Understanding Nursing Procedures - Case Study Example

UNDERSTANDING NURSING PROCEDURES CASE ONE 1. What do you understand by transition care and how are they provided? Transition care is primarily a process of assistance that is provided especially to elderly when they live the hospital after certain hospital appointment. The process aims to continue the care at the comfort of the homes of the patients involved as it is believed that for the older patients, comfort is something that is essential of considering when recovery is being talked about (Choate: 2002:88) . Through help from professional healthcare givers, the Australian association of healthcare institutions make it a point that they are indeed able to provide the best service they could even when the patients are already sent home. There are fees to pay though, which gives way to the idea of having transition care be applied through the help of close relatives to complete the process. This process is considered essential and way more practical for most of those who are short with finances in handling their healthcare needs. 2. Explain who are the ACAT team and how would you access them. ACAT primarily stands for the Aged Care Assessment Team which is a group of people who are concerned in giving outstanding help for those who are aged in the community. The foundation of the stand of the group is to actually give the older ones a chance to realize their importance to the community even beyond their ages of allowed working years. Most likely these old aged individuals, although retired, still try their best to make a great change in the lives of the ones that they live for. Helping them realize this particular truth about their worth as a human being is the main aim of ACAT. Besides that, it is also the aim of the ACAT group to make a huge difference in the lives of the old ones as they meet the turning point of their lives. It is believed by the ACAT group that through helping these individuals, a higher percentage of life satisfaction among the population of the Australian community could be realized and be bettered as well. Through their website at http://www.health.gov.au/internet/main/publishing.nsf/Content/ageing-acat-assess.htm-copy2, their services could be accessed and their assistance could be asked and expected. 3. Where do they fit within the Aged Care Act and legislation? In the list of many laws formulated to protect the rights of the aged people, the ACAT falls on the Community Welfare Act (now called Family And Community Services Act). The reason for this is that they are indeed a group that provides different packages of assistance programs for the elderly that includes different scopes of health and social issues that the said group of population experience in their lives. 4. Give an outline what the Aged Care Act is about. The Aged Care Act is a list of different laws that are designed, created, and established to make a society that is caring enough for the elderly giving them their rightful place in the society as the old and wise people. Likely, the process of creating these laws is based upon the need of providing assistance to the old ones as they take the last turn of their lives. Helping them cope with social, personal and psychological issues is the primary foundation of the said Act. Starting from basic care towards the provision on the assistance that they need to be able to access the basic needs that they demand for, the Aged Care Act is established to serve as basis of measurement if the old ones are still given the attention that they really need by their families and the society as well. 5. What are the Standards in the Aged Care Act? In the process of caring for the welfare of the elderly, it is always the primary concern to see if the families of the said individuals are giving high attention to their responsibility with the old members of their family. After which, the attention goes to the organizations providing services to the said individuals. The accessibility of their services and the support that they get from the government is of high concern for the Aged Care Act legislations hence setting a standard of procedures that organizations such as ACAT should follow. 6. Is there any Complaints process in place to protect the elderly? Yes, there is. Through the complains investigation scheme, every old aged individual needing help as to the confirmation of the supposed complain that they have towards a care provider in the community that they are enjoined with, is given the attention that they need. CASE TWO 1. From your knowledge and understanding of transition care and domiciliary care, provide reasons why Mr D should or should not be approved for transition care. The situation of Mr D is quite uninsured. It was more of an unrecoverable ailment that would make him unable to actually feel better even when he is subjected to transfer care. It is then noted that what he needs is to be given attention at the hospice since there the care given to him would be centralized, house-based healthcare provision might at some point be over rated and over expensive for the ACAT considering the case and health situation of Mr D. 2. From your knowledge of health – illness continuum, life stages, describe the next phases in Mr D’s health. In Mr D’s case, the next phase of illness that he needs to phase is his dependency on others. With his bones getting weaker and his injuries getting more serious each day, he is certainly going to need the assistance of others in almost everything that he does later on. 3. If you needed an agency to call upon to advocate for Mr D, who would that be, provide pamphlets. The Australian Resuscitation Council could help in the process as they are the ones who could give extra funding and care on the situations such as that of Mr D’s. The site could be found at The Australian Resuscitation Council Online [http://www.resus.org.au/] for information and assistance access. 