Career: Quality Assurance Specialist Professional goal: Pursue my master’s degree
SCENARIO: Mr Ivan Jones, 82 years old, is admitted in your aged care facility this morning from his independent living setting. The referral letter from his physician reveals that he has the following medical history: – Hypertension maintained at around 130/90 mm of Hg with Captopril and dietary management, Diabetes mellitus on medication management and diet control, Myocardial infarction, Hemiparesis of the left side of the body following a stroke in 2013 and had three (3) falls last month with mild to moderate muscular injuries and bruises. Due to increased falls at home and risk in doing self-medication, Ivan has been suggested to move to a residential care facility. Ivan is now in the visitor’s room with his daughter, Ms Colleen Jones. The Registered Nurse asked you to assist Ivan with the transition from his home to the new residential setting. Ivan appears anxious but is responding to RNs questions appropriately. He is lean and tall and is properly dressed. He walks with his zimmer frame at home and needs his daughter to help him with this. He uses a wheelchair for outdoor. Ivan has partial hearing impairment and uses hearing aids in his left ear. He uses reading glasses. He also has upper partial dentures insitu and tolerates diabetic diet, texture modified to a soft diet. Easy to swallow. Till now the daughter was helping him with his personal hygiene, shopping and home chores. He smokes 4 cigarettes per day. As per your aged care facility’s policies and procedures in relation to admission, the development of a Nursing Care Plan (NCP), doctor’s review and medication chart would be finalised over a week’s time. This time is utilised to collect information relating to the resident’s physical health status and general well-being. The information gathered must be discussed with the RN who will work with the resident, family and the healthcare team in developing an appropriate NCP for the resident. You are required to perform the following activities as part of this task and submit the completed forms and templates as additional evidence. The assessor will complete an observation checklist for each task based on the demonstrated skills: Task 4.1 — Therapeutic communication and professional interaction: Demonstrate how you would assist Ivan to get settled in his room. Demonstrate how you would communicate with Ivan and Colleen and attend to the psychosocial needs related to the transition. After getting settled in his room, Ivan asked whether it is necessary for him to be in residential aged care. He wishes to go back to his independent living setting. Colleen is also concerned, but she is unsure of what needs to be done as she is worried about her father’s health and recent falls. Discuss with Ivan and Colleen the implications of his admission into the aged care facility. Ivan wishes to stop smoking, but requests support as he could not successfully quit smoking in previous attempts by himself. Provide relevant information on available community services for Ivan in relation to controlling his smoking habit. Task 4.2 — History collection and Nursing assessment Complete nursing assessment on Mr Ivan and document the findings in appropriate charts and tools. Discuss your findings with RN. Nursing assessments to complete are Vital signs, Head to toe/ focussed assessment, Urinalysis, Neurological observations, Neurovascular observations, Blood glucose levels, Falls risk assessment, Pressure injury risk assessment, Malnutrition screening tool, Mobility assessment and Oral health assessment. Click on the links below for relevant forms to complete this task. You are required to complete these forms during your OSCA assessment and upload them under this assessment Nursing Admission and Assessment Form Observation Chart Neurological Observations Blood Glucose Levels and insulin chart Falls Risk Assessment Skin assessment/ Pressure injury assessment Malnutrition Screening Tool Progress Notes Neurovascular observations Task 4.3 — Formulating nursing care plan (NCP) Assist Ivan to identify his abilities and limitations his capacity for self-care. Based on the findings formulate a Nursing care plan for Mr Ivan involving Mr Ivan. Use the NCP template available via link given below. Remember that this NCP is subject to change with further assessment and evaluation. Click on the links below for relevant forms to complete this task. You are required to complete these forms during your OSCA assessment and upload them under this assessment. Nursing Care Plan Solve fill all these forms
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