Question 12: Use the symptoms listed on the Qld Health Residential Aged Care End of Life Pathway (Moodle resource) to: a) List eight (8) symptoms and explain the management and clinical nursing...

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Question 12: Use the symptoms listed on the Qld Health Residential Aged Care End of Life Pathway (Moodle resource) to: a) List eight (8) symptoms and explain the management and clinical nursing skills required to relieve these for Penny.  b) Explain the management and clinical nursing skills used in the wound care of her malignant breast lesion. Question 13 Not all patients adhere to cultural protocols and traditions.  As the EN, how will you discover whether these protocols and traditions are relevant to your client? Describe how would you raise these matters with the client or family?  Question 14 A patient you have been caring for and developed a close relationship with has just died. On hearing this news you experience a sense of loss.  Reflect on your feelings and discuss what personal strategies, values and attitudes you could use to help you cope with this situation. Include in your answer, social and community support systems Question 15 Michelle is at end stage of her terminal illness. In the lead up to her final weeks Michelle has talked extensively with her husband, daughter and medical staff about what is to happen with her in her final hours before dying. As part of her planning she has discussed and signed an Advanced Care Directive (ACD) with her doctor and legal representative.  In this she has indicated that she wants no interventions to extend her life.  Her husband is her next of kin and appointed attorney.  She has agreed to pain and symptom relief if required. Explain what an Advanced Care Directive is.   Include: Who can use the form? When should it be used? Who has authority over its use? Question 16: You have been told at handover that Michelle’s death is imminent and likely to occur in the next few hours.  She has become restless and her daughter feels she may be in pain.  Her doctor has ordered a small subcutaneous dose of morphine which has just been given. When you enter her room to check on her, you see that her husband and daughter are present, and she is surrounded by extended family.  Her ex-husband and his two young children, and three of Michelle’s friends are huddled in the corner of the room crying.  Her ex-husband is demanding that something be done. As the EN caring for Michelle, describe what would you do in this situation?  Include in your answer two strategies you could use to improve this situation?  Question 17 Members of an elderly client’s family want to know if their mother has indicated how she intends to dispose of her estate.  Describe the EN’s role in relation to this request?  Question 18 Jane is 14 years old and is suffering a terminal illness. She is aware that her condition is deteriorating but still she feels her parents are not telling her the truth about her prognosis. You are assisting her in the shower one day when she says “I’m dying aren’t I? Describe your response to her question?  Question 19: Research and briefly discuss the legal age of consent for medical treatment in Queensland.  Question 20 Nurses in Australia are governed by the International Council of Nurses (ICN) Code of Ethics for Nurses. https://www.icn.ch/sites/default/files/inline-files/2012_ICN_Codeofethicsfornurses_%20eng.pdf Identify the purpose of this code and explain how this code can be used to assist the nurse in decision making with regard to palliative care patients.   Consider the values expected of the nurse in your answer. Question 21 Considering the ICN Code of Ethics for Nurses identify which value statement within the element which fits appropriately in the following situation: Your patient identifies as a different culture to you and has listed specific requirements for care of his body after his death.  