Reference no: EM133505898

Respond to Client Language, Literacy and Numeracy Needs

Introduction
Language, literacy and numeracy (LLN) skills are important skills which people require in order to obtain, process, and understand health information and access health services. Poor LLN skills can be a safety risk, cause higher use of emergency services and make it difficult to navigate our complex health care system. As nurses, it is important to identify the LLN needs of our patients in order to achieve good health outcomes. In this assessment task, you will need to effectively demonstrate your ability to establish a client's LLN needs, determine strategies to address those needs and implement those strategies by using the knowledge that you have gained during your studies throughout this unit.

Summary
You will have two (2) attempts to achieve a ‘satisfactory' grade for this assessment task.
To achieve a satisfactory pass for this assessment task, you need to follow the steps outlined below and the requirements listed below.

Steps
• Choose 1 (one) scenario from the three options presented in the Tables on the next page.
• Prepare a PowerPoint presentation and present it in class; it should include no more than ten (10) slides.
• Submit your completed slide presentation to Blackboard CHCLLN001 Assessment 1 portal before your scheduled class presentation.

Requirements
The following must be addressed in your presentation:
- Identify LLN skill requirements needed to access services.
- Identify the LLN needs the patient may have.
- Identify other issues which might impact on the client.
- Collaborate with the patient on agreed LLN needs.
- Prioritise immediate and longer-term LLN actions.
- Discuss appropriate tools and communication strategies to respond to LLN needs.
- Explain the agreed LLN needs and strategies used in line with client and organisation requirements.
- Discuss ways in which the health service can take into account the patient's LLN needs.
- Identify methods for monitoring and providing ongoing support for the patient.

Scenario 1
Alex is a 50-year-old man. He did not complete year 10 at school. He works as a furniture removalist. Two weeks ago, Alex injured his lower back at work and was given a prescription by his GP for strong analgesia and a referral to a physiotherapist.

Question 1. Based on this scenario, identify five (5) potential issues Alex could experience with regards to his LLN skills.

Today Alex was admitted to your medical ward via the A&E following an increase in his back pain and an overdose of the prescription medications prescribed by the GP. You are completing his nursing admission. He is depressed and anxious about his situation.

Question 2. What are five possible signs that could indicate to you that Alex has LLN needs?

You take your concerns regarding Alex's LLN skills to the RN. They suggest that you complete a LLN assessment on Alex.

Question 3. Develop a 5-question assessment tool that you could use to identify Alexs LLN needs and provide five (5) ways in which your hospital implements the ‘Universal precautions for health literacy'

Your assessment indicates Alex reads and comprehends at a very low level (in fact he does not have a driver's licence), his numeracy skills indicate he can only perform simple addition. You collaborate with your supervising RN and Alex to develop a nursing care plan based on his LLN needs.

Question 4. Using the information provided and your answers so far, develop a nursing care plan that includes the following:

• five (5) LLN patient problems or nursing diagnoses
• one (1) goal or expected outcome for each patient problem or nursing diagnosis, (five (5) goals in total for the patient problem/ LLN diagnosis) and
• one (1) intervention for each patient problem or nursing diagnosis, (five (5) goals in total for the patient problem/ LLN diagnosis)
In your five (5) goals/EO, you must address the following:

• four (4) short-term goals, and
• one (1) longer-term goal.
In your five (5) interventions you must address each of the following:
• two (2) communication strategies
• one (1) teaching tool
• one (1) current information about LLN services, and
• one (1) accurate / EB health information service relevant to Alex's health condition.
Two (2) days have past and, in collaboration with the RN and Alex, you need to evaluate the goals/expected outcomes noted in the nursing care plan. He is expected to be discharged home tomorrow.

Question 5. Describe five (5) methods for assessing if Alex has met, partially met, or not met the goals or expected outcomes noted in his LLN care plan. Describe in approx. 100 words how you could ensure ongoing support for Alex once he has left your care.

Scenario 2
Lang is a 75-year-old woman. She is an immigrant from Vietnam She left school at the age of 10 to help the family at work . Lang has been to visit the GP at the clinic where you work as she has developed symptoms of Type 2 diabetes. She was accompanied by her English-speaking daughter.

