Student Assessment Outcome

This document provides a record of assessment outcome for a student assessment on HLTENN012 Implement and monitor care for a person with chronic health problems. It includes information on evidence gathering techniques, unit result, feedback, reasonable adjustment, and plagiarism declaration.

HLT54115 Diploma of Nursing
HLTENN012 – Version 3
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Student Assessment
Student Assessment
HLTENN012 Implement and monitor care for a person with chronic
health problems
HLT54115 Diploma of Nursing
Record of Assessment Outcome
Student Name: Student ID:
Summary of evidence gathering techniques used for this assessment:
O Questioning O Scenario O Case Report O Professional Practice Experience
The evidence presented is:
O Valid O Sufficient O Authentic O Current
Unit Result: Competent O Not Competent O
The student has been provided with feedback and informed of the assessment result and the
reason for the decision.
Assessor Name: Date Assessed:
Assessor Signature:
SCEI Contact: [e-mail]
Student declaration on assessment outcome
I have been provided with feedback on the evidence I have provided. I have been informed of the
assessment result and the reason for the decision.
Student Name: Date:
Student Signature:

Plagiarism constitutes extremely serious academic misconduct and severe penalties are associated with it.
By signing below, you are declaring that the attached work is entirely your own (or where submitted to
meet the requirements of an approved group assessment, is the work of the group).
I certify that
 I have read and understood the Southern Cross Education Institute’s PP77
Assessment and submission policy and procedures.
 This assessment is all my own work, and no part of this assessment has been copied
from another person.
 I have not allowed my work to be copied by another person.
 I have a copy of this work and will be able to reproduce within 24 hours if requested.
I give my consent for Southern Cross Education Institute to examine my work electronically by
relevant plagiarism software programs.
Student Signature: .......................................................... Date: ......../........../................
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Reasonable Adjustment
Was reasonable adjustment applied to any of the assessment tasks? (please tick)
Yes O No O
If yes, tick which assessment task(s) it was applied to.
O Questioning O Scenario O Case Report O Professional Practice
Experience Provide a description of the adjustment applied and why it was
applied.
Name of Assessor: Assessor Signature:
Name of Student: Student Signature:
Student

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ASSESSMENT OUTCOME SUMMARY AND FEEDBACK
Assessment Task 1 – Questioning
Submission No. Result Score Date Assessed Assessor Name Assessor Signature
O First submission O S O NS /100
O Re-submission 1 O S O NS /100
O Re-submission 2 O S O NS /100
S = Satisfactory NS = Not Satisfactory
Feedback to the Student:
Assessment Task 2 – Scenario
Submission No. Result Score Date Assessed Assessor Name Assessor Signature
O First submission O S O NS /50
O Re-submission 1 O S O NS /50
O Re-submission 2 O S O NS /50
S = Satisfactory NS = Not Satisfactory
Feedback to the Student:

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Assessment Task 3 – Case Report
Submission No. Result Score Date Assessed Assessor Name Assessor Signature
O First submission O S O NS /50
O Re-submission 1 O S O NS /50
O Re-submission 2 O S O NS /50
S = Satisfactory NS = Not Satisfactory
Feedback to the Student:
Assessment Task 4 – Professional Practice Experience
Submission No. Result Score Date Assessed Assessor Name Assessor Signature
O First submission
(booklet)
O S O NS
O Re-submission 1
(booklet)
O S O NS
O Re-submission 2
(booklet)
O S O NS
S = Satisfactory NS = Not Satisfactory
Feedback to the Student:

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AS S ES S M EN T OBJ EC T I V E S
This unit describes the skills and knowledge required to contribute to the care of a person with
chronic health problems by performing nursing interventions that support the person’s needs
and assist them in maintaining an optimal lifestyle.
This unit applies to enrolled nursing work carried out in consultation and collaboration with
registered nurses, and under supervisory arrangements aligned to the Nursing and Midwifery
Board of Australia regulatory authority legislative requirements.
To achieve competence the following assessment tasks must be successfully completed in the
time allocated with the essential resources. Your trainer/assessor will give you the due date to
submit the assessments and provide you with feedback after assessing your work.
Refer to the table below for the summary of Assessment Task for this unit:
Assessment Task
Number
Assessment Type Notes
1 Questioning To be completed in own time and
submitted
to the trainer/assessor by due date
2 Scenario To be completed in own time and
submitted
to the trainer/assessor by due date
3 Case Report To be completed during professional
practice
and submitted to the trainer/assessor
within five days of professional practice
completing
4 Professional
Practice
Experience
Undertake professional practice
placement at
the end of the semester in a SCEI
approved health facility
 Students may need to spend some hours outside the class hours without supervision
to complete the assessments
 All assessment tasks must be satisfactory to achieve competency in the unit
 All the units of competency must be deemed competent to complete the qualification and
obtain a certificate
 The assessment requirement for this unit are presented clearly in the Unit of
Competency located at: (http://training.gov.au/Training/Details/HLTENN012)
 In the Student assessment, you must be able to:
o Answer all questions
o Complete all assessment tasks within the required timeframe
o Complete all skills assessments tasks to a satisfactory standard
 The following resources are required for this assessment:
o Lemone, P., 2013. Medical-Surgical Nursing (Australian Edition) Volumes 1-3 (2e). Australia:
Pearsons

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o Tollefson, J., Bishop, T., Jelly, E., Watson, G. & Tambree, K. (2012). Essential Clinical Skills:
Enrolled/Division 2 Nurses (2nd Ed.) Australia: Cengage
o Nursing and Midwifery Board of Australia
websitehttp://www.nursingmidwiferyboard.gov.au/

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Reasonable Adjustment
For information on reasonable adjustment please refer to the student handbook located at:
http://scei.edu.au/wp- content/uploads/2016/11/2016_Studenthandbook.pdf
Record of Assessment Outcome
After all of the assessment evidence has been gathered from the assessment tasks for this unit/cluster
of units of competency the Record of Assessment stating your result will be completed.
Information for the Student
If you do not understand any part of the unit or the assessments you are required to undertake,
please talk with your trainer/assessor. It is important that you understand all of the aspects of
the learning and assessment process that you will be undertaking. This will make it easier for
you to learn and be successful in your studies.

