MrTsakoumagoslives outside the small rural town of Moranbah in Central Queensland. Using the following website, plus your own research identify two (2) communityresourcesand one (1) other resource around the area that will help to support and assist MrTsakoumagos’sneeds for each of the following.
•Weight loss•Smoking cessation•Healthy eating
HLT54115 Diploma of Nursing Assessment 1 Response Template STUDENT NAME DATE Course HLT54115 Diploma of Nursing Subject Title CIC109 Care for Individuals in the Community Unit of Competency HLTENN015 Implement and monitor care for a person in the primary health care setting Performance Criteria, Knowledge and Performance Evidence Assessed PC: 1.1, 1.2, 1.3, 2.1, 2.2, 2.3, 2.4, 2.5, 2.6, 3.1, 3.2, 3.3, 3.4, 4.1, 4.2, 4.3, 4.4, 4.5, 4.6, 5.1, 5.2 PE: 1, 2 KE: 1, 2, 4, 5, 6, 7, 8, 9, 11, 13 Title of Assessment Task Assessment Task 1 - Case Study Task Instructions To complete this assessment, you must watch the three (3) case studies related to CIC109 Assessment 1, then answer each question on the worksheets provided below. There are four (4) worksheets in total. These scenarios can be viewed in the CIC109 Assessment page. The scenarios and worksheets you must cover are: 1. Case Study / Worksheet 1: Mr Tsakoumagos 2. Case Study / Worksheet 2: Mr Smith 3. Case Study / Worksheet 3: Mrs Jeffery 4. Worksheet 4: This is not related to a case study When responding to the questions, please ensure you consider all the information in each case study and take note of the suggested word limits. Being able to assess a situation and report your suggestions clearly and succinctly is a key skill for any nurse. Worksheet 1: Mr Tsakoumagos 1.1 This is an emergency situation, as the patient has high-level chest pain. Given the critical nature of the scenario, outline a minimum of five (5) steps you would take to ensure Mr Tsakoumagos is appropriately cared for. In your response, consider who you would involve and any assessments or nursing interventions you may need to include. Response: 1. Try to feel him comfort, loose his cloths, ask him to sit in a half sitting position with support for the back and head. 2. Inform to RN about the condition of patient 3.Immediately call on 000 or emergency medical assistance. 4. Check his basic observation like blood pressure, pulse rate, and blood test to verify if there had been any elevation in the enzyme and protein content of the heart muscle. 5. Immediately assess pain because it 9/10, need to do chest X-rays ,in order to treat pain, the nurse can provide artery relaxes like nitro-glycerine under the tongue of the Mr.Tsakoumagos which will help in relaxing the heart arteries. Nursing interventions in severe chest pain like 1. Administer prescribed medications that alleviate the symptoms of angina like Aspirin may be given to reduce the ability of the blood to clot, so that the blood flows easier through narrowed arteries.. 2. Asses the patient’s vital signs and characteristics of pain at least 30 minutes after administration of medication. 3. Educate patient on stress management, deep breathing exercises, and relaxation techniques. 1.2 Explain how you would undertake effective decision-making to initiate action for Mr Tsakoumagos in collaboration with members of a multidisciplinary team, which is based on the clinical assessment of the client (200 words). In your response, include: · Immediate treatment actions · Referrals · Longer-term actions. Note: You should show sufficient detail to indicate how you undertook the decision-making process and what evidence or results the decision was based on. Your response should provide brief details of what information would be discussed, which team members would be involved in the discussion and the outcomes and recommendations of the discussion. Identify the roles and professional expertise of nominated members of the multidisciplinary health care team. Response: Immediate treatment actions for Mr. Tsakoumagos like he has chest pain, so nurse will immediately inform to RN and RN will take immediate action will be providing aspirin to the patient to relax from pain. In the meantime, RN will discuss with Cardiologist and the pulmonologist to check the test and the medications that can be provided to the patient. RN will discuss the vital observation and level of pain with the cardiologist and also, they will do ECG, CT scan and chest X-ray test with the help of the clinicians to know about chest pain whether it is due to blockage or if it has affected the lungs, so it will referred to the cardiologist and pulmonologist and doctors require close monitoring of the patient or the general physician and the registered nurse will ne involved. For a long-term action, RN will involve an occupational therapist and nutritionist for monitoring the diet and habit of the patient, regular deep breathing exercise for better condition. Regular visit to GP for proper check-up and updating. Moreover, changes in the diet or daily routine, it can be implemented so that Mr Tsakoumagos diabetic condition remains controlled with a healthier lifestyle. 1.3 Considering your knowledge of Mr Tsakoumago’s lifestyle, identify a minimum of six (6) potential environmental and other health issues that may impact Mr Tsakoumago’s health. Response: 1) High level of air pollution may result in the health challenges like cardiovascular as well as respiratory illness because he is a farmer, and he spends most of his time in field. 2) Air pollution is another factor which impact on lungs and heart because he works so hard and it is so difficult to supply clean oxygen to the different parts of the body. 3) Chest’s pain and blocked arteries can occur due to smoking because damage of the heart muscles due to the blockage in the heart muscles and improper flow of blood in the heart. 