INTRODUCTION: PRESENTING CONDITION AND SYMPTOMS
Edith Holman is an 87-year-old woman who lives alone in her three-bedroom single-storey house in country Victoria. Her husband died 10 years ago and her only son and daughter-in-law live a 30-minute drive away. Edith is independent and manages well by herself. She says she has some good friends and states that her neighbours are generally helpful. However, following a series of cerebral vascular accidents (CVA) Edith was admitted to the medical ward of the local hospital. Edith confided to her daughter-in-law that her biggest worry was being placed in an ‘old people’s home’. Once her medical condition was stabilised, Edith was transferred to the rehabilitation ward. While there the staff assisted her to obtain an optimum level of health, functioning and wellbeing, thus maximising her ability to return to her own home following discharge. Prior to being discharged home, Edith met with a number of health professionals whose aims were to assist her in her transition to home. This multidisciplinary team also helped Edith to identify the resources required to help her manage at home. Their goal was to complete a plan of action and forward referrals where required. It was also arranged for Edith to meet with the Community Nurse Liaison Officer.
Q.1 The discharge team ideally should include:
Group of answer choices
a. doctor, nurse, physiotherapist, occupational therapist
b. doctor, nurse, occupational therapist, community pharmacist.
c. doctor, nurse, occupational therapist, community agency representatives, Edith.
d. all health professionals who have been caring for Edith in hospital, plus community agency representatives, Edith and her family
Q2.
Who should be involved in creating the plan for Edith and what are there roles in the delivery of her care?
Q3.
Which of the following best describes the type of care that community-based nurses may be expected to practise?
a. Preventive, curative, rehabilitative, supportive or palliative nursing care
b. Medical, surgical, paediatric or geriatric nursing care
c. General practice and private practice nursing care
d. Acute and chronic nursing care
INTRODUCTION
Edith has a partial left-sided hemiparesis and during her stay in the rehabilitation, the ward has learnt to mobilise with a walking frame. Her medical conditions are now controlled by medications and she is no longer considered at immediate risk of further CVAs. She has been medically cleared for discharge home. The occupational therapist has visited her home and made a number of recommendations for changes that will improve her safety. This includes the erection of handrails in her bathroom and toilet and alongside her home entrance steps. Edith has been approved for Home and Community Care support and has been recommended to receive a Community Aged Care Package (CACP). A registered provider of these packages meets with