University : Victoria University UniLearnO is not sponsored or endorsed by this college or university.
Subject Code : CHC33015
Country : Australia
Assignment Task -                 
 

Task
Q-
List three (3) strategies used in end-of-life care?
Q-List three (3) strategies used to promote pain relief and comfort in palliative care.

 

Case Study
Instructions to Assessor
This assessment supports the industry requirement of delivering care services using a palliative approach. In real life, aged care workers in both the residential care and home and community care settings will be required to deliver services using a palliative care approach, encountering problems and issues along the way. This assessment will demonstrate the student’s problem-solving abilities in such situations.

Instructions to Student
These case studies are hypothetical situations that will not require you to have access to a workplace, although your past and present work experiences may help with the responses you provide. You will be expected to encounter similar situations to these in the future as you work in the residential care and home and community care settings.

In real life, aged care workers in both the residential care and home and community care settings will be required to deliver services using a palliative care approach, encountering problems and issues along the way. This assessment will let you demonstrate your problem-solving skills in such situations.

Introduction to Case Study
For this part of the assessment, you will be taking the role of an aged care worker at the Residential Care of Lotus Compassionate Care.

Lotus Compassionate Care is an organization that provides services in disability support, home and community support, and residential care. 

per your role as an aged care worker, you also provide palliative care support and directly report to Rachel Allcot, the Manager at Residential Care. 

Palliative care specializes in improving the quality of life of the client with a life-threatening and incurable illness. Your role in providing palliative care support includes aiming to prevent and relieve the suffering of the client from the symptoms brought about by the illness by providing medication and the care and support considering their needs, values, and preferences. Aside from the client, you will also be supporting their family, carers, and friends.

This assessment contains several tasks that you need to complete based on the given scenarios. You are required to complete ALL tasks included in this case study.


Mr. James Diggle
Mr. James Diggle, 68 years old, has been diagnosed with metastatic lung cancer. He had long lost his wife, Catherine, with whom he had two sons, John and Marcus. The two sons both have families of their own now.

He lived alone, but due to his deteriorating health and increasing symptom distress, he could no longer take care of himself. He had already been advised that his prognosis is short and has decided to enter himself at Lotus Compassionate Care. 

It depresses him so that he misses his wife very much. He wished Catherine was there to keep him company and to comfort him in his darkest moments. To worsen things, he has not spoken to John in a long time because of disagreements from the past. Marcus, on the other hand, together with his family, visits Mr. Diggle whenever they can. It pleases James so much to see his grandkids. He wishes to reconcile with John and sincerely hopes to see his entire family before he dies.

Mr. Diggle is often seen alone on the porch, reading a book. He does not mingle that much with the other residents. He also used to be an active member in the church, but his cancer had led him to feel hopeless, and he cannot help but lose faith in God.

In his first week, Mr. Diggle is lively and alert, and he walks with the help of a walking aid. He needs assistance with some of his activities for daily living (ADLs), including walking up the stairs and showering. He tires easily and encounters difficulty in breathing. 

He has complained about this persistent pain he has been feeling, which is worsening over time. The pain medication he is on is only helping a little. Aside from this, his appetite is poor, and he could not sleep because of the pain. Changes to Mr. Diggle’s Care Plan will be made to help him address these symptoms.

By the second week, Mr. Diggle’s symptoms have improved. However, his fatigue has not improved and only worsened. Now he spends more time in bed. Due to the progression of his disease, he has started to become confused and disoriented at times.

In his third week, Mr. Diggle becomes less responsive. He cannot eat food or take oral medication anymore. He is restless at times, and he is now bedridden. He has noisy respiratory secretions. 

 

Task: Written Questions

Q-Following Mr. Diggle’s case, identify his holistic needs by completing the table below.
Physical needs
List at least two (2)
Psychological needs
List at least two (2)
Social needs
List at least two (2)
Spiritual/cultural need
List one (1)
End-of-life needs
List at least two (2)


Q-Which aspects of Mr. Diggle’s case are outside the responsibility of your role as an individual support worker and will need the assistance of others?

Assisting him with some of his activities for daily living (ADLs)
Administering pain medication.
Assisting him in meeting his hydration and nutrition needs.
Providing emotional support.
Facilitating therapy to address his depression.


Q-Consider Mr. Diggle’s first week at Lotus Compassionate Care. 

Write a report (50 – 150 words) to Rachel Alcott, your supervisor. In your report, advise Rachel about Mr. Diggle’s changing needs which will be included in his new care plan.

Your report must include at least three (3) of Mr. Diggle’s changing needs. 


Q-Following the changes made to Mr. Diggle’s Care Plan, his dosage pain medication was increased to address his worsening pain.

In response to this, you overheard Isabelle, your co-worker, saying: “Are they even sure about increasing Mr. Diggle’s dosage? He might become addicted!”

Agatha, another co-worker of yours, agreed, saying: “I think it was only Mr. Diggle who decided to increase his pain medication dosage. I think they should just leave it all to the doctor to decide what’s best for him.”

In the space provided below:
Write a short report to Rachel Allcot, referring Isabelle and Agatha’s misconceptions to her.
Write an appropriate response to Isabelle and Agatha, addressing their misconceptions on the use of pain-relieving medication.

 

Q-In his third week at Lotus Compassionate Care, Mr. Diggle could not eat food or take oral medication anymore.

Marcus approaches you about his concern on this. He said that even though his father refuses to take in any food, it is still wrong to not try to feed him. He added that his father still needs food, otherwise he will starve.

Mr. Diggle previously instructed in his advance care directive, that when the time comes that he cannot eat or take in any fluid or medication orally; he should not want to be fed any more, instead, he would just like to be provided with mouth care, as per his care plan, and keeping him pain-free and comfortable as much as possible.

In the spaces provided:
Write a short report to Rachel Allcot advising her about Marcus’ concern.
Write an appropriate response to Marcus to address his concern. Specifically indicate whether Mr. Diggle is to be fed according to Marcus’ request OR Mr. Diggle’s advance care directive should be followed.
Do not exceed 100 words for each response.

 

This CHC33015 - Nursing Assignment has been solved by our Nursing Experts at UniLearnO. Our Assignment Writing Experts are efficient to provide a fresh solution to this question. We are serving more than 10000+Students in Australia, UK & US by helping them to score HD in their academics. Our Experts are well trained to follow all marking rubrics & referencing style.

Be it a used or new solution, the quality of the work submitted by our assignment Experts remains unhampered. You may continue to expect the same or even better quality with the used and new assignment solution files respectively. There’s one thing to be noticed that you could choose one between the two and acquire an HD either way. You could choose a new assignment solution file to get yourself an exclusive, plagiarism (with free Turnitin file), expert quality assignment or order an old solution file that was considered worthy of the highest distinction.

  • Uploaded By : Roman
  • Posted on : February 09th, 2019
  • Downloads : 424

Whatsapp Tap to ChatGet instant assistance