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STUDENTS RESOURCES
Prescribed Resources
Nursing e-books
 Estes, M., Calleja, P., Theobald, K. and Harvey, T. (2015). Health assessment and physical
examination. 2nd ed. Cengage.
 Brotto, V. and Rafferty, K. (2016). Clinical dosage calculations. 2nd ed. Cengage.
 Abbott, B. and De Vries, S. (2016). Monitoring and administration of IV medications
for the enrolled nurse. 1st ed. Cengage.
 Tollefson, J., Watson, G., Jelly, E. and Tambree, K. (2015). Essential clinical skills : Enrolled
Division 2 Nurses. 3rd ed. Cengage.
 C la rke, L ., Gra y , S. , White, L ., D unc a n, G. a nd Ba ulm e, W. (2016) . Found a tio ns of
nur s in g : Enr oll ed D iv is io n 2 Nur s es . 3rd ed . C eng a g e.
 Ma rtini , F ., Na th, J ., Ba rtholom ew, E. a nd Ober, W. ( 2017) . F unda m ent a l s of a na tomy &
phy s io log y . 11th ed. Pearson.
 Broyles, B., Evans, M., McKenzie, G., Page, R., Pleunik, S. and Reiss, B. (2017).
Pharmacology in nursing, Australian and New Zealand. 2nd ed. Cengage.
Online Resources
Websites:
 Code of professional conduct for nurses in Australia.
http://www.nursingmidwiferyboard.gov.au/Codes- Guidelines-Statements/Professional-
standards.aspx
 Australian Government Department of Health
 Chronic diseases:
http://www.health.gov.au/internet/main/publishing.nsf/content/portal- Chronic
%20disease
 Review the Joanna Briggs Institutes Health Topics:
https://www.healthdirect.gov.au/health- topics/conditions
 Palliative Care: http://palliativecare.org.au/resources/
 Continence care:
https://www.continence.org.au/resources.php/01tG0000002plrMIAQ/continence- care-
plan
 National health priority areas
 Arthritis and musculoskeletal conditions:
http://ww w.he al th. g ov.a u/in te rnet/m a in/publi s hing .n s f / C ontent/p q -
arth ritis
 Asthma: http://www.health.gov.au/internet/main/publishing.nsf/Content/health-pq-asthma-
index.htm
 C a ncer c ont rol: http://ww w.he alt h.g ov .a u/in t er net/ ma in/publi s hing . n s f /C ontent/c a n cer
 Journal Articles
 C a rdio va s c ula r hea lt h: http://ww w.h e a lt h.g ov .a u/in t er net/ ma in/publi s hing . n s f /C ontent/ch r oni c -
ca rdio
 D ia betes mellit us : http://ww w.he al th . g ov.a u/in te rnet/m a in/publi s hin g .n s f / C ontent/p q -d i a be tes
 I njur y pr event io n: http://ww w.he alt h.g ov .a u/in te rnet/m a in/publi s hin g .n s f / C ontent/he a l th -
pubhlth - strateg-injury-index.htm
 Mental health: http://www.health.gov.au/internet/main/publishing.nsf/Content/Mental
%20Health%20and%20Wellbeing- 1
 Obes it y : http://ww w.he al th . g ov.a u/in te rnet/m a in/publ i s hin g .n s f /C ontent/he a lt h -pubhlth -s tra teg -
hlthw t - obesity.htm
Please note that you will need access to a computer with internet and a word processing
software such as Microsoft Word in order to complete this assessment.

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ASSESSMENT TASK 1 – QUESTIONING
Instructions
for
completion
 You are required to answer all questions correctly in Assessment Task
1 – Questioning
 Responses to the questions can be either typed or handwritten
 Written responses must be legible and in pen NOT pencil
 Use of correct grammar and spelling is required to demonstrate
foundation skills, so please ensure to proof read your answers prior
to submission.
 word limit no more than 100 words for each question.
 Use of APA referencing must be used where original sources have
been used. 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 penalised. Please refer to APA referencing guide
http://www.flinders.edu.au/slc_files/Documents/Blue%20Guides/APA
%20Referencing.pdf
 Writ e your na me, s tudent ID , the a ss ess m ent ta sk a nd the na m e 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

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1. List two (2) clinical manifestations for each of the following chronic health conditions.
a. Congestive heart failure: Heart failure can be ongoing (chronic), or the condition may start suddenly (acute).
Heart failure signs and symptoms may include:
 Shortness of breath (dyspnea) when you exert yourself or when you lie down
 Fatigue and weakness
 Swelling (edema) in your legs, ankles and feet
 Rapid or irregular heartbeat
 Reduced ability to exercise
 Persistent cough or wheezing with white or pink blood-tinged phlegm
 Increased need to urinate at night
 Swelling of your abdomen (ascites)
 Very rapid weight gain from fluid retention
 Lack of appetite and nausea
 Difficulty concentrating or decreased alertness
 Sudden, severe shortness of breath and coughing up pink, foamy mucus
 Chest pain if your heart failure is caused by a heart attack
b. Osteoarthritis : Osteoarthritis symptoms often develop slowly and worsen over time. Signs and symptoms of
osteoarthritis include:
 Pain. Affected joints might hurt during or after movement.
 Stiffness. Joint stiffness might be most noticeable upon awakening or after being inactive.
 Tenderness. Your joint might feel tender when you apply light pressure to or near it.
 Loss of flexibility. You might not be able to move your joint through its full range of motion.
 Grating sensation. You might feel a grating sensation when you use the joint, and you might hear popping or
crackling.
 Bone spurs. These extra bits of bone, which feel like hard lumps, can form around the affected joint.
 Swelling. This might be caused by soft tissue inflammation around the joint.
c. Eczema : Eczema is usually itchy. For many people, the itch is usually only mild, or moderate.
But in some cases it can become much worse and you might develop extremely inflamed skin. Sometimes

