NRSG374 Principles of Nursing A Palliative Approach
Task:
Considerations for the Community Palliative Care Setting
Many of these are continuously being assessed and monitored:
Falls Risk Assessment
Braden Pressure Risk Assessment
Pain Assessment
NOK contact details
Advanced Health Care Directive
Modified Karnofsky Score of 30-40
SAS Tool Completed
What might be some things I need to consider as an RN caring for Tyler and his family ?
National Palliative Care Standards?
NSQHS Standards?
NMBA Standards?
What do I know about the illness trajectory of motor neurone disease?
How will I recall information previously learnt and understood about this illness?
Where are some of the best locations to access EBP and current standards of care?
What is my role in supporting the patient and their family?
What is a SAS Tool?
What is the Problems Severity Score/ (PSS)?
What is a Modified karnofsky Score?
What is a RUG-ADL Score?
How do I determine the Palliative Care Phase that the patient is in?
Do I need to start having some difficult conversations and ask the patient and their supports what they understand about his prognosis?
What are some of the complications that the patient and family may face?
Are there any specific symptoms that I should be looking for when developing a care plan?
What is the pathophysiological response when someone dies from the specific illness of this patient?
What should I expect?
Am I ready to deal with this?
Where do I get support as an RN if I feel overwhelmed?
Have I thought enough about my own well being and resilience for this professional specialty?
How do I care for a deceased person?
How will I know what to say?
Case Study
As described in the Unit Outline you are now required to select an appropriate CPG out of the CPG's that have been provided:
The CPG's to select from are:
o Care of the Dying patient
o End of Life Care
Review and critique the care given to the patient against the CPG you have selected and provide evidence to support your critique through additional research that you will undertake
Highlight the importance of the National Palliative Care Standards and at least one of the NSQHSS and/or the NMBA Standards and how they influence our practice
Demonstrate knowledge on the illness trajectory of Motor Neurone Disease (MND) in line with Palliative Care Principles
Provide links between the case study and your chosen CPG to identify highlights or limitations in care
Ensure that your sources are all contemporary (within the last five years) and from evidence based sources)
Read all instructions and the rubric very carefully.
