Self Directed Learning Package - University of Queensland

More documents

Recommendations

Info

42 • The Palliative Approach ToolkitWriteDocument your actionsDocument enough information to allow others in themultidisciplinary team a clear picture of the clinical situation.Avoid general statementsPOOR COMMUNICATIONEvaluation of interventions ‘with effect’ or‘effective’.GOOD COMMUNICATION‘Resident commenced two days ago onantibacterial and topical analgesic therapyfor mouth ulcer in upper right side oforal cavity. Ulceration almost healed.Tolerating more solid foods’.ReviewEvaluate and reassess as necessaryThinking PointYou identified that Alfred cannot swallow anymoreand documented a risk assessment. When you enterhis room, you always swab his mouth and apply lipbalm. Great job! Can you tick this offyour list? Not quite 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 sectionprevious).Encourage careworkers to report any concerns to nursing staff.
43 • Self Directed Learning Package - Introductory Registered & Enrolled NurseDeliriumDelirium in older people is often overlooked or misdiagnosed,especially at the end of life. It can be distressing not only for theresident but for family and health workers.SeeRecognise and assesstThinking 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?Delirium is a condition where:• the resident’s behaviour and thinking is disorganised• they struggle to focus, sustain or shift their attention• sometimes (but not always) hallucinations or delusions arepresent• it can develop over a short period of time and generallyfluctuates during the course of the day. 14Delirium usually only lasts for a few days but may persist forweeks or even months. 14Dementia on the other hand is a long term impairment ofthought processes (cognition) with clear consciousness.
Page 5 and 6: 3 • Self Directed Learning Packag
Page 13 and 14: 11 • Self Directed Learning Packa
Page 16 and 17: 14 • The Palliative Approach Tool
Page 54: 52 • The Palliative Approach Tool
Page 66: 64 • The Palliative Approach Tool
Page 69: 67 • Self Directed Learning Packa
Page 95 and 96:
93 • Self Directed Learning Packa
Page 97:
Page 101 and 102:
Page 103 and 104:
101 • Self Directed Learning Pack
Page 106 and 107:
104 • The Palliative Approach Too
Page 108 and 109:
106 • The Palliative Approach Too
Page 111 and 112:
Page 113 and 114:
Page 115 and 116:
Page 117 and 118:
Page 119 and 120:
Page 121 and 122:
Page 123 and 124:
Page 125 and 126:
Page 127 and 128:
Page 129 and 130:
Page 131 and 132:
Page 133 and 134:
Page 135 and 136:
Page 137 and 138:
Page 139 and 140:
Page 141 and 142:
Page 143 and 144:
Page 145 and 146:
Page 147 and 148:
Page 149 and 150:
Page 151 and 152:
Page 153 and 154:
Page 155 and 156:
Page 157 and 158:
Page 159 and 160:
Page 161 and 162:
Page 163 and 164:
Page 165 and 166:
show all

Self Directed Learning Package - University of Queensland

Create successful ePaper yourself

Delete template?

Save as template?