Discuss how you as a nurse know that care is appropriate and meeting the needs of the client.



Discuss how you as a nurse know that care is appropriate and meeting the needs of the client.

need in text citation and references as well, book is Fundamental of nursing, Crisp & Taylor and some of the google search
Q1: Provide a definition of health and discuss what a ‘holistic view of health is’.
A1: Holistic view of health is assessment that include physical assessment, mental assessment, socio-economical assessment and spiritual assessment.
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Q2: What subjective and objective information would you obtain when conducting a holistic assessment of a palliative client and what tools (equipment and written would be used in this process? (put the answer under two headings)
Answer:
Subjective:
Objective :
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Q3: Research: ‘Palliative Care Australia Standards’ and list the guiding Principles/characteristics from these standards and briefly explain each. There are 13 of these
A3:
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Q4: Source the ‘Standards for Providing Quality Palliative Care for all Australians’ (as above)and state which standard addresses the area of:
• Respect.
• Holistic care.
• Unique needs, comfort and dignity of the client are recognised.
• Assessment and care planning is undertaken that enables care is unique to and the wishes of the client, their caregiver(s) and family.

A4:
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Q5: Any health provider organisation that you work for will have policies and procedures.
What are your responsibilities in relation to the policies and procedures (How will these influence your practice as an EN endorsed)?
A5:
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Q6: We need to be able to provide the best care for our clients, to do this we need to have an understanding of ‘caring’. What is the benefit of ‘knowing your client’?
A6:
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Q7: What does ‘providing presence’ mean in the context of nursing and why would it be important in nursing a palliative care client and their family?
A7:
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Q8: What are the benefits of ‘listening’ to your client?
A8:
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Q9: List at least 8 ways that nurses show respect.
A9:
( rescept about culture, choice,
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Q10: Discuss your roles and responsibilities in developing a plan of care for your palliative client.
Answer10:
Quality and safe care
Assessor
Support family and carers
Privacy
Co-ordinate care/ task through shift
RN delegation
Work with multidisciplinary team
Client and family education
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SCENARIO
Your case mix of clients that you are looking after includes Mrs Net who is 65 years old. She is being treated for terminal Lymphoma. You have been informed by the Registered Nurse that Mrs Net is to have a long-term, percutaneous intravascular catheter inserted today. You are aware that Mrs Net has not had an intravenous line before. She is on an opioid regime for pain management. She is the principal carer for her husband who has dementia and is currently in emergency respite care. Her daughter has enduring Power of Attorney over financial and health matters. Mrs Net has not given a clear indication to her daughter of how ill she is. Physically she presents as emaciated and anorexic due to the disease process (you may find it beneficial to research these two words)
Q11: Describe the pathophysiological changes associated with terminal non-Hodgkin’s Lymphoma.
A11:
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Q12 (a): Complete the following care plan from the information provided above in question 11 and the scenario.
A12 (a):
Assessment
Holistic Nursing Dx Goals Implement Rationale
Subjective and objective data
List the information and any assessments that would be obtained
Eg T.P.R. B/P
Anxious Anxiety related to procedure Alleviate anxiety
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Q12 (b): Discuss the process of monitoring effectiveness of care, how modifications to care are determined and the EEN role in evaluating care and care plans.
Answer12 (b):
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Q12 (c): Discuss how you as a nurse know that care is appropriate and meeting the needs of the client.
A12 (c):
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Q13 (a): What impact does Palliative care have on a person’s ability to manage their ADL’s?
A13 (a):
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Q13 (b): Discuss how you would support your palliative care client in managing their ADL’s.
A13 (b):
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Q14: There are other health workers other than the nursing staff and medical officers who would be involved in the care of Palliative clients.
List 6 of these and discuss their role in providing care


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