Question 22 Considering the ICN Code of Ethics for Nurses identify which value statement within the element fits appropriately in the following situation: Your client is in pain and is refusing regular pain relief as he says he does not want to become ‘addicted’. Question 23 Provide a definition of each type of pain. 1. Nociceptive pain 2. Neuropathic Question 24 70 year old James has been admitted to your ward for pain control. He has a diagnosis of bowel cancer and treatment has required him to undergo extensive surgery and radiotherapy. He has a couple of good friends who visit him regularly. He lives alone and is no longer able to self-care. James does not engage in conversation and spends most of his time sleeping. He has become dis-interested with life. The Oncologist has explained to him that he is in the end stages of his disease and that all will be done to keep him comfortable and free from pain. On admission you are the EN assigned to care for him, in collaboration/consultation with the RN address the following questions Describe how you might provide an appropriate care environment for James, giving consideration to his current emotional and social situation, and evaluate the effectiveness of his care Question 25 Your client is an Indigenous Elder and has received many visitors during his stay in hospital. His death is imminent.   As the EN with whom will you discuss final arrangements?  Include any protocols will need to be considered and why?  Question 26 Your patient is a Muslim woman from Syria and has strong religious beliefs. She is at the end stage of her life. Her two brothers have recently arrived from Syria to be with her and to offer support to the family. Describe the Interpreter services that may be required for this family Question 27 Using your cultural research skills: a) Explain with whom you would be discussing the final arrangements with? b) Define the protocols relating to diet and grieving that would need to be observed for this client pre and post death.  Question 28: All hospitals and nursing homes have policy and procedures relating to palliative care.   Use Queensland Health’s document Clinical Guidance for the Dying Patient (Moodle resource) to answer the following questions. a) List who must be notified when your client dies, apart from the family members  b) Explain  two (2) pieces of information that can be provided to the person’s family or next of kin in order the help them move forward, both practically and emotionally.  Question 29 Explain the processes that may occur in accordance with organisation policy and procedures as a part of after death care.  Your response should address: (a) Who determines the person is deceased? (b) Who can request an autopsy? Question 30 Research and briefly explain the process of Organ and Tissue Donation.  · Study Note 1: RECOGNISE THE SPECIAL NEEDS OF A PERSON REQUIRING A PALLIATIVE APPROACH TO CARE https://moodle-vet.cqu.edu.au/pluginfile.php/694534/mod_resource/content/4/HLTENN010%20Element%201%20Study%20Guide%20Final%20%283%29.pdf International Council of Nurses(ICN) Code of https://www.icn.ch/sites/default/files/inline-files/2012_ICN_Codeofethicsfornurses_%20eng.pdf Palliative Care Standards https://palliativecare.org.au/wp-content/uploads/dlm_uploads/2018/11/PalliativeCare-National-Standards-2018_Nov-web.pdf Residential Aged Care Palliative Approach Toolkit https://www.caresearch.com.au/CareSearch/tabid/3579/Default.aspx Palliative Care - Symptom Assessment GuideFile https://moodle-vet.cqu.edu.au/pluginfile.php/694542/mod_resource/content/1/VPCNPC%20Symptom%20Assessment%20Guide%202011.pdf · Study Note 2 : SUPPORT PERSON, FAMILY OR CARERS USING THE PALLIATIVE APPROACH https://moodle-vet.cqu.edu.au/pluginfile.php/694550/mod_resource/content/2/HLTENN010%20Element%202%20Study%20Guide%20%20%281%29.pdf Residential Aged Care End of LIfe PathwayTop of FormBottom of Form Queensland Health Residential Aged Care End of Life Pathway. Use this tool for symptom identification in the 'end of life' care and clinical management of them  https://moodle-vet.cqu.edu.au/pluginfile.php/694539/mod_resource/content/2/Residential%20Aged%20Care%20End%20of%20Life%20Pathway.pdf study note 3: IDENTIFY AND RESPOND TO SIGNS OF DETERIORATION AND THE STAGES OF DYING A Guide to Understanding End-Of-Life Signs & Symptoms Top of Form Bottom of Form This resource will assist you to answer your assessment questions around 'End of Life Signs and Symptoms' https://www.crossroadshospice.com/hospice-caregiver-support/end-of-life-signs/ https://www.caresearch.com.au/caresearch/tabid/1511/Default.aspx Advanced Heath Directive https://www.qld.gov.au/law/legal-mediation-and-justice-of-the-peace/power-of-attorney-and-making-decisions-for-others/advance-health-directive End-of- life care: Guidelines