Self Directed Learning Package - University of Queensland

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128 • The Palliative Approach ToolkitReviewEvaluate and reassess as necessaryThinking PointYou identified that Bob is breathless. You openedhis window, propped him up with pillows, and set upa bed-side fan. Great job! Can you tick this off yourlist? Not quite yet. There is an important question toanswer: Did your strategies work?You can check the effectiveness of your management strategiesby asking the resident to rate the severity of their dyspnoeaagain (using a rating scale), observing their breathing rate, orasking if their mood, sleep or function has improved.Key PointIt is very important that you then pass thisinformation on to a nurse (and document them ifthis is part of your role as a careworker).SUCCESS!You have completed Section 1 of the learning package.You may decide to pause now and answer the firstsix questions of the quiz at the back of this learningpackage.
129 • Self Directed Learning Package - CareworkerSECTION 2AlfredIn this section we will help you answer these questions:• What can you do as a careworker to contribute to the successof a palliative care case conference?• Why is it important to know a resident’s cultural backgroundand preferences?• What can you do to identify, report and manage four clinicalissues (pain, nutrition and hydration, oral care, and delirium)?• What are the benefits of an end of life care pathway?What is the role of a careworker during the final days/weeksof a resident’s life?Key PointBefore reading any further, watch the DVD “All onthe same page”. It is approximately 14 minutes longand you may want to take some notes of key points.While watching the DVD you were introduced to Alfred and hisdaughter Sarah.Case study - AlfredAlfred is 82 years old and a retired school teacher. Alfred hastwo children: Andrew who lives overseas and Sarah who livesclose by and visits twice weekly.Alfred’s wife Alice was admitted to hospital after a severestroke and remained there, fed through a gastrostomy tubeuntil she died three weeks later of pneumonia.After Alice died, Alfred remained at home for nine monthswith increasing support from home care services. Numerousfalls and increasing difficulty with activities of daily living ledto admission 18 months ago to a residential aged care facility.Alfred was a heavy smoker until aged 65 but has notsmoked since.He has osteoporosis, osteoarthritis and fractured his hip threeyears ago.He is experiencing short term memory loss but not enoughto lose his ability to make decisions. Alfred also has ChronicObstructive Airways disease (emphysema) and is unable towalk 20 metres before needing to rest. He has been admittedto hospital three times in the last six months for infectiveexacerbations of this condition requiring steroids andantibiotics. Alfred has not returned to his previous functionallevel after each episode.
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Self Directed Learning Package - University of Queensland

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