Every answer must be referenced using either Harvard or APA format and maintain consistency. 3. Word count should be approximately 2000 words. 4. You must familiarise yourself with the steps involved in ‘The Nursing Process’ from either your required textbook or online resource to complete this assessment piece. 5. Question 5 requires you to format a table to submit the information required for that question. 6. ALL 12 TASK MUST BE ANSWER CORRECTLY. Task 1 All hospitals, hospices and aged acre facilities have policies and procedures relating to the care of a client after their death. Read the policies and procedures in your facility and answer the following questions. 1. Who must be notified when a client dies? 2. Who is responsible for performing this task? 3. You know your client has died as does the family, but who is responsible for officially determining that death has occurred? 4. What happens to the body immediately after death? 5. What happens to the persons belongings? 6. When would a coroner need to be notified? 7. Who is responsible for notifying the coroner? 8. Who would make the funeral arrangements if there are no next of kin or known relatives? 9. List the local services for grieving relatives in your area. TASK 2 Australia is a multicultural society Identify a cultural group, which is different from your own and describe the following; 1. Family and relationship structures that may impact upon the delivery of Palliative care. 2. Cultural beliefs about death and dying that need to be considered throughout this period. 3. Describe your approach to raising these matters with a family from this background. 4. Not all families are the same; how will you discover these families’ particular beliefs, values and traditions? Task 3 Nurses are governed by a Code of Ethics; • Autonomy – respecting the rights of others and their need to make choices. • Beneficence – doing good and promoting well- being. • Non – maleficence – doing no harm. • Justice – acting without prejudice. 1. Your client is in considerable pain but refuses to take Morphine; he wants to ‘save’ his medication until the pain becomes unbearable. Would you respect this view? 2. You have three clients all needing your attention at the same time. How do you prioritise ensuring ‘Justice for all’? 3. Anna has Motor Neurone Disease and requires suppositories to prevent constipation. This process causes her considerable embarrassment and discomfort. How does this act align with non – maleficence? Task 4 Margaret is an 85 year old female who has been resident in a residential aged care facility for the past 6 years. Margaret has been widowed twice, her first husband died when she was 40 and her second when she was 80 years old. Margaret has 4 children 2 live interstate and 2 live locally. Margaret’s eldest granddaughter Lucy visits her regularly and is nominated as ‘next of kin’. Margaret suffered a cerebrovascular accident 4 years ago, which was the cause of her being transferred to the aged care facility. Margaret was diagnosed with breast cancer two months ago and she had a mastectomy. Margaret recovered from the surgery and had a course of radiotherapy. The cancer has since returned and she has widespread bony metastases. Margaret has declined chemotherapy and has requested symptom control. You have worked at the residential aged care facility for 2 years and you have developed a good relationship with Margaret and Lucy. 1. Lucy comes to see you and she has asked you explain the meaning of ‘palliative care’. 2. Lucy goes onto to ask you what is likely to happen to Margaret. 3. Lucy understands that Margaret has bony metastases. What are these and how will the effect Margaret? Task 5 Richard is a 50 years old history teacher who had to retire due to his ill health. Richard has been admitted to an acute hospital for pain management. Richard has bowel cancer and has previously been treated with surgery and radiotherapy. He has a colostomy which he is unable to care for. Richard is divorced from his wife and he sees his two teenage children at weekends, they live primarily with their mother. The teenagers visit with their grandparents, they stay for an hour or so and there is little conversation. He spends most of his time in bed apparently sleeping. He does not watch TV or listen to the music or radio. Richard was seen by the medical staff this morning and they have explained to him that he is in the last stages of his disease and everything will be done to keep him comfortable. 1. Design a care plan for Richard. 2. Describe how you might ensure that Richard attains ‘quality’ in the remaining days of his life. Task 6 Eric is an indigenous Elder and he has received more than 100 visitors during his stay in hospital. Eric’s death is imminent. 1. Who would you discuss the final arrangements with? 2. What factors need to be considered and why? Task 7 Mr Massoud is a client from Syria and he has strong religious beliefs. His two brothers have recently arrived from his native country to be with him and offer his wife and his young family some support. 1. Who do you discuss the final arrangements with and why? 2. What factors need to be considered and why? Task 8 Liam aged 14 has end stage Hodgkin’s disease. Liam experiences severe bone pain, night sweats and dyspnoea associated with airway oedema. He sleeps for up to 15 hours each day. Liam was carded for at home until a week agao when he was transferred into a hospice for respite care. Liam is very popular and receives many visitors. 1. Describe the impact Liam’s illness is having on his Activities of Daily Living. 2. Who would you discuss strategies to assist Liam in performing daily living activites and why? 3. Describe the emotional factors that should be considered when providing Liam with nursing care. Task 9 ‘Grief is a natural process, the price paid for love’, Sigmund Freud (1917) Mourning and Melancholia. Elisabeth Kubler – Ross viewed grief as a series of stages 1. Name and describe these stages. 2. Reflect on events within your own life. How have you responded to grief? Does this model fit with your own experiences? 3. Identify the advantages and disadvantages of have the ‘stages of grief’ so clearly defined. Task 10 Describe the origin of the following types of pain. 1. Nociceptive pain 2. Neuropathic pain 3. Describe 8 types of pain relief; 4 chemical (pharmaceutical) and 4 non chemical. Task 11 Reports suggest that high numbers of Indigenous Australians die from Respiratory disease, poorly managed Diabetes, renal failure and AIDS. But may do not access Palliative care, why do you think this is? 1. Describe the issues that you need to consider. 2. Describe how you would resolve each issue. Task 12 Jean is 84 years old and has end lung cancer with metastases. Her daughter lives next door and she assists Jean with her activities of daily living. Her daughter however is finding this increasingly difficult but Jean refuses to be admitted to a local hospital. 1. Search in your local area and find out 5 services that may support Jean and her daughter. This is the end of the assignment – Thank you
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