Student Assessment for HLTENN010 Apply a Palliative approach in Nursing Practice

Student Assessment
HLTENN010 Apply a Palliative approach
in Nursing Practice
HLT54115 Diploma of Nursing
ASSESSMENT TASK 1 - QUESTIONING
Conditions of
Assessment
● You are required to answer all questions correctly in Assessment
Task 1 – Questioning
Student
Instructions
for
completion of
Assessment
Task 1 –
Questioning
● Responses to the questions can be typed or submitted handwritten
● Written responses must be legible and in pen NOT pencil
● It is important to proof read your answer paper, to avoid grammar
and spelling mistakes
● Please use only APA format of referencing. Do not copy and paste
text from any of the online sources. SCEI has a strict plagiarism
policy and students who are found guilty of plagiarism, will be
penalized
● Write your name, student ID, the assessment task and the name of
the unit of competency on each piece of paper you attach to this
assessment document
● You are required to submit this assessment to your trainer/assessor
by the due date
Due Date The trainer/assessor will inform you of the due date.
HLT54115 Diploma of Nursing
HLTENN010
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Student Assessment
Questioning:
1. List the principles of palliative care?
Answer: The principles of palliative care are as follows (Snaman et al., 2018):
 Integrates the spiritual and psychological traits of care
 Provides immediate assistance from pain and other associated symptoms
 Neither postpone or hastens death
 Provide support system or assistance to the patient to live actively until
death
 Sustains life and considered death as the normal phenomena.
2. Explain how the palliative care principles are used to guide a holistic
assessment of a patient.
Answer: Holistic health assessment permits the registered nurse to obtain
essential information regarding the diagnosis, scheduling and implementation
abiding to the principles of palliative care. The symptom reprieve within the
palliative care is completely dependent on the registered nurse performing the
holistic care and health assessment, which will be used by the nurse to integrate
the findings in the form of logical care plan (Duckworth, 2018). The care plan will
further be used by the nurse to evaluate the goals for a better health outcomes,
hence, the patient will achieve appropriate assisted from the nurse through
palliative care.
3. Identify and list four (4) factors which are associated to the
pathophysiological changes in a patient with a life limiting illness.
Answer: The four factors associated with the pathophysiological changes in the
patient with life-limiting illness are as follows (Kessing et al., 2015):
 Patient’s strength to cope up with the illness
 The level and nature of the patient’s health and assistance needs.
 The choices and preferences of the patient
HLT54115 Diploma of Nursing
HLTENN010
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Student Assessment
 The existence and nature of the co-morbidities
4. a. List the pain management strategies for constipation resulting from use
of long term medication.
Answer: The pain management strategy for constipation primarily includes
lifestyle change by consuming more amount of dietary fibres such as vegetables,
whole grains and fruits and increased fluid intake like water. Opioids are mostly
the cause of constipation associated with severe pain and hence, laxatives are
prescribed by the doctors to manage the condition by increasing the quantity of
fluid in gut and softening the stool. Cathartic medication are also used to counter
the effect of opioid medicines and push the stool form the gut associated with
naloxone to relieve the pain (Webster, 2015).
b. When using a syringe driver and intima sub-cut lines for pain management,
identify the steps used to administer the medication.
Answer: The steps to administer the medication using intima sub-cut lines and
syringe driver are as follows (Dickman & Schneider, 2016):
 Identify the area of the skin for administrating injection as the drug is
particularly injected in the fatty tissues beneath the skin.
 Wipe the area with alcohol
 Prepare the injection needle
 Hold the skin and administer the needle at a 90 degree angle by grasping
the 2 inches of skin in between the first finger and thumb.
 Remove the needle and wipe with gauze pad.
c. Identify two (2) indications and two (2) contraindications for the use of
syringe drivers in administration of pain medication.
HLT54115 Diploma of Nursing
HLTENN010
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Student Assessment
Indications: The two indication are poor absorption of the oral medications and
inability of the patient to immune medicine through mouth (Hogan et al., 2017).
Contraindications: The two contraindications are inserting needle in areas of
burns, infection or cellulitis and the case of blood clotting disorder (Hogan et al.,
2017).
d. Identify two (2) indications for using intima sub-cut lines in each of the
following:
Analgesia: Severe mucositis and persistent vomiting and nausea.
Prevention of nausea: Osteoarthritis and tendinitis
Steroid injections: Prevention of postoperative vomiting or nausea and during
the cytotoxic chemotherapy.
5. In your role in caring for a patient in palliative care, provide an explanation
as to how you will meet and respect their lifestyle choices, social,
emotional, spiritual and cultural needs.
Answer: While caring for the patient using palliative care it is essential that the
nurse develop a therapeutic relationship with the patient in order to understand
and respect their lifestyle choices, emotional, social and cultural needs. Through
therapeutic relationship the nurse will understand the cultural background of the
patient and also identify the needs that is crucial for effectively managing the
patient and their health condition. The nurse will exhibit empathic attitude
towards the patient that will make the patient feel comfortable and respected
(Sekse, Hunskar & Ellingsen, 2018).
6. Identify the roles and responsibilities of the Enrolled Nurse (EN) and team
members who are a part of an inter-disciplinary team when planning
palliative care?
 The role of the Enrolled Nurse (EN) is to: coordinate with the service
delivery from the general practitioner (GP), acute care, palliative care
HLT54115 Diploma of Nursing
HLTENN010
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