Reference no: EM133126552

HLTENN015 Apply nursing practice in the primary health care setting

Assessment task 1 - Knowledge questions

Question 1: Briefly describe the philosophical tenet underpinning primary health care setting.

Question 2: Complete the following table briefly outlining the health challenges and issues facing Australian communities.

a. Discuss diseases and conditions that contribute significantly to the burden of illness and injury in the Australian community with reference to the National Health Priority Areas.

b. Discuss four (4) other health challenges facing Australian communities (Hint: Health challenges in relation to the resource allocation, funding and delivery of health care.

c. Discuss three (3) environmental health issues facing Australian communities.

d. Discuss four (4) common health issues for infants.

e. Discuss four (4) common health issues for children.

f. Discuss four (4) common health issues for adolescents.

g. Discuss four (4) common health issues for adults.

h. Discuss four (4) common health issues for older people.

i. Discuss three (3) examples of health challenges (diseases and other issues relating to health) faced by the Aboriginal and Torres Strait Islander people in Australia

Question 3. Briefly describe various community and in-hospital resources and services available for people with Diabetes Mellitus to receive appropriate care.
• Community resources and services available for the management of Diabetes Mellitus:

• In-hospital resources and services available for the management of Diabetes Mellitus:

Question 4. Briefly describe various community and in-hospital resources and services available for people with dementia to receive appropriate care.
• Community resources and services available for the management of dementia:

• In-hospital resources and services available for the management of dementia:

Question 5. Briefly describe the health-illness continuum (illness-wellness continuum).

Question 6. Briefly describe the roles of the following two (2) primary health care organisations.

a. Australian Primary Health Care Nurses Association.

b. Primary Health Care Research and Information Service (PHCRIS):

Question 7. Refer to the Patient Safety in Primary Health Care - a review of the literature 2015 published by the Australian Commission on Safety and Quality in Health Care (ACSQHC) and discuss the purpose and key components of this document.

Question 8. Briefly describe how the Australian Journal of Primary Health contributes to the information relevant to primary health care setting.

Question 9. Outline three (3) strategies you could implement when caring for a confused person in relation to primary health care provision.

Question 10. Briefly describe how you could implement validation therapy when caring for a person with dementia.

Question 11. Briefly describe the difference between preventive, curative and rehabilitative service delivery models in a primary health care setting context.

Question 12. Identify and briefly describe an example each for the resources available in Australia for the provision of preventive, curative and rehabilitative service delivery models.

Question 13. Briefly describe the model of trans-disciplinary care in a primary health care setting context.

Question 14. Briefly describe how you would apply or promote the following principles in a primary health care setting context.

a. Access and equity

b. Empowerment:

Question 15. Discuss the roles and professional expertise of three (3) members of the interdisciplinary health care team in a primary healthcare workplace in your region.

PART B - Case study questions

Question 1. Narelle, an enrolled nurse, is undertaking her routine visit to a person's home. On arrival, Narelle notices that the door is left open and the person, a 68-year-old man, is on the floor holding his chest showing signs of severe pain, sweating and showing difficulty to breath. When she asks whether he has chest pain, the person says ‘yes'.

a. Briefly describe the appropriate first aid management Narelle must provide for the casualty in this situation.

b. After three minutes of first aid interventions, the person suddenly became unconscious and stopped breathing. Briefly describe how an enrolled nurse must respond to this situation.

Question 2. Russell, an enrolled nurse, observed on a home visit that Mr Chan, a 72-year-old, Chinese man who migrated to Australia three months ago was not complying with his self-management plan. He was not proficient with English language (reading and writing) and technology (using mobile phone and internet), however, could manage with broken simple English when speaking. Mr Chan's wife and son had returned to China for a week to manage their ancestral property and some household affairs. Mr Chan was finding it hard to communicate with Russell without his wife being around as an interpreter. Mr Chan appeared sick and needed a check up for further management. However, he has not made an attempt to seek medical support yet. Mr Chan had a pamphlet in English from his GP detailing self-management strategies.

a. Briefly describe four (4) examples of possible health literacy issues that may inhibit Mr Chan's capacity to access appropriate health services.

b. Briefly describe strategies you could implement to support Mr Chan with his health literacy issues.

Question 3. Mr Darren Dale presented himself at a GP clinic with complaints of sneezing and mild rashes on his face and arms. Hay fever and spring season related allergies were common presentations at the GP clinic during that time. The receptionist advised him to take a seat and wait for the doctor to call him. Mr Dale asked whether he could consult a doctor at the earliest as he was ‘feeling funny in my tummy'. A nurse who overheard this conversation commented ‘It is quite common to hear people say that to avoid waiting' and suggested he wait for his turn the same as other people in the waiting room. Mr Dale didn't comment any further and took a seat. After a couple of minutes, he started wheezing and rapidly became breathless. Mr Dale collapsed on the floor and an ambulance was immediately called and he was rushed to a nearby hospital.

Discuss what went wrong in this situation. Outline critical thinking and problem-solving strategies the nurse should have applied to avoid deterioration of Mr Dale's condition in this situation.

Question 4. You saw one of your colleagues providing wound dressing for a client who presented with a moderately bleeding wound on his foot. The care giver didn't wear any PPE when managing the wound. You also observed that the care giver was talking to the client, leaning over the wound. When asked, the colleague responded ‘Hey, come on. I used the hand rub before the procedure, and I knew the client. He has no infectious disease that he may pass on to me from his wound. I don't have any cold or other respiratory infections that he may possibly get from me'.

What infection prevention and control evidence-based practice guidelines should the care giver access and comprehend in relation to this situation? What does the evidence recommend as the most appropriate infection prevention and control strategies when managing an open wound?