HLTENN013 Implement and monitor care of the older person

Implement and monitor care of the
older person

PART A – Short answer questions
1. Potential impacts of dual or multiple diagnoses in a nursing perspective
Dual or multiple diagnoses is generally associated with frequent relapse and poor treatment
engagement with overall unsatisfactory outcomes of treatment procedure. It describes situation
of older people who are experiencing two or more diseases at the same time (Peretz, Arnaert and
Ponzoni, 2018). Therefore, identification and prioritisation of co-occurrence of disorders in a
nursing perspective, help in determining the prevalence of same in old age, so that early
prevention or health policy could be made to reduce same.
2. Purpose of providing counselling and support services
Counselling and support services to elder people are mainly provided with purpose to
explore their emotional and psychological needs, which could be related with feeling of isolation
and depression (Quanbeck and et. al., 2018). It enables elders for freely expressing problems and
situations they have faced and also helps them in understanding any situation, dealing with
difficulties and living rest of life with better quality.
3. Role of bereavement counsellors in a residential aged care facility
Bereavement counsellors are specially trained professionals, whose main role in a
residential aged care facility is to support elders in exploring the impact of loss or a trauma on
their physical and mental well-being state (McDerby and et. al., 2018). They also help in
identifying strategies to cope up from same.
4. Role of the Older Persons Mental Health Service (OPMHS) in South Australia
The main focus of Older Persons Mental Health Service (OPMHS) in South Australia is to
provide counselling and support older people for improving their mental health (Nilsson,
Edvardsson and Rushton, 2019). This can be achieved by working collaboratively with
community, ageing as well as primary health care sectors, which helps in preventing or reducing
the occurrence and escalation of the mental health issues.
5. Difference between end-of-life care and palliative care
End of life care is provided to patients in their last few months, depends upon their
underlying diagnosis and planning for end-of-life care within clinical course. While palliative
care is focuses on way to improve quality of life and care for patients, who are facing life-
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threatening illness, by prevention and relief care treatments (Cesta and et. al., 2018). It helps
elder patients in managing the physical symptoms and supporting to handle psychological and
emotional state also.
6. Discussion on limitations and legal ramifications
a) Physical restraints: It refers to standardised care process implement with intentional
restrictions of a voluntary movement of a resident or behaviour by using devices, or removing
the physical force and mobility aids (World Health Organization, 2019). Legal ramifications
include that physical restraint should fit properly and documents contains the client’s consent,
type of restraint, time of applying and removing the device, notification of physicians etc. must
included.
b) Chemical restraints: It defines as the administration of some medications for restraining
agitated patients which is harmful to others or themselves, including practitioners who attend to
them (Kua, Mak and Lee, 2019). Before administering any chemical restraint, it is essential for
medical staff to carefully assess if patient is able for making rational decisions, possess a serious
threat to others or themselves in case of not providing medications, any health condition etc.
Therefore, obtaining consent of patient and family members, is essential before providing any
chemical restraint.
c) Psychological restraints: It deprives the choice of patients and includes their participations to
get their permission; setting limits about what could be do lime wake-up and sleeping times etc.
But as inappropriate use of restrictive practices considered to be most concerning as it causes
psychological harm, therefore, restrictive practices must be regulated for achieving more
consistent, evidence based approach for responding towards dementia-related behaviours.
7. Discussion on the legal aspects
a) Advance care directives – It records decisions, wishes and values of an individual about
health care when their decision-making capacity becomes low. In case, when person has capacity
then it this process must be made voluntarily (Briggs and Araujo de Carvalho, 2018). This act
follows by all healthcare sectors in Australia, otherwise they become criminally liable for
whatever care provides to patients.
b) Aged Care Act 1997 (Cwlth) – It refers to main law which covers government-funded care of
aged people. This act sets out rules for things like regulation, funding, quality of care, rights of
people who receiving care, approval of providers and more.
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