Assignment Detail:- HLTENN012 Implement and monitor care for a person with chronic health problems
Part 1 - Comprehensive Client Profile
Question 1- A statement on what the client, family and carer understand about the condition and its impact on the client
Question 2- Identify the current treatments the client is receiving and what multidisciplinary resources and support services are being accessed
Question 3- Identify what community based care services they are accessing
Question 4- Identify what other agencies and professionals are supporting the person
Question 5- Discuss what level and type of care is being provided by the family and carer
Question 6- Discuss identified areas for education for the client in the management of their chronic health condition and how you have contributed to the clients understanding-
Question 7- In a brief paragraph, discuss the following impacts due to their chronic health condition• Social• Emotional• Physical• Psychological• Financial
Question 8-Care Plan:Once you have collected the above information and other relevant patient data you must analyse the health information collected and the clinical presentation of the client and develop an accurate plan of care that includes appropriate nursing interventions related to their chronic health problems- In the development of this care plan you must actively involve the client in the development of strategies to self-manage their condition- It is expected that you dentify 2 Nursing diagnosis -using the NANDA tool as a guide-- The interventions you identify must be implemented for the client and you then must provide a statement in your care plan submission on the client's response to those interventions-
Part 2 - Comprehensive Client Profile
Q1- INTRODUCTIONa- i- Identify a potential participant for your Comprehensive Client Profile-Explain how you introduced yourself, how you informed the client of what the Comprehensive Client profile involved, how you gained consent from the client to participate-
ii-Record your conversation with the client below to show evidence of your client's informed consent - Remember that client names should never be used as their details must remain confidential, so please replace name with Mr/Ms -letter--
b- i-What would you do if you were unable to communicate directly with the client due to language, cognitive or physical barriers???? - you must include at least 1 culturally appropriate strategy-
ii- Explain who you used to assist you in communicating with your chosen client and why-
c- i-List the client's gender, age, and any cultural, spiritual or religious details-
ii-Why is it important to document EACH of these details????
d- i- Document the clinical measurements you obtained during the assessment of the client-Temperature and how it was taken -e-g- Tympanic-:Respiratory Rate and characteristics:Pulse and characteristicsBlood Pressure:Oxygen Saturation:Pain -scale, location and characteristics-Developmental stageii- Why is it important to perform clinical measurements and assessments whenundertaking client assessment????
iii- What resources did you use to identify the client's developmental stage????
Q2- Collect Information:a- After discussion with your client and referring to their current client file at your facility, document your chosen clients' lifestyle patterns, health history, current health practices, coping mechanisms, issues and needs below:
b- Discuss with the family member or carer of this client, any emotional or physical needs theyassist with to support this client- Document your findings below-
c- Use critical thinking to interpret objective and subjective data from your various assessments conducted and determine if the data is or is not within normal parameters of the client and of acceptable ranges -e-g- BP 120/80--
Indicate which data is subjective and which is objective-
Identify which of this data was not within acceptable ranges and possible reasons why-
d- Why is it important to communicate immediately all deterioration concerns about the client to the Registered Nurse????
-If any- what data did you relay to the nurse regarding this clients' assessments and how did you inform them????
e- From analysing your clients' health history and clinical assessment, what -if any- risks or impairments of their ability to participate in activities of daily living have you identified????How might this influence the care they receive????
Below you are required to record all the data collected from your clinical assessment of your clientYou must record ALL findings; normal and abnormalYou must record ALL acceptable ranges for all findingsFor findings outside acceptable ranges - how they are abnormalPossible causes
Vital signs -T, P, RR, BP-
Neurological Assessment -GCS----
Urogenital -Include continence care-
Perform a Urinalysis -Full Ward Test- results and interpretation
Q5- Evaluate outcomes of care provideda- Consult and collaborate with your multidisciplinary team -RNs, Physios, OT, dietician etc--, to identify and evaluate your own contributions to the person's care- - what did you do specificallythat helped meet their care plan goals????
b- From reflecting on your clients' outcomes within their care plan, evaluatetheir progress and the effectiveness of the interventions used-
c- Document below the required changes to the clients nursing care plan in linewith best practice in nursing-
Q6- Risk prevention strategiesIn the sub sections below, document how you would assist in these areas-what you would do????what you would look for or assess????what documentation/ tools/ resources you would source????
a- maintaining a safe environment b- maintaining a safe environment c- promoting active and passive exercises d- promoting deep breathing and coughing exercises e- maintaining skin integrity and pressure area care
Attachment:- chronic health problems-rar
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