HLT51612 Diploma of Enrolled Nursing (Division 2) - Summative Assessment
Date issued: Date Due:
UNIT NAME HLTEN515B
UNIT TITLE Implement and monitor nursing care for older clients
ASSESSMENT B1: Short Answer Questions
Marking Guide
• Word Limit of 100 word per answer.
• Candidates are required to adhere to the Assessment Guidelines in their submission.
Questions:
Candidates are to answer the following questions.
1. Name and describe three tools commonly used for assessment in aged care.
2. Community care was only increased by approximately 10% in 2012-13. Is this sufficient to rebalance community and residential care according to consumer demand? Give your opinion from what you have learnt and research.
3. How can messages of dementia risk reduction be incorporated into primary care?
4. The last 40 years the life expectancy has increased. Give your thoughts as to why.
5. For the older Australian whom lives in a rural area what are the issues they are faced with in relation to health care?
6. What are some of the advantages of living in a rural area that would entice health care professionals to practice there?
7. Mrs X was admitted to the residential care facility because at age 49, he had early onset dementia and head reached a stage where her husband could not continue to care for her and keep working. His work as a layer was busy and they needed to keep
HLTEN515B_B1 Short Answer Questions_v1.0
his income at the present lever to maintain two children studying at university. The grief and loss this family sustained when their mother and wife began to behave in an uninhibited way was profound. Mrs X would remove her clothes, swear at staff, proposition visitors and generally behaved in a way very much out of her usual character. Finally she couldn’t remember her children names or want any connection with her husband. She was still physically active but some motor control was a problem because she couldn’t remember how to feed herself and her movements were becoming slower.
a) How could you assist this family to cope with their loss and grief?
b) How would you deal with the overt sexual behaviour?
8. What is person centred care?
9. Read the following 2 descriptions of a handover then note the differences between them. What was done well and what was incorrect?
Description A.
“Martha was a placement from hospital. She has to be restrained for now anyway. The family said she is used to it in the ward.
She is constipated, aggressive and a two person transfer (failed rehab). She is a feed, incontinent and be careful cos she makes balls of her faeces and throws them at you! She screams endlessly. Good luck with her!”
Description B:
“Martha comes from Kew: she spent her life working for charities. Martha is a very smart dresser and likes her hair plaited at night. She has the most beautiful smile and has been diagnosed with dementia. She has come to us from hospital very constipated and has been trying to self-evacuate. She is also reluctant to move and seem to be in pain. We have started her on an assessment and bowel regime as well as immediate analgesia while we assess when the pain is occurring and what type of pain it is.
She loves you to make eye contact and joke with her. Her family brings in stewed fruit, which she eats with no trouble. Provided we ensure her hands are clean she also enjoys some finger foods. They had bed rails at the hospital but we have settled her into a low bed and she seems very happy.”
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10. Pain management in older people is a very important area. The preferred approach is to treat the underlying cause however if the cure is not feasible then a symptom based approach would be used. There is a wide range of pharmacological treatment options and different modes of drug delivery. What are some of the reasons why some medications found to work well in younger persons may not work in the older age group? Give at least three reasons why.
11. Name 4 medications used in the older person age group. Identify its indications and any adverse reactions or comments that are of high importance to know.
12. Identify what services your local council/neighbourhood centre provide to the older person in your local area. Find at least 5 services and provide a brief description on each. Is researching this information is important? Why or Why not?
13. Differentiate between hallucinations, delirium and depression.
14. New ways of doing work are needed in aged care services. The workforces is ageing itself and younger workers are not being attracted to the field. Various incentives are currently being offered to attract health professionals to work in aged care. Consider the advantages as well as the disadvantages of aged care work. Sell your job to a new prospective employee.
15. What is assistive technology and what are some of the barriers to using this?
END