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2.Define chronic pain.
What are the demographics of chronic pain in Australia? Mention three (3) etiological factors for Lum
the itch gets so bad that people scratch it until it bleeds, which can make your eczema worse. This is
called the “itch-scratch cycle.”
What to look for:
 Dry, sensitive skin
 Red, inflamed skin
 Very bad itching
 Dark colored patches of skin
 Rough, leathery or scaly patches of skin
 Oozing or crusting
 Areas of swelling
 d. Stroke : Vertigo, like the room, is spinning.
 Imbalance
 One-sided arm or leg weakness.
 Slurred speech or dysarthria
 Double vision or other vision problems
 A headache
 Nausea and or vomiting
e. Systemic lupus erythematous: Each person with lupus has slightly different symptoms that can
range from mild to severe and may come and go over time. However, some of the most common symptoms
of lupus include painful or swollen joints (arthritis), unexplained fever, and extreme fatigue. A
characteristic red skin rash-the so-called butterfly or malar rash-may appear across the nose and cheeks.
Rashes may also occur on the face and ears, upper arms, shoulders, chest, and hands. Because many people
with lupus are sensitive to sunlight (called photosensitivity), skin rashes often first develop or worsen after
sun exposure.
Chronic pain is pain that is ongoing and usually lasts longer than six months. This type of pain can continue even after the
injury or illness that caused it has healed or gone away. Pain signals remain active in the nervous system for weeks, months,
or years. Some people suffer chronic pain even when there is no past injury or apparent body damage. Chronic pain is
linked to conditions including:
 Headache
 Arthritis
 Cancer
 Nerve pain
 Back pain
 Fibromyalgia pain
The presence of other diseases: Many diseases can cause or contribute to back pain. These include various
forms of arthritis, such as osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis, and cancers
elsewhere in the body that may spread to the spine.
 Occupational risk factors: Having a job that requires heavy lifting, pushing, or pulling, particularly
when this involves twisting or vibrating the spine, can lead to injury and back pain. An inactive job or a
desk job may also lead to or contribute to pain, especially if you have poor posture or sit all day in an
uncomfortable chair.
 Cigarette smoking: Although smoking may not directly cause back pain, it increases your risk of
developing low back pain and low back pain with sciatica. (Sciatica is back pain that radiates to the hip
and/or leg due to pressure on a nerve.) For example, smoking may lead to pain by blocking your body’s
ability to deliver nutrients to the discs of the lower back. Or, repeated coughing due to
heavy smoking may cause back pain. It is also possible that smokers are just less physically fit or less
healthy than nonsmokers, which increases the likelihood that they will develop back pain. Furthermore,
smoking can slow healing, prolonging pain for people who have had back injuries, back surgery, or
broken bones.

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3. Provide a definition and two(2) clinical manifestations of the following:
a. Rheumatoid arthritis Rheumatoid arthritis is a chronic inflammatory disorder that can
affect more than just your joints. In some people, the condition can
damage a wide variety of body systems, including the skin, eyes,
lungs, heart and blood vessels.
An autoimmune disorder, rheumatoid arthritis occurs when your
immune system mistakenly attacks your own body's tissues.
Signs and symptoms of rheumatoid arthritis may include:
 Tender, warm, swollen joints
 Joint stiffness that is usually worse in the mornings and after
inactivity
b. Motor neurone disease Motor neuron diseases are a group of conditions that cause the
nerves in the spine and brain to progressively lose function. They
are a rare but serious and incurable form of progressive
neurodegeneration.
Early symptoms depend upon which body system is affected
first. Typical symptoms begin in one of three areas: the arms and
legs, the mouth (bulbar), or the respiratory system.
They include:
a weakening grip, making it hard to pick up and hold things
fatigue
c. Parkinson’s disease Parkinson's disease is a progressive nervous system disorder
that affects movement. Symptoms start gradually, sometimes
starting with a barely noticeable tremor in just one hand.
Tremors are common, but the disorder also commonly causes
stiffness or slowing of movement.
Parkinson's signs and symptoms may include:
 Tremor. A tremor, or shaking, usually begins in a limb,
often your hand or fingers. You may a rub your thumb and
forefinger back-and-forth, known as a pill-rolling tremor.
Your hand may tremor when it's at rest.

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 Slowed movement (bradykinesia). Over time,
Parkinson's disease may slow your movement, making
simple tasks difficult and time-consuming. Your steps may
become shorter when you walk. It may be difficult to get out
of a chair. You may drag your feet as you try to walk.

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4. List two (2) common clinical manifestations seen in each of the following:
a patient with a permanent
tracheostomy and a patient with a
temporary tracheostomy
Permanent
tracheostomies Tracheostomy (tray-key-OS-tuh-me) is a surgically created hole through the front of
your neck and into your windpipe (trachea). The term for the surgical procedure to
create this opening is tracheotomy.
 Medical conditions that require the use of a breathing machine (ventilator) for
an extended period, usually more than one or two weeks
 Medical conditions that block or narrow your airway, such as vocal cord
paralysis or throat cancer
Temporary
tracheostomy
A tracheostomy is a medical procedure — either temporary or permanent — that
involves creating an opening in the neck in order to place a tube into a
person’s windpipe.
The tube is inserted through a cut in the neck below the vocal cords. This allows
air to enter the lungs. Breathing is then done through the tube, bypassing the
mouth, nose, and throat.
A tracheostomy is commonly referred to as a stoma. This is the name for the
hole in the neck that the tube passes through.
 injury to the larynx or laryngectomy
 injury to the chest wall
5. Identify four (4) common anatomical sites that may undergo malignant changes
The increasing trend of malignant melanoma for both, males and females, in sun exposed anatomical sites
compared to the flat trend of non sun exposed malignant melanoma confirms an association between sun
exposure and the development of malignant melanoma of the skin. The gender specific anatomical site of sun
exposed malignant melanoma may represent the exposure differences and may have important relevance for
prevention campaigns. The progressive decrease in the crude incidence of malignant melanoma of the eye and
adnexa could be explained by a change in coding or disease definition but it could have another clinical reason
which is more likely due to the gradual reduction of incidence. The wider use of sun glasses might be a
contributing factor
6. L is t f our (4) c omm on s y mptom s of c hr onic obs truc tive a irwa y d is e a s e ( C OP D ).
COPD symptoms often don't appear until significant lung damage has occurred, and they usually worsen over time,
particularly if smoking exposure continues. For chronic bronchitis, the main symptom is a daily cough and mucus
(sputum) production at least three months a year for two consecutive years.
Other signs and symptoms of COPD may include:
 Shortness of breath, especially during physical activities
 Wheezing
 Chest tightness