Question 1. Based on the scenario, identify five (5) potential issues Lang could experience with regard to her LLN skills.

The GP has asked you to conduct a nursing health assessment. Lang continually looks at her daughter when you ask questions and smiles and nods her head at you frequently without saying anything. You hand her a Type 2 diabetes brochure which she folds and puts in her bag.

Question 2. What are 5 (five) possible signs that could indicate to you that Lang has LLN needs?

You take your concerns regarding Lang's LLN skills to the supervising RN. He suggests that you complete a LLN assessment on Lang.

Question 3. Develop a 5-question assessment tool that you could use to identify Lang's LLN needs and provide five (5) ways in which your medical centre implements the ‘Universal precautions for health literacy'.

Your assessment identified Lang speaks and reads very little English and she can read and write some simple Vietnamese. You collaborate with your supervising RN, Lang, and her daughter to develop a nursing care plan based on her LLN needs.

Question 4. Using the information provided and your answers so far, develop a nursing care plan that includes:
• five (5) LLN patient problems or nursing diagnoses
• one (1) goal or expected outcome for each patient problem or nursing diagnosis, and
• one (1) intervention for each patient problem or nursing diagnosis.
In your five (5) interventions, you must address each of the following:
• two (2) communication strategies
• one (1) teaching tool
• one (1) current information about LLN services, and
• one (1) accurate/EB health information service relevant to Lang's health condition.
In your goals/EO, you must address the following:

• four (4) sort-term goals, and
• one (1) longer-term goal.
One (1) week later, Lang has another appointment with the GP. You take the opportunity to evaluate the goals/expected outcomes of the care plan with the RN, Lang, and her daughter. She will not be back again for 3 (three) months.

Question 5. Describe five (5) methods for assessing if Lang has met, partially met, or not met the goals or expected outcomes of her LLN care plan. Describe in approx. 100 words how you could ensure ongoing support for Lang over the next 3 (three) months.

Scenario 3

Peggy is a 29-year-old Aboriginal female. She was involved in a road accident 6 (six) weeks ago and, as a result, has an acquired a brain injury. Peggy lives with extended family. She is now a patient with your community nursing service because she is experiencing difficulties with ADL's.

Question 1. Based on the scenario, identify five (5) potential issues Peggy could experience with regard to her LLN skills.

Your visit today is to complete Peggy's admission form. Her husband is present to help complete the admission. You note Peggy is easily distracted and unable to concentrate for long. She asks you to tell her how many tablets she is supposed to be taking each day and what they are for.

Question 2. What are 5 (five) possible signs that could indicate to you that Peggy has LLN needs?

Because you are concerned about Peggy's presentation and medication management, you contact your supervising RN. She asks you to complete a LLN assessment on Peggy.

Question 3. Develop a 5-question assessment tool that you could use to identify Peggys LLN needs and provide five (5) ways in which your community nursing service implements the ‘Universal precautions for health literacy'.

Your assessment indicates Peggy has difficulty with reading, comprehension, and numbers. You collaborate with your RN, Peggy, and her husband to develop a nursing care plan based on her LLN needs.

Question 4. Using the information provided and your answers so far, develop a nursing care plan that includes:
• five (5) LLN patient problems or nursing diagnoses
• one (1) goal or expected outcome for each patient problem or nursing diagnosis, and
• one (1) intervention for each patient problem or nursing diagnosis.
In your five (5) interventions you must address each of the following:
• two (2) communication strategies
• one (1) teaching tool
• one (1) current information about LLN services, and
• one (1) accurate/EB health information service relevant to Peggy's health condition.
In your goals/EO, you must address the following:
• four (4) short-term goals, and
• one (1) longer-term goal.
You schedule a visit with Peggy to review her LLN plan in 1 (one) month. After this visit, you will not see her for another 6 (six) months.

Question 5. Describe five (5) methods for assessing if Peggy has met, partially met, or not met the goals or expected outcomes of her LLN care plan. Describe in approx. 100 words how you could ensure ongoing support for Peggy over the next 3 (three) months.