APN105: Applying Nursing Practice (A) Assessment 1B Response Template

APN105: Applying Nursing Practice (A)
Assessment 1B response template
ASSESSMENT 1B response template
Student Name
Date
Course HLT54115 Diploma of Nursing
Subject Code and Title APN105: Applying nursing practice (A)
Unit(s) of Competency HLTENN010 Apply a palliative approach in nursing practice
HLTENN013 Implement and monitor care of the older person
Performance criteria,
Knowledge evidence and
Performance assessed
PC:
HLTENN013 – 1.8, 1.9, 2.1, 2.4, 2.6, 2.7, 3.2, 3.3, 4.2 – 4.6.
HLTENN010 – 1.2, 1.2, 1.4 – 1.6, 2.1 – 2.4, 3.1 – 3.6, 4.1 – 4.5, 5.2,
5.2
PE:
HLTENN013 – 1, 2
HLTENN010 – 1, 2, 5
KE:
HLTENN013 – 2, 4, 5, 10, 16
HLTENN010 – 1, 2, 3, 4, 5, 6, 9, 10, 11
Title of Assessment Task Case Study
Type of Assessment Task Case study with short answer questions
Length 17 questions
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APN105: Applying Nursing Practice (A)
Assessment 1B response template
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APN105: Applying Nursing Practice (A)
Assessment 1B response template
Task Instructions
To complete the assessment, you must respond to a number of questions, which are based on the case
study. These questions must be answered in full. When responding to the questions, please pay attention
to the entire question being asked, as well as the prescribed word count, if provided. Use the correct
medical terminology when answering all questions.
Case Scenario:
You are an Enrolled Nurse working in a residential facility. Mrs Hong has been a resident at your facility for
10 months. After the initial settling in period, which Mrs Hong found difficult due to her limited English and
early dementia, she is now settled and has a good routine that she and her daughter are happy with. Mrs
Hong’s daughter, Yu Yang, visits her mother daily and assists with bringing in Asian food for Mrs Hong. At
times however, Mrs Hong still finds it challenging to interact with other residents and staff and can become
quite upset and distressed, especially if her daughter is late with her food.
Five months ago, it was noted that Mrs Hong had a deformity in her right breast. On examination it was
determined that Mrs Hong had stage 3C breast cancer. Mrs Hong and her daughter, Yu Yang, were
provided with information relating to the condition and the options available. They have decided to opt for
palliative care. Mrs Hong does not want any active treatment and an advanced care directive has been
completed with her instructions. In the last 2 days, Mrs Hong has shown signs of deterioration with her
condition, is unable to eat or drink, and is confined to bed. She remains conscious at present and her
daughter, Yu Yang, is with her for most of the day.
As part of your role, you are working with a Registered nurse to provide care for Mrs Hong considering her
choices for palliative care.
Character Briefs reviewed:
Mrs Fei Hong:
Mrs Hong is a 70 year old lady of Chinese origin.
Mrs Hong’s background includes;
 Comes from one child family, Chinese background
 Speaks little English
 Has no extended family
 Came to Australia to help her daughter, Yu Yang, raise her son 19 years ago.
 Is beginning to demonstrate signs of dementia
 Interferes in parenting of twins
 Dictates cooking must be Asian
 Has hearing and sight impairment
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APN105: Applying Nursing Practice (A)
Assessment 1B response template
Mrs Yu Yang McFarlane:
Mrs McFarlane is Mrs Hong’s daughter. She is 38 years old and married to George McFarlane. She has a
son, Jason, and 3 year old twins.
Mrs McFarlane’s background includes;
 Came to Australian as a University student
 Fell pregnant at the age of 19 – did not marry
 Married George 5 years ago
 Has 3-year old twins at home
 One twin has developmental disorder
 English language is good
 Was/Is isolated with no extended family
 Her issues will be those of isolated immigrant
 Prefers to cook Asian food
 Needed help with raising child and invited Chinese mother to Australia to help out
Mr George McFarlane:
Mr McFarlane has been married to Yu Yang for 5 years. He is 53 years old. Mr McFarlane is reliant on Yu
Yang to complete all domestic duties as he is not self-sufficient. He is a long haul truck driver and is often
away for work. He earns good money.
TASK Assessment Criteria
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APN105: Applying Nursing Practice (A)
Assessment 1B response template
Question 1
Describe the term ‘holistic care’
Provide 10 examples of how you would provide holistic palliative care to Mrs Hong and
her family.
Response:
Holistic care can be defined as the process of treatment to whole person: mind, body and souls or in other
word combination of traditional and allopathic treatment which is prescribed by doctors in the form of
complementary medicines. Holistic treatment generally gives to life threatening disease like cancer patient
whereas treats patient through chemotherapy and acupuncture. Palliative care is a type of approach that
enhance quality of life of patients and their families who faces problem from life threatening illness and
prevent it’s negative impacts and provides relief suffered person by determining disease.
 At the post of nurse, I will provide holistic palliative care to Mrs Hong and her families such as I will
provide her moral supports because she was lack behind English language.
 Mrs Hong unable to communicate with other people and specially her daughter due to dementia, so I
will help her to remind her families and daughter time to time which keeps her happy and satisfied
instead of upsetting.
 She has high craving of Asian food so I will provide her Asian food which keeps her emotionally and
spiritually happy.
 Mrs Hong has sign of hear impairment so I will support her to understand things through writing paper
or facial expression then she will not feel socially isolated herself.
 She is suffering from dementia and hear impairment so I will provide her formulary compliance time to
time which support to keep her memory sharp.
 She had 3C breast cancer due to right breast deformity so I will do constant testing as per doctor order
and gives value-based care services. it will reduce her pain which occurs in breast.
 I will provide consolation to her family as well to assure them I will take care her like my family, thus I
will provide them emotional support.
 Mr Hong has Chinese background and comes to Australia to help her daughter because she has
miscarriage. So, I will try to create such environment which keeps her close to religion and make her
feel like her life is valuable for her and family so that she wishes to get well soon.
 At the post of registered nurse, I will set her food schedule that supports to manage medicine time
schedule so that she does not face any medicine interaction in her body. So, I will take care of this thing
more effectively.
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APN105: Applying Nursing Practice (A)
Assessment 1B response template
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