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 Having to clear your throat first thing in the morning, due to excess mucus in your lungs
7. Describe the aetiology, pathogenesis, clinical features and management of Chronic
Bronchial Asthma
Aetiology Asthma is associated with mast cells, eosinophils, and T lymphocytes. Mast cells are
the allergy-causing cells that release chemicals like histamine. Histamine is the substance
that causes nasal stuffiness and dripping in a cold or hay fever, constriction of airways in
asthma, and itchy areas in a skin allergy. Eosinophils are a type of white blood cell associated
with allergic disease. T lymphocytes are also white blood cells associated
with allergy and inflammation.
Clinical signs Bronchial asthma triggers may include:
 Smoking and secondhand smoke
 Infections such as colds, flu, or pneumonia
 Allergens such as food, pollen, mold, dust mites, and pet dander
 Exercise
 Air pollution and toxins
 Weather, especially extreme changes in temperature
 Drugs (such as aspirin, NSAIDs, and beta-blockers)
 Food additives (such as MSG)
 Emotional stress and anxiety
 Singing, laughing, or crying
 Perfumes and fragrances
 Acid reflux

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8.List and describe three (3) clinical manifestations of a patient with chronic renal failure or ch
kidney disease stage-5
9.Define and classify Diabetes mellitus. Outline four (4) most common symptoms of type 2 D
Mellitus
10.State at least TWO (2) clinical features that a patient with chronic nerve injury may present
with:
11. Define persistent vegetative state. Outline THREE (3) clinical manifestations that are observed
in patients suffering with this ailment
A condition in which a medical patient is completely unresponsive to psychological and physical stimuli and displays no sign of
higher brain function, being kept alive only by medical intervention. However, a person in a vegetative state doesn’t show any
meaningful responses, such as following an object with their eyes or responding to voices. They also show no signs of experiencing
emotions nor of cognitive function.
VS/UWS patients’ eyes might be in a relatively fixed position, may track moving objects (visual pursuit), or move in a completely
unsynchronised manner. Sleep-wake cycles may resume or patients may appear to be in a state of chronic wakefulness. They may
grind their teeth, swallow, smile, shed tears, grunt, moan, or scream without any apparent external stimulus. VS/UWS patients do
not respond to sound, hunger, or pain. Patients cannot obey verbal commands and lack local motor responses. Additionally
VS/UWS patients cannot talk in comprehensible terms and may become noisy, restless, and hypermobile.
 Loss of appetite
 Nausea or vomiting
 Headaches
 Being tired
 Being unable to concentrate
 Itching
 Making little or no urine
Diabetes can be classified into the following general categories:
1. Type 1 diabetes (due to β-cell destruction, usually leading to absolute insulin deficiency)
2. Type 2 diabetes (due to a progressive insulin secretory defect on the background of insulin
resistance)
3. Gestational diabetes mellitus (GDM) (diabetes diagnosed in the second or third trimester of pregnancy
that is not clearly overt diabetes)
4. Specific types of diabetes due to other causes, e.g., monogenic diabetes syndromes (such as neonatal
diabetes and maturity-onset diabetes of the young [MODY]), diseases of the exocrine pancreas (such
as cystic fibrosis), and drug- or chemical-induced diabetes (such as in the treatment of HIV/AIDS or
after organ transplantation)
Frequent urination.
Excessive thirst.
Unexplained weight loss.
Extreme hunger.
Gradual onset of numbness, prickling or tingling in your feet or hands, which can spread upward into
your legs and arms.

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12. List at least FOUR (4) Chronic conditions are the leading causes of illness, disability and death in
Australia.
COPD, Cardiovascular disease, lung cancer and dementia
13.DEFINE: Continuum of chronic disease.
Continuum of Care is a concept involving a system that guides and tracks patients over time through a comprehensive array of
health services spanning all levels and intensity of care. The Continuum of Care covers the delivery of healthcare over a period
of time, and may refer to care provided from birth to end of life.
14. List four (4) life variables that have an impact on health and wellbeing
Income and social status - higher income and social status are linked to better health. The greater the gap between the richest
and poorest people, the greater the differences in health.
Education – low education levels are linked with poor health, more stress and lower self-confidence.
Physical environment – safe water and clean air, healthy workplaces, safe houses, communities and roads all contribute to good
health. Employment and working conditions – people in employment are healthier, particularly those who have more control
over their working conditions
Social support networks – greater support from families, friends and communities is linked to better health. Culture - customs
and traditions, and the beliefs of the family and community all affect health.

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15.Describe at least ONE (1) impact of chronic diseases on an individual for each of the following
a. Social life
b. Emotional state
c. Physical state
d. Psychological state
e. Financial state
ANSWER:
Social life Chronic illness increases the disease burden and limits the ability of the person to maintain optimal level
of social interaction. This leads to poor social life
Emotional
state Chronic illness and the associated disease burden impacts the emotional well being and contributes to
depression and stress
Physical state The impact of chronic illness leads to poor physical health and reduced ability to cope with symptoms
Psychological
state
Impact of chronic illness effects the psychological well being of the patient and contributes to trauma
Financial state The treatment of the progressive disease elicits pressure on expenses and serves as a financial burden
16.
a. Define the following modalities of rehabilitation. For each modality, state examples of the
equipment involved and techniques used.
Modailty Definition and/ or Technique involved Equipment used
Physiotherapy The treatment of disease, injury, or deformity by physical
methods such as massage, heat treatment, and exercise
rather than by drugs or surgery.
NordicTrack.
Treatment Tables.
Ultrasound.
Isokinetics.
Electrical Muscle
Stimulation.
Exercise Bike.
Exercise Balls
Occupational
Therapy
Occupational therapy is a client-centred health profession
concerned with promoting health and well being through
occupation. The primary goal of occupational therapy is to
enable people to participate in the activities of everyday life.
A walking stick, walking
frame or a wheelchair.
electric can openers or
electric toothbrushes.
knives with large
handles and chunky
pens (if you have
difficulty holding small
objects)
A non-slip mat for the
bath.
A special keyboard or
mouse to help you use