4) Overweight due to unhealthy diet, type 2 diabetic condition, no exercise, and no hygiene can lead to health challenges like osteoarthritis, and joint problem. 5) Presence of nitrogen oxides in pesticide, and dust are released from the agricultural equipment the cause of asthma, nausea, and dry throat. 6) Obesity, overweight and unhealthy diet will lead to unhealthy condition of Mr Tsakoumagos and effect on the function of the organs like heart will not proper work, slow supply of blood, blockage in arteries which lead to heart attack, chest pain, or stroke. 1.4 Mr Tsakoumagos lives outside the small rural town of Moranbah in Central Queensland. Using the following website, plus your own research identify two (2) community resources and one (1) other resource around the area that will help to support and assist Mr Tsakoumagos’s needs for each of the following. · Weight loss · Smoking cessation · Healthy eating My Community Directory. (2019). Moranbah 4744. Retrieved October 2019 from https://www.mycommunitydirectory.com.au/Queensland/Isaac?id=8963&location=Moranbah%204744 Response: https://blogs.crikey.com.au/croakey/2013/04/01/eight-useful-things-to-know-about-community-participation-in-healthcare/ Worksheet 2: Mr Smith 2.1 Based on your knowledge of Mr Smith’s situation, identify three (3) health goals you could work to set in collaboration with Mr Smith to help prevent illness, relative to his needs. Response: 1) Mr Smith is suffering from COPD disease, so health goal is smoking cessation which is beneficial step for treating COPD is to stop smoking, to improve the natural progression of COPD, helps to improve a patient’s cough, and ease breathlessness and slow down further lung damage. 2) He is socially isolated and does not like socialize with others which effect on his health because people who are lonely and socially isolated may get too little exercise, smoke and do not sleep well which increase the risk of serious health condition he is not taking his diet properly and smoked inside the room. So, he needs support groups or counselling, Australian government also provide community visit service to reduce loneliness. 3) He is dementia patient, so, healthy diet is most important to brain health and may reduce the risk of developing dementia as well as regular exercise is better for brain function and reduced risk of cognitive decline and dementia, smoking is associated with an increased risk of dementia. Smoking cessation is associated with reduced risk of cardiovascular and cancer and may reduce the risk of developing dementia. Being more socially active is reduced risk of dementia https://healthtimes.com.au/hub/nursing-careers/6/guidance/healthinsights/nurses-in-collaborative-care-teams/2879/ 2.2 List three (3) health or lifestyle interventions you could recommend for Mr Smith, ensuring they are appropriate to Mr Smith’s needs and situation. And, using 30 words for each, explain the community (or other) resource that could assist and how the intervention would provide a benefit. Response: 2.3 In 100 words explain how you would identify any health literacy issues Mr Smith might have, which could impact his understanding of the information provided to him and his ability to access services. In your response, include a minimum of three (3) questions you could ask Mr Smith. Response: 2.4 In 100 words, explain how you would assist Mr Smith to participate in health education programs relevant to his needs. In your response, include how your suggestions might meet workplace guidelines (for example WHS considerations, any ethical considerations for example client rights) Response: 2.5 List five (5) criteria you would look for when evaluating whether you have met the goals you set for Mr Smith and, in 30 words for each, explain how you would monitor and document his progress towards meeting each one. Response: Worksheet 3: Mrs Jeffery 3.1 Outline three (3) risks Mrs Jeffery faces with her current situation and provide one (1) possible intervention for each risk to try to minimise each risk (65 words per risk and intervention). Response: 3.2 In 100 words, explain three (3) strategies you could discuss with Mrs Jeffery’s family that would help them assist with her care, self-care and understanding. Response: 3.3 In 100 words, outline how you would document Mrs Jeffery’s response to the interventions and to whom you would report this. Response: 3.4 Mrs Jeffery is agreeable to you talking with her daughters about her care. Outline what you would say to her daughters when describing the physical, psychological and social impacts of her health problems on her daily activities (100 words). Response: Worksheet 4: Lifecycle Health Issues 4.1 You are to fill out the table provided. This table asks that you nominate three common health issues for each lifecycle stage, outline an appropriate PHC response/treatment/intervention and nominate a multidisciplinary team member indicating why you have chosen that profession for each of the health issues listed. Related lifecycle stage. Note three (3) common health issues for lifecycle stage. Specify one (1) appropriate PHC response / treatment / intervention for each issue. List one (1) multidisciplinary team member appropriate for each issue and note why they are important. Infant (0-2 years) https://www.health.gov.au/sites/default/files/documents/2019/09/national-strategic-framework-for-chronic-conditions.pdf Child (3-12 years) Adolescent (13-17 years) Adult (22-60) Addiction, suicide, smoking Older adult (60 and