Case Study 1 (Page 64) Read the case study, then answer the questions that follow. Narta is
Question:
Case Study 1 (Page 64)
Read the case study, then answer the questions that follow.
Narta is an Aboriginal woman at the terminal stage of her illness. She has progressed to a semi-cons community 900 kiliometres away, When her family arive, they are upset as they are nscious state while waiting for her family to arrive from an outback unable to communicate with Narla due to her condition. Communication is very important to them at this time. The nurse on duty makes an assessment that Narla is in pain and requires more morphine to relieve the pain. Casey, the palliative care worker, informs the nurse that she doesn't think that Narla's restlessness is due to pain but is instead because she wants to communicate with her family and is finding it difficult to do so. Narla's family, together with Casey, decide to reduce the dosage of morphine to see if thi' would allow Narta to communicate with her family. Casey informs the treating doctor of the family's decision and the dosage is reduced. Narla is then able to sit up. eat a small meal and share stories with her family. She dies the nest day.
1) Why is it important to use a non-judgmental approach to ensure the person's lifestyle, social, spiritual and cultural needs are supported and documented in the care plan?
2) Provide an example of a legal and ethical consideration regarding work role boundaries, responsibilities and limitations.
Topic 3 - Follow the client's advance care directives in the care plan
1) What information can advance care directives include for a person accessing services?
2. List two items that might be found in the advance care plan.
3.Who can make a decision for a person when they are no longer capable of doing so themselves?
4. What should you do if a person changes their end-of-life requests?
Case Study 2
Read the case study, then answer the questions that follow.
Teresa, a palliative care worker, is visiting Huong, a Vietnamese lady, who has been sent home to die with dignity, surrounded by her family. Her son Tran is her primary carer. He sits by her bedside every day. He organises bowls of fruit and food for visitors and lights incense and candles at the family shrine. Tran is very emotional and finds it difficult to speak to Teresa. She notices that every now and again his head drops and he closes his eyes. It seems that Tran is quite exhausted. Tran eventually admits that he hasn't slept for two or three days. Teresa genty explains to Tran that he needs rest, as only then can he give his mother the care and love she needs. She arranges for a respite worker to look after Huong so Tran can recuperate. She also speaks to Tran's sister who visits and asks if she can take over Tran's task of providing personal cares for their mother for a day or so.
5.)What action could you take to support Tran and give Tran a rest?
6)What signs is Tran displaying that indicate he is feeling stressed?
7)List two location where a person might request to die?
8) When a person who is acc cessing services informs you that they wish to die at home, what action should you take?
Topic 4- Respond to signs of pain and other symptoms
1) What are two things you should document when a person is reporting that they have pain?
2) List four actions a personal care worker can do to support a person in care delivery, including pain management
3) Who is legally allowed to administer an opioid medication to a person?
4) List two other methods that could be used to treat pain other than medication.
5) Explain three observation that you would make to see if the pain relief is effective or not effective.
6) Explain four common misconceptions regarding pain-relieving medications.
Topic 5- Follow end-of-life care strategies
1) When should the care plan be reviewed and updated?
2) Why should the personal care worker regularly check the care plan?
Case Study 3 (Page 123)
Read the case study, then answer the questions that follow.
Rhonda is a care worker in an aged care facility. Penny, a client, is admitted there after being discharged from hospital. It was found on admission to the hospital that her breast tumour had not responded to treatment and that prognosis was only 2-3 months. Penny up unti this point in time had resided at home independently but the tumour was aggressive despite all treatments. Penny was unable to undertake activities of daily living and her husband was not coping with Penny's health deterioration. Penny underwent a radical mastectomy three months ago and had undergone extensive chemotherapy, causing loss of hair. On admission to the tacility. Penny was very depressed.
3) Describe four measures the palliative team can take to assist Penny's family prepare for end-of-life.
4)What key responsibility does the palliative care team hold for Penny and her husband?
5) List four preferences a person might express regarding their care at end-of-life.
6) List four factors that may help to main a person's dignity.
7) How can a personal care worker support a person sensitively and respectfully after death ?
8)List four signs of imminent death.
9)What should a palliative care worker do if they observe signs of imminent death of a person they are supporting?
10)List and explain the five stages of grief that the person and!or families go through in palliative care.
11) How can a personal care worker support other people after a death has occurred in a facility?
Topic 6- Manage your own emotional responses and ethical issues
1) Explain your obligations in relation to confidentiality and privacy.
2) Expiain how you can support the family/carer of the person accessing palliative care.
3) What is not a typical reaction?
4) Describe three ways your reactions may affect your work and others.
5)With whom should a palliative care worker discuss ethical issues?
6) Identify four emotional responses that a personal care worker can experience that could impact others.
7) Does everyone grieve in the same way?
8) Explain two ways members of the team could support you.