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a computer.
Hydrotherapy Hydrotherapy, or water therapy, is the use of water (hot, cold,
steam, or ice) to relieve discomfort and promote physicalwell-
being.
hydrotherapy
therapies employ
mineral baths,
underwater massage
baths, water jet,
whirpool bath and dry
massage equipment
Pilates A system of exercises using special apparatus, designed to
improve physical strength, flexibility, and posture, and
enhance mental awareness.
Pilates Machine
Pilates Table
Pilates Chair
Pilates Ring
Exercise Ball
Pilates Mat
Pilates Bolster
Clothing
Massage The rubbing and kneading of muscles and joints of the body
with the hands, especially to relieve tension or pain
Massage Chair and
Table.
Massage Oils, Lotions,
and Creams.
Towels and a Portable
Towel Cabinet.
Stones and a Heating
Device.
Relaxation CDs, a CD
Player, and Candles.
Training.
Art and Music
therapy
Art therapy is a unique opportunity for people of all ages -
children, teens and adult - to express themselves creatively
while dealing with stress, grief and loss.
Music therapy is a creative opportunity for patients and
families to express emotions within an atmosphere of comfort
and relaxation.
Therapy room
Paint
Canvas
Music player
CDs, DVDs

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b. Briefly outline the importance of wheelchairs, scooters, walking aids and prosthetics in
rehabilitation of a patient
Wheelchairs are used by people who should not put weight on their lower limbs or who are unable to walk. They can
be more suitable than walkers for people with severe disabilities or when travel over greater distances is required.
Mobility scooters are beneficial for those without the upper body strength or flexibility to use a manual wheelchair.
Many scooter users report a positive impact on their lives due to their choice of mobility aid. Walking aids are devices
designed to help people who have problems moving around enjoy greater freedom and independence. If a patient is missing an
arm or leg, an artificial limb can sometimes replace it. The device, is called a prosthesis, can help a patient perform daily
activities such as walking, eating, or dressing. Some artificial limbs let them function nearly as well as before
17. Define and describe palliative care?
Palliative care is an approach that improves the quality of life of patients and their families facing the problem associated with life-
threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and
treatment of pain and other problems, physical, psychosocial and spiritual.
18.Discuss the principles and practices of person centred nursing care
Patient-centered care is the practice of caring for patients (and their families) in ways that are meaningful and valuable to
the individual patient. It includes listening to, informing and involving patients in their care. The IOM (Institute of
Medicine) defines patient-centered care as: “Providing care that is respectful of, and responsive to, individual patient
preferences, needs and values, and ensuring that patient values guide all clinical decisions.” The researchers found that
there are certain practices conducive to a positive patient experience and their findings form Picker’s Eight Principles of
Patient-Centered Care. Respect for patients’ values, preferences and expressed needs, Coordination and integration of
care, Information and education, Physical comfort, Emotional support and alleviation of fear and anxiety, Involvement of
family and friends, Continuity and transition and Access to care.
19.List at least THREE (3) strategies to address and manage most chronic diseases.
The three strategies to address and manage most chronic diseases include the following:
Adapt patient centred care approach
Implement pain relief intervention
Impart health literacy and self-management strategy to accelerate recovery
20.List and describe the four components in the WHO chronic disease model of care?

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The Chronic Care Model (CCM) is a multifaceted, evidence-based framework for enhancing care delivery by identifying essential
components of the health care system that can be modified to support high-quality, patient-centered chronic disease
management.1 The CCM provides a systematic approach to practice transformation. Interrelated elements of the CCM include:
 Health systems, including culture, organizations, and mechanisms to promote safe, high-quality care
 Decision support based on evidence and patients’ preferences and needs
 Clinical information systems to organize patient and population data
 Patient self-management support to enable patients to manage their health and health care
In addition to the above, it also includes:
 Community resources to mobilize patient resources
 Delivery system design for clinical care and self-management support, including team care
21.Define incontinence. How does this manifest in a patient with chronic disease?
Incontinence is a term that describes any accidental or involuntary loss of urine from the bladder (urinary incontinence) or
bowel motion, faeces or wind from the bowel (faecal or bowel incontinence). Four patterns of chronic conditions emerged with
differences by urinary incontinence type and severity. Within three of the four clusters, the most prevalent chronic conditions
linked with increased cardiovascular risk—such as hypertension and high cholesterol—were associated with increased urinary
incontinence risk. Also, pulmonary disease—specifically asthma—affected all of the women in a single cluster.
22.List three (3) various treatment methods for diabetes mellitus type 2.
Management of type 2 diabetes includes:
 Weight loss
 Healthy eating
 Possibly, diabetes medication or insulin therapy
23. Identify two (2) ways an enrolled nurse can support a client with chronic rheumatoid
arthritis to maintain a positive life role.
Firstly, the enrolled nurse can educate the patient about rheumatoid arthritis so that the patient is aware about the risk factors
that could worsen the disorder. Secondly, the nurse could help the patient with appropriate footwear so that the patient is able to
walk and perform daily living activities with convenience.
24. Identify two (2) behavioural changes required for a client with chronic history of
diabetes mellitus overtime
The two behavioral changes would require the following:
Modification of diet to include healthy nutrients
Modification of sedentary lifestyle to include physical activities
25. Identify two (2) positive attitudinal and behavioural change that can be established by a
patient with chronic renal failure.
The two behavioral changes would require the following:
Modification of lifestyle such as quitting smoking which would worsen the symptoms of the disorder
Inclusion of a healthy diet that is low in fat and creatinin

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26. Access and consider below mentioned links regarding resources for the core standards
for nurses who support people with disability (NSW Family and Community Services)
and answer following questions:
1. https://www.adhc.nsw.gov.au/ data/assets/file/0003/301782/Working-with-people-with-chronic-
and- complex-health-care-needs-Practice-Package.pdf
2. https://www.adhc.nsw.gov.au/sp/delivering_disability_services/core_standards
3. http://ww w .a dh c .n s w. g ov.a u / d a ta / a ss ets /f il e/000 5 /3 0 1775/1 . -PC -H e a lt h-C a re-A ss ess ments -a nd -
De v- o f - Health-Care-Plans-Practice-package.pdf
A. TRUE or FALSE
The Nursing and Health Care Core Standards can be used for any nurse supporting
people with disability, giving them the basic required knowledge to be able to
do their job and be able to demonstrate this. (TRUE /FALSE) True
B. Following are the core standards for nursing and health care who support people with
disability (NSW Family and Community Services). Circle one correct answer.
i. Person-Centered Health Care Assessments and the Development of Health Care
Plans
ii. Communication and Behavior Support
iii. Wo rking wi th P eo ple wit h C hr onic a nd C omplex H ea l th C a re Need s :
iv. Mealtime Management for Nurses
v. All of above
C. Circle one correct answer. The core standards materials and resources can be used in a
variety of ways- for example:
i. Professional education and training
ii. Knowledge translation and appraisal of core standards in practice
iii. Induction of new staff or staff new to the area of disability
iv. As a reference point in supervision or mentoring
v. Use with students on placement or within learning institutions
vi. All of above
D. “Nurses works with the multidisciplinary team in the management of chronic and
complex health care needs of clients. The multidisciplinary team may include a Speech
Pathologist, Dietitian, Physiotherapist, Occupational Therapist, Gastroenterologist and
Physician”. Considering this statement and the website links provided above, answer the
following questions.
Q D1: Choose at least four of provided chronic and complex health care needs and explain their
management/treatment.
QD2: list at least four factors considered by a nurse during its (condition) management.
Medication for symptom management, management of weight for weight management,
proper self-management practices to help cope with illness and respiratory support for
clearance of airway
QD3: Name at least 3 multidisciplinary members/people will a nurse be working with in
order to meet care needs of clients and why. (250-300 words)
Dietician, physiotherapist, physician and occupational therapist
Chronic and complex health care needs are:

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 Management of Chest Infection / Aspiration Pneumonia
 Respiratory Health
 Management of Type 2 Diabetes
 Ma na g em ent of O s teo penia a nd Os teo poros is ,
 Management of chronic pain
 Management of bowel problems: Colostomy, Ileostomy.

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E. In regard to Person Centered Health Care Assessments and the development of Health
Care Plans Core Standard for Practitioners. Answer following questions considering the
third web link provided above.
Explain the purpose of Person Centered Health Care Assessments and the development
of Health Care Plans Core Standard for Practitioners. Explain what does this mean for
in your nursing practice.
Person centred Health Care Assessments refer to the overall assessment of the patient’s holistic needs in
order to devise an effective care plan. The Health Care Plans Core standard for practitioner’s refers to the
ethical standards in that should be complied with while delivering care to the patients. Nursing care
professionals must abide by the standards in order to deliver a culturally safe, patient-centered and
effective care delivery.

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Assessment Task 1 – Questioning Marking Guide
Student Name Student ID
Marking
Guide
Yes No
Satisfactory response:  Referencing is APA -
consistent and satisfactory
 Correct and sufficient response is
provided by student to all
questions of Assessment task 1
 Used correct grammar and
spelling
Unsatisfactory: Not enough or incorrect
response by student.
Assessor Feedback
Assessor Name Date
Assessor Signature

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ASSESSMENT TASK 2 – CASE STUDY
Instructions
for
completion
 Read the scenarios provided and complete the questions that follow
 You must answer all questions correctly
 Please ensure that the word limit for each answer is no more than 100
words
 Responses to the questions can be typed or submitted handwritten
 Assessment requirements may be either typed or handwritten
 If hand written, the writing must be legible and in pen NOT pencil
 Written responses must be legible and in pen NOT pencil
 Use of correct grammar and spelling is required to demonstrate
foundation skills, so please ensure to proof read your answers prior
to submission
 Use of APA referencing must be used where original sources have
been used. 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 penalised. Please refer to APA referencing guide
http://www.flinders.edu.au/slc_files/Documents/Blue%20Guides/APA
%20Referencing.pdf
 Wr it e y our na m e, s tud ent ID , the ass e ss ment ta sk a nd the na me 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 date and time of the
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Scenario One
Mrs Paula Jones is a 68-year-old lady who was admitted to the ward for a left below knee
amputation. Paula has Type 1 D ia bet es , ins ulin depend ent , who ha s ha d c hronic leg ulc er s on her
lef t s hin f or ele ven m ont hs tha t a re not healing. She has glaucoma and cataracts in both eyes,
leaving her with poor eyesight and peripheral neuropathy. Paula is non-compliant with her
diabetic diet, she eats what she likes and does not regularly check her blood sugar levels.
Paula lives alone but is supported by her two sons who live nearby. Her husband died
four years ago. Her extended family live in New Zealand.
Paula is recovering in the ward post the amputation. She is very upset about the amputation
and not accepting of it. She is resistant to adhering to a diabetic diet, despite the efforts of the
dietician and nursing staff. Her BSL’s fluctuate as a result and she is on her regular insulin with a
sliding scale.
Paula is managing her pain with Paracetamol and Ibuprofen, which is effective. Her left stump is
bandaged and free from infection. She is not sleeping well, making her tired during the day
and reluctant to commence physiotherapy.
P a ula wi ll be d is c h a rg ed to a reha bil ita tio n cent re to im pr ov e her ind epend enc e wi th A D L ’ s pr io r to g oing
h ome.
Scenario 1: Part A
1. Develop a nursing care plan for her admission using the nursing process. The care plan
must contain at least two (2) nursing interventions
The two nursing interventions include:
Imparting health literacy to the patient to make her aware about the seriousness of the health condition and the adverse events
that could follow
Teaching her self-regulation of BGL level using glucometer strip so that her BGL level can be monitored
2. Outline a health teaching plan for Paula that prepares her for discharge to rehabilitation and
then home.
The teaching plan would comprise of the risk factors that could interfere with the recovery process and the rationale for
recommending a strict diet regimen so as to ensure that her BGL level is controlled.
3. Explain the ways/strategies that you can implement to evaluate Paula’s understanding
of her chronic problems in consultation with interdisciplinary health team.
Paula’s response to the teaching plan and her adherence with the medication can help in understanding her level
of awareness in relation to the chronic health problem
Scenario 1: Part B
1. Identify and describe Paula’s condition and chronic health problems. Research and
describe the possible impact of at least two (2) of the identified conditions on body
systems and explain how these can affect a person’s ability to perform daily living
activities.
Peripheral neuropathy could lead to numbness and interfere with her normal ability to walk
Glaucoma could lead to blurred vision which could make her susceptible to falls
2. List and describe at least two (2) clinical manifestations of diabetes and rheumatoid
arthritis and their long-term effects on the body’s systems.
Clinical manifestations of Diabetes include: loss of body weight and frequent urination. Clinical symptoms of Rheumtoid arthritis

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include: stiffness and swelling in joints and anemia and fatigue
3. Explain three available resources and support services available to Paula upon her
discharge from the rehabilitation centre to home.
Referral to domestic help, referral to an occupational therapist, referral to home care nursing
4. Discuss the physical, psychological, emotional, social and financial impact Paula’s chronic
health problems and recent amputation has on her ADLs and her family
The recent amputation would reduce her independence and ability to perform ADLs which would affect her
physically, emotionally, socially and financially on account of the excess expenditure. Her sufferings would
affect her family psychologically and financially as she is a dependent family member. Also, the disease
burden would deteriorate the family’s social life as the family members would need to be extra careful
about Paula.

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Scenario Two
Mr Shane Gillespie is an 80-year-old male, admitted to the ward via A&E with exacerbation of
COPD and abrasions to his left shin and elbow and a cut to the forehead following a fall.
Shane lives alone and up until now has managed with the assistance of home help (cleaning
services) and meals on wheels for lunch. His wife has dementia and lives in a nursing home
within walking distance from his home. He has two very supportive neighbours who visit
daily, bring him the newspaper and stay for a chat. He has one daughter who lives
interstate and another who lives 1.5 hours away.
Shane is emaciated and admits he does not like preparing meals and only eats the lunch
delivered by meals on wheels. He has a dosette box for his medication, but he is increasingly
forgetting to take them or mixing up the days and times.
Shane has recently found it difficult with activities like showering and dressing and walking to
the letter box due to experiencing shortness of breath. He has been unable to visit his wife for
a few weeks due to his increasing shortness of breath.
Shane is an ex-smoker of 25 cigarettes/day for 46 years, he stopped smoking 20 years ago.
He has a history of chronic asthma (since childhood) and epilepsy.
On arrival his vital
signs are:
RR – 30 bpm
HR – 100 bpm
BP – 190/100
mmHg SpO2 –
87%
Temp – 38.3oC
Questions
1. Briefly describe Shane’s condition and chronic health problems including chronic obstructive
pulmonary disease and chronic asthma.
Shane is diagnosed with COPD and Asthma. The symptoms of the disorder is linked to coughing and increased shortness of breath
which has deteriorated his quality of life and has hindered with his independent ability to perform activities of daily living.
2. List and describe five clinical manifestations of COPD and long-term effects on the body’s
systems.
Five clinical manifestations of COPD and it’s long terms effect on body systems include the following:
Chronic cough
Shortness of breath while doing everyday activities (Dyspnea)
Frequent respiratory infection
Production of lot of mucus and wheezing
3. List five (5) and explain the role of the health care workers who will be involved in his care
Physician, Pulmonologist, Physiotherapist, Nurse and Occupational therapist

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4. Discuss the physical, emotional, social and psychological aspects of care.
Physically the patient will become weak which would affect the independence to perform activities of daily life, emotionally the
patient would experience depression for not being able to cope with the disease, the patient’s social life would be compromised
and psychologically the patient would be experiencing hopelessness for not being able to cope with the disease burden.

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Assessment Task 2 – Scenario Marking Guide
Student Name Student ID
Marking
Guide
Yes No
Satisfactory response:  Referencing is APA - consistent
and satisfactory
 Correct and sufficient response
is
provided by student to all
questions of Assessment task 1
 Used correct grammar and
spelling
Unsatisfactory: Not enough or incorrect
response by student.
Assessor Feedback
Assessor Name Date
Assessor Signature

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ASSESSMENT TASK 3 – CASE REPORT
Instructions for
completion
 Read the case report details provided and complete the assessment
instructions
 Responses to the questions may be typed or hand written
 If hand written, writing must be legible and in pen NOT pencil
 Use of correct grammar and spelling is required to demonstrate
foundational skills
 Use of APA referencing must be used where original sources
other than your own have been used – to avoid plagiarism
 Writ e your na me, s tudent ID , the a ss ess m ent ta sk a nd the na m e of
the unit of competency on each piece of paper you attach to this
assessment document
 You answer all questions correctly to achieve a satisfactory result
 Submit to your trainer/assessor by the due date
 Word limit less than 100 words for each question
Due Date  To be submitted to the trainer/assessor within five days of professional
practice
concluding.
You are required to d i s cu ss e vi d en ce d ba s e d nu rs i n g p ract ice fo r ON E pat ie n t, wi th c hr onic
hea lt h problems, you cared for during your professional practice.
You will be required to access the patient’s medical records to prepare for your case report for both
patients.
Please maintain patient’s anonymity at all times
Use a pseudonym name for the patients that is not identifiable and state this in your case report
Be careful not to include any information that my identify the patient including places, dates, time,
events
The case report should include information related to only ONE patient (word limit less
than 70 words each):
1. Brief introduction (one paragraph)
The case study of the patient deals with caring for a chronic illness and the involvement of the
multidisciplinary team of professionals in caring for the patient
2. Presenting complaint, assessment data and diagnosis
The patient’s presenting complaints included increased shortness of breath, frequent coughing
and blurred vision
3. Past medical and health history including medications
The patient had a past medical history o Diabetes
4. Discuss the clinical manifestations of the chronic health problems on the body systems
The clinical manifestations included, coughing with wheezing, shortness of breath and bluish
tinge on face
5. Identify two (2) actual and two (2) potential health issues of the patient

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Actual health problems appeared to be the symptoms of COPD, potential health problems
included psychological stress and trauma
6. Explain current treatments for the identified chronic problems. Name and explain a
few resources and support services which can be utilised to meet patient’s care
needs.
The treatment interventions comprised of administering bronchodilator medication,
referral to optician and teaching simple breathing exercises to facilitate clearance of
airway
7. Answer following:
a. Identify two (2) nursing interventions you performed based on the patient’s
needs according to continuum of chronic disease
I taught the patient simple breathing technique and assisted the patient to
maintain Fowler’s position to facilitate airway clearance
b. Discuss the patient’s (as appropriate, with family or carer to confirm their)
understanding of the conditions and its impact.
The patient stayed alone and was divorced with a son living in the United
States. Therefore no carer was involved in the treatment process
c. List other agencies and interdisciplinary team members involved in supporting
patient’s care.
The patient was referred to an optician as it was suspected that the patient was
suffering from Glaucoma and was affected with Diabetes Mellitus. In addition to this, a
nutritionist was involved in the care process for proper diet planning
8. Formulate an action plan for the patient which includes referral to community
support services or rehabilitation services or other support services as needed
As the patient stayed alone and was affected with a chronic illness, the patient was referred to
mental health community services so as to ensure mental health wellness and a positive recovery of the
patient.
References:
Postma, D. S., & Rabe, K. F. (2015). The asthma–COPD overlap syndrome. New England Journal of Medicine, 373(13), 1241-1249.
DOI:
10.1056/NEJMra1411863
Fletcher, M. J., & Dahl, B. H. (2013). Expanding nurse practice in COPD: is it key to providing high quality, effective and safe patient
care?. Primary Care Respiratory Journal, 22(2), 230.Retrieved from: https://www.nature.com/articles/pcrj201344

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9. Explain how you actively involved the patient in the development of strategies to
manage their condition. Write what progress notes documentation you did for this
patient.
10. Explain how did you identify and meet own role and responsibilities in communicating
and reporting the person’s response to nursing interventions.
11. Enlist at least any two variations in person’s needs and explain your response to these
variations in the context of a coordinated service approach.
12. Explain what and how you identified the level and type of contribution and support
made by family or carer.
Support your case report with reference to current literature. (Minimum 2 literature and
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Assessment Checklist S = Satisfactory
NS = Not
Satisfactory
Case report includes all following: S NS
1 = Introduction
2 = Current admission diagnosis and medications
3 = Past medical history including medications
4 = Discussion of clinical manifestations of the patient’s chronic health
problems
5 = Discussion of two actual and potential health issues
6 = current treatments for the identified chronic problems, few
resources and
support services
7 = Nursing interventions according to continuum of chronic
disease, patent’ understanding of the conditions and its impact.
8 Formulate an action plan
9 = Actively involved the patient
Academic writing and Referencing
OVERALL RESULT:
Trainer’s comments:
Trainer’s Name Trainer’s Signature _
Date: _
Learner’s Name Learner’s Signature
Date:

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Assessment Task 3 – Case Report Marking Guide
Student Name Student ID
Marking
Guide
Yes No
Satisfactory response:  Student provided correct and
sufficient response to questions’
expectations (Q1- Q12 of care
report).
 Successfully submit all
requirements as
stated in assessment checklist
and Q1- Q12.
 Referencing is APA -
consistent and satisfactory
 Correct and sufficient response is
provided by student to all
questions of Assessment task 1
 Used correct grammar and
spelling
Unsatisfactory: Not enough or incorrect
response by student.
Assessor Feedback
Assessor Name Date
Assessor Signature

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ASSESSMENT TASK 4 – PROFESSIONAL
PRACTICE
Instructions for
completion
 You are required to undertake professional practice experience
(PPE) at the
completion of the theoretical component of semester three
 You must achieve a successful result in all the theoretical and
practical skills assessments for allocated units of competency prior
to commencing professional practice experience
 All Prior to placement allocation and commencement you will be
required to undergo a final pre –placement assessment which
will be conducted by your trainer as well as the clinical lab
assessor.
 The SCEI work placement coordinator will arrange your professional
practice to ensure it is undertaken in a SCEI approved and
supervised health facility
 You must complete all requirements of the PP RECORD booklet
 This assessment is graded as satisfactory or unsatisfactory. An
unsatisfactory result will mean an overall unit of competency
outcome as not yet competent
Due Date  The work placement booklet must be submitted to the
trainer/assessor within
five days of completion of the work placement
Prior to attending professional practice, you will be issued with a professional practice booklet. This
will outline:
 the roles and responsibilities of you (the student), the nurse educator and host organization
 the skills you will be observed and assessed performing
 Assessment tasks to complete prior to work placement and during professional practice.
It is expected during the professional practice placement the student will consistently demonstrate
achievement of the required skills and knowledge as set out below. Please refer to the
professional practice booklet for further details of the professional practice and the
assessment requirements.
There must be evidence that the candidate has:
 Undertaken nursing work in accordance with Nursing and Midwifery Board of Australia
professional practice standards, codes and guidelines
 Analysed health information and the clinical presentation of 1 person in the workplace
or simulated environment to reach an accurate conclusion on possible nursing
interventions related to their chronic health problems, in consultation with a
registered nurse

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 Performed nursing interventions in the workplace to contribute to the support of 2
people who have chronic health problems.

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8
S
no.
There must be evidence that the candidate has: Satisfactory Unsatisfactory
1 Undertaken nursing work in accordance with
Nursing and Midwifery Board of Australia
professional practice standards, codes and
guidelines
o o
2 On Two (2) Clients with chronic health
problems:
 Perform health assessment
 Gather and Analyse health information
 Assess signs and symptoms
 Plan nursing interventions
 Provide nursing care and support
o o
OVERALL RESULT: o o
Trainer’s Comments:
Trainer’s Name Trainer’s Signature
Date:
Learner’s Name Learner’s Signature
Date:

Student Assessment
Assessment Task 4 – Professional Practice Experience Marking Guide
Student Name Student ID
Marking Guide YES NO
Satisfactory
response:
Successfully undertaken nursing work in accordance with
Nursing and Midwifery Board of Australia professional practice
standards, codes and guidelines
Successfully analysed health information and the clinical
presentation of 1 person in the workplace or simulated
environment to reach an accurate conclusion on possible
nursing interventions related to their chronic health problems,
in consultation with a registered nurse
Efficiently performed nursing interventions in the workplace to
contribute to the support of 2 people who have chronic
health problems.
Unsatisfactory: Above mentioned requirements not performed/completed during
professional practice
Assessor Feedback
Assessor Name Date
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