for decision-making about withholding and withdrawing life-sustaining measures from adult patients https://www.health.qld.gov.au/__data/assets/pdf_file/0033/688263/acp-guidance.pdf study note 4: CARE FOR THE PERSON'S BODY AFTER DEATH AND PROVIDE SUPPORT FOR THE FAMILY AND OTHERS. What to do after someone dies. Top of Form Bottom of Form Reviewing this material will assist you with your assessment in regards to care of a patient after death https://www.qld.gov.au/health/support/end-of-life/after-death Sad new Sorry business: Guidelines for caring for Aboriginal and Torres Strait Islander people https://www.health.qld.gov.au/__data/assets/pdf_file/0023/151736/sorry_business.pdf Caring for Muslim Patients https://www.icv.org.au/caring-for-muslim-patients/ stage note 5 PROVIDE FOR OWN SELF-CARE IN PALLIATIVE CARE ROLE. Managing Self Care Top of Form Bottom of Form Self care after caring for a dying person and their family is very important. The following resources will assist in your assessment and implementing of self-carehttps://www.caresearch.com.au/caresearch/tabid/2173/Default.aspx Self Care and Staff Support https://www.palliaged.com.au/tabid/4316/Default.aspxBottom of Formcar9n · Study Note 1: RECOGNISE THE SPECIAL NEEDS OF A PERSON REQUIRING A PALLIATIVE APPROACH TO CARE https://moodle-vet.cqu.edu.au/pluginfile.php/694534/mod_resource/content/4/HLTENN010%20Element%201%20Study%20Guide%20Final%20%283%29.pdf International Council of Nurses(ICN) Code of https://www.icn.ch/sites/default/files/inline-files/2012_ICN_Codeofethicsfornurses_%20eng.pdf Palliative Care Standards https://palliativecare.org.au/wp-content/uploads/dlm_uploads/2018/11/PalliativeCare-National-Standards-2018_Nov-web.pdf Residential Aged Care Palliative Approach Toolkit https://www.caresearch.com.au/CareSearch/tabid/3579/Default.aspx Palliative Care - Symptom Assessment GuideFile https://moodle-vet.cqu.edu.au/pluginfile.php/694542/mod_resource/content/1/VPCNPC%20Symptom%20Assessment%20Guide%202011.pdf · Study Note 2 : SUPPORT PERSON, FAMILY OR CARERS USING THE PALLIATIVE APPROACH https://moodle-vet.cqu.edu.au/pluginfile.php/694550/mod_resource/content/2/HLTENN010%20Element%202%20Study%20Guide%20%20%281%29.pdf Residential Aged Care End of LIfe PathwayTop of FormBottom of Form Queensland Health Residential Aged Care End of Life Pathway. Use this tool for symptom identification in the 'end of life' care and clinical management of them  https://moodle-vet.cqu.edu.au/pluginfile.php/694539/mod_resource/content/2/Residential%20Aged%20Care%20End%20of%20Life%20Pathway.pdf study note 3: IDENTIFY AND RESPOND TO SIGNS OF DETERIORATION AND THE STAGES OF DYING A Guide to Understanding End-Of-Life Signs & Symptoms Top of Form Bottom of Form This resource will assist you to answer your assessment questions around 'End of Life Signs and Symptoms' https://www.crossroadshospice.com/hospice-caregiver-support/end-of-life-signs/ https://www.caresearch.com.au/caresearch/tabid/1511/Default.aspx Advanced Heath Directive https://www.qld.gov.au/law/legal-mediation-and-justice-of-the-peace/power-of-attorney-and-making-decisions-for-others/advance-health-directive End-of- life care: Guidelines for decision-making about withholding and withdrawing life-sustaining measures from adult patients https://www.health.qld.gov.au/__data/assets/pdf_file/0033/688263/acp-guidance.pdf study note 4: CARE FOR THE PERSON'S BODY AFTER DEATH AND PROVIDE SUPPORT FOR THE FAMILY AND OTHERS. What to do after someone dies. Top of Form Bottom of Form Reviewing this material will assist you with your assessment in regards to care of a patient after death https://www.qld.gov.au/health/support/end-of-life/after-death Sad new Sorry business: Guidelines for caring for Aboriginal and Torres Strait Islander people https://www.health.qld.gov.au/__data/assets/pdf_file/0023/151736/sorry_business.pdf Caring for Muslim Patients https://www.icv.org.au/caring-for-muslim-patients/ stage note 5 PROVIDE FOR OWN SELF-CARE IN PALLIATIVE CARE ROLE. Managing Self Care Top of Form Bottom of Form Self care after caring for a dying person and their family is very important. The following resources will assist in your assessment and implementing of self-carehttps://www.caresearch.com.au/caresearch/tabid/2173/Default.aspx Self Care and Staff Support https://www.palliaged.com.au/tabid/4316/Default.aspxBottom of Formcar9n