CHCPAL001 - Deliver Care Services Using A Palliative Approach - Nursing Assessment Answer

CHCPAL001 - Deliver Care Services Using A Palliative Approach - Nursing Assessment Answer

Assessment Task:

CASE STUDY

Jessie is the carer of James, her 75-year-old husband with prostate cancer, physical disabilities and mental health issues. Jessie worked for 15 years as a social worker, but gave up her career a few years ago and has been caring for James ever since. James is an outgoing man, but he needs daily assistance with personal care, dressing, medication, meal preparation, transport, appointments and financial issues. Up until recently Jessie provided all the care for James, but Jessie's health has deteriorated and she now needs the assistance of support workers on a daily basis. Jessie has painful arthritis which is restricting her
movements.

1. What knowledge and skills does Jessie possess that could complement the role of a support worker involved in the care of James?

2. What needs might Jessie have that could impact on James and would, therefore, need to be confirmed with a supervisor? 

Question

1. Why is it important that a palliative approach take cultural issues into consideration? 

2. What does stereotyping mean and why is it important with regard to cultural issues and palliative care workers? 

3. Cultural considerations are a necessary part of planning for palliative care. You are expected to offer an inclusive service to all clients. What are three strategies that might enable palliative care workers to cater for family, community, cultural and ideological considerations?

CASE STUDY
Theodore is English. He came to Australia in his 60s to be with his family. Theodore and his family are very private people. They tend to keep their feelings to themselves – perhaps this is because of their English culture.

Theodore has late stages of a terminal disease. He has made it clear in his advance care directive that he:

• does not wish to be resuscitated
• wants to be kept comfortable
• would like his immediate family to be with him when he dies (if possible)
• would like the Anglican priest to be called to perform the last rites.

Theodore’s health has deteriorated significantly. He has been sleeping for the last 24 hours and today he has been very restless. The doctor has told you that he is not expected to live more than a few hours.

You and your colleague, Jamison, will be caring for Theodore today.
The buzzer goes off in Thordrie’s room.
The family tell you that Theodore has passed on. They tell you it was peaceful – he just took a last breath and it was all over. He is on his way to heaven now – flying with the angels.
The family says the Lord’s Prayer.
You observe the body. Theodore’s eyes are half open and his mouth is open. He is not wearing his dentures.
Who should you talk to if you don’t know what to do during this end-of-life stage?

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