Self Directed Learning Package - University of Queensland

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148 • The Palliative Approach ToolkitWriteDocument your actionsMany residential aged care facilities expect careworkersto document information on assessment charts and in theclinical record. If this is part of your role, try and avoid generalstatements. Be as specific as possible.Avoid general statementsPOOR COMMUNICATIONGOOD COMMUNICATIONEvaluation of interventions ‘with effect’ or ‘Resident commenced on treatment for‘effective’.mouth ulcers. Sore spot on inside ofmouth resolved’.ReviewEvaluate and reassess as necessaryThinking PointYou identified that Alfred cannot swallow anymoreand you reported this to the nurse. When you enterhis room, you always swab his mouth and apply lipbalm. Great job! Can you tick this off your list? Notquite yet.There is an important question to answer: Did yourstrategies work?You can check the effectiveness of your management strategiesby checking Alfred’s mouth (as detailed in the SEE section prior).Key PointOnce you review and reassess a resident it is veryimportant that you pass this information on to anurse (and document your assessment if this is partof your role as a careworker).
149 • Self Directed Learning Package - CareworkerDeliriumDelirium in older people is often overlooked and misdiagnosed,especially at the end of life. It can be distressing not only for theresident but for family and health workers.SeeRecognise and assessThinking PointWhen you started your shift Alfred was his usualself, quite alert with only minor memory impairment.Towards the end of your shift you notice Alfred hasbecome very drowsy. He is mumbling nonsense about“catching chickens” and keeps trying to get out ofbed. He cannot tell you where he is and does notrecognise his daughter when she comes in to visit.Three days ago he was diagnosed with a urinary tractinfection.• Which of the information above indicates thatAlfred may be suffering a delirium?• What might have caused Alfred to becomeconfused?Key PointDelirium is characterised by disorganised thinkingand behaviour, and reduced ability to focus,sustain or shift attention from one thing to another.Hallucinations or delusions can also occur (but notalways). 11The disturbance develops over a short period oftime and generally fluctuates during the course ofthe day. Delirium usually only lasts for a few daysbut may persist for weeks or even months. Deliriumcan be caused by a combination of factors includingdehydration, medication side-effects, uncontrolledpain and infections. 11
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Self Directed Learning Package - University of Queensland

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