4. What would be the Nursing management of this client with his diverse range of health conditions, list them. Besides the medication that needs to be provided to the patient, there is also a need for attending to his social needs hence pointing out the need for him to mingle with others so as to keep his mind away from the health situation that he is currently in. Assisting him in his mobility is also essential. Considerably, it is through this that he is in need of extra attention every time he moves requiring a healthcare provider to remain by his side almost all the time. 5. Because Mr D has been a prisoner of war and you would love to ask him questions about that part of his life, what would be the legal and ethical issues related to be aware of in such practice? Questions pertaining to his past might bring him the memories of his days when he was still strong and may bring in a case of lost hope and depression on the patient. Hence, while asking about his past may not be a question, finding the right process of doing so should be applied so as not to awaken a sense of depression on the patient. Case Study 3 Mrs N was an 81-year-old widow who lived independently in a granny-flat attached to her daughter and son-in-law's residence. On a weekend trip to the country with her daughter and son-in-law, the family was involved in a car accident. Mrs N sustained a fractured right clavicle in the accident but her daughter and son-in-law only received minor injuries. Mrs N had been in hospital for several weeks and had recuperated well. The fracture had healed and with some intensive rehabilitation, the loss of strength in her right arm had not been substantial. However, it was still not at the level prior to the accident and for her right arm to regain its original strength, she still required low intensity therapy. Mrs N was admitted to a community-based transition care service directly from hospital. The original goal set by the transition care service provider was for Mrs N to regain full strength in her arm before exiting transition care to her residence after 12 weeks. In week 8, Mrs N had suffered a slight set back — she had badly bruised her right forearm. By week 10 it was clear the original goal of gaining full strength in her right arm would not be attained. Mrs N required several more weeks of therapy in order to reach that goal. Her goal was reached and Mr N was discharged home to the granny-flat in care of Domiciliary Nursing. She needs assistance with personal hygiene and housekeeping tasks. 1. You have a full schedule of home visits today, use problem solving skills, including the ability to use available resources in a Mrs N’s home setting, how will you prioritise your workload for home visits? The plan of the map where the visits are supposed to take place should be well considered (ANF, 2003:66) . To be able to meet the needs of every patient needing attention, there is essentially a great concern needed to be given to establish the continuity of the process. Following a map that gives the continuity of the addresses of the visits would reduce both the time and the effort to be used for the said tasks to be completed. 2. At the end of your heavy day of tasks, home visits, documentation reporting changes to RN or other team members, what would you reflect on? Explain in detail. The most important part of the day is particularly seeing how each of the patients that have been attended with actually progress in their health situation. Through having the rightful assurance that they are receiving the attention that they are in need of and that they are making considerable progress gives all the work load and task completion that complete worth that that they should play in a nurse’s life. (ANF, 2006:44) 3. Provide Literature and professional bodies associated with domiciliary health care management. Swayne, Linda. (2007). Strategic Management of Health Care Organizations (5th Edition). Wiley-Blackwell; 5 edition. International Conference on Strategic Issues in Health Care management. (2004). Health Care Policy, Performance and Finance: Strategic Issues in Health Care Management [ILLUSTRATED]. Ashgate Publishing; illustrated edition edition. Brandeau, Margaret. (2004). Operations Research and Health Care: A Handbook of Methods and Applications (International Series in Operations Research & Management Science). Springer Edition. 4. Provide statistics of how many people in different age groups would utilise domiciliary nursing. The blue bars show how many people in Australia are ages 85 and above of whom might be interested in utilizing domiciliary nursing services later on. 5. Give 3 examples of each of the following points of how would you apply your professional standards of practice in domiciliary nursing, ANMC code of conduct When dealing with patients, the level of professionalism must be constantly considered Establishing personal relationship with the patients might not be necessary at all but establishing a fine relationship with them is essential in gaining the trust of the patients. Seeing that everything that the patient needs is given careful attention is a huge part of professional nursing. ANMC code of ethics When caring for the patients, there is a need to consider the opinion of the relatives. Asking for the opinion of the patient themselves with regards the process of medication to be given to them is an essential part of patient assistance procedures. Counselling the patients is a huge step up for every nurse wanting to extend their role in helping their patients recover psychologically. ANMC national enrolled nurse competency standards Living up to the licence is always essential Giving the clients the right chance to realize their recovery could help the process of healing much easier to consider hence creating a better sense on the competency of the work the each nurse undergoes A nurse is considered competent if he or she is able to complete the tasks given with the utilization of proper decision making and time management to be able to complete multitasking procedures to complete everything appointed to the individual to finish in a day. state/territory Nurse Regulatory Nurses Act assuring that the given territory receives ample health care assuring that the assigned people receive the best care that they require Giving attention to the needs of the patients and encouraging other groups in the community to join in the process. state/territory Nursing and Midwifery Regulatory Authority standards of practice proving time for each patient needing care giving attention to the needs of every patient appointed for care providing ample assistance to those needing it. scope of nursing practice decision making framework creating a fine schedule on how to complete appointed tasks establishing a good sense of understanding on the needs of the patients and providing them attention as needed. Creating fine assumptions to establish good relationship with the patients allowing a chance for better sense of decision making when caring for the said individuals is already involved. References: Australian Nursing Federation. Australian Nursing Journal. Vol. 4; Number 32. (1998) Choate, Kim. Reducing anxiety in patients and families discharged from ICU. (Critical Care and Nursing Education).: An article from: Australian Nursing Journal. Australian Nursing Journal. (2002). Australian Nursing Federation. Nursing home criticisms mask a greater problem.(Bartonvale Nursing noncompliance to standards): An article from: Australian Nursing Journal. Thompson Gale. (2006). Australian Nursing Federation. The Nursing in General Practice project. (News).: An article from: Australian Nursing Journal. Australian Nursing Journal. (2003). Australian Nursing Federation. Aged care accounting questioned.(NSW): An article from: Australian Nursing Journal. Australian Nursing journal. (2004). Read More