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

APN105: Applying Nursing Practice (A)
Assessment 1B response template
ASSESSMENT 1B response template
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
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
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
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APN105: Applying Nursing Practice (A)
Assessment 1B response template
 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
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: The term Holistic care defines the provision of care to patients which depends on the mutual
understanding of psychological emotional physical and spiritual dimensions. Along with this Holistic care focus
on the partnership among patient and nurse and also negotiate for the Healthcare requirements that lead
towards recovery. Effective Holistic care treats the whole person including mind body and spirit that means the
combination of the prominent care of doctor and complementary medicine. For example, Holistic method to
treat cancer includes chemotherapy and acupuncture. By undertaking the heath situation of Mrs. Hong, her
family should provide suitable and effective holistic nursing care to Mrs. Hong as it is useful in fast recovery.
Few examples of holistic care that can be offered by her family include:
 Her daughter need to make eye contact with Mrs. Hong while talking as it helps in making her feel
comfortable and familiar.
 While talking to her, say her name quite politely.
 Timely ask that how she feels.
 Spend some quality time with her like smile and laugh when appropriate.
 Treat her with more respect and dignity.
 Also teach them about to take care of them by own as if someone was not around then she can take
care of herself.
 Support and relax her when she get panic and other stressful situation.
 Take more interest in her life.
 Convenience her for meditation and other pain control method or relaxation technique.
 Motivate her to complete her therapy and never underestimate the significance of aromatherapy or
massage (Holland and Jenkins, (2019).
Holland, K., & Jenkins, J. (Eds.). (2019). Applying the Roper-Logan-Tierney Model in Practice-E-Book. Elsevier
Health Sciences.
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APN105: Applying Nursing Practice (A)
Assessment 1B response template
TASK Assessment Criteria
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APN105: Applying Nursing Practice (A)
Assessment 1B response template
Question 2 What document would outline Mrs Hong’s wishes for her care if she was unable to tell you?
What details might this document include?
Response: There arrange of documents that can be utilised by Mrs Hong at the time of wishing for her own care
even when she was not been able to communicate, Advance directives and end-of-life decisions and both of
these are and closed with a number of details and these are presented underneath:
 Directive to Physicians (Living Will): This is an authoritative document in the province of
Washington. It may permit Mrs Hong to express the degree to which she need, or don't need, life-
supporting treatment on the off chance that Mrs Hong is in a irreversible trance state, persevering
vegetative state, or other changeless oblivious condition. Your mark must be seen by either a legal
official open OR two individuals who can't profit by Mrs Hong domain in the event.
 Durable Power of Attorney (DPOA) for Health Care: This authoritative record permits Mrs Hong to
choose an individual (operator) to settle on choices for Mrs Hong in the event that she can't represent
herself because of disease or injury. Occupants must have their mark on the DPOA for Health Care
structure either saw by two individuals OR a legal official open (Peterson and Bredow, 2019).
Peterson, S., & Bredow, T. S. (2019). Middle range theories: Application to nursing research and practice.
Lippincott Williams & Wilkins.
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APN105: Applying Nursing Practice (A)
Assessment 1B response template
TASK Assessment Criteria
Question 3 Discuss your values, beliefs and attitude towards death and dying. Include your
reflection on how these may affect your provision of care to the client
Response: Advance care and speciality squire in the Holistic care and for this it is important to have proper
ethics and values that are complicate for the nurses in order to balance the ethical principles of their patients
towards the Healthcare professionals. Along with this, value leads to influence the development and believe
Institute of behaviour that indirectly impact the behaviour of patient. Cultural values defined the enduring
ideas system in which an individual involve. Cultural practices tend to identify prominent nursing approaches
and also provide effective care in every situation. Moreover, value system defines the collection of inner
believes and also helps in in analysing the choices of an individual which they make in their life (Ellis, 2019).
Ellis, P. (2019). Evidence-based practice in nursing. Learning Matters.
TASK Assessment Criteria
Question 4 What is the scope of practice for an Enrolled nurse when caring for a dying client? (Refer
to the NMBA Enrolled Nurse standards for practice and code of conduct)
Response: Nurses provide comprehensive end of Life Care which include recognising and individual when death
is near and conveying that information to the family. Nurses need to collaborate with other members and
Healthcare team in order to make sure the optimal symptoms that provide support to the patient and family. In
relation with this nurses require proper practice that leads to strike towards the tension of standard primary
palliative care as a Healthcare provider that needs to improve the care of patients and families as well. Nurses
should be comfortable in having discussion about death and have prominent information regarding the
possibility and probability of patients impending death. There scope also include encouragement of patient and
their family for the participation in Healthcare decision making considering the use of affective directives for
patient preferences and surrogates that are identified (Zaccagnini and Pechacek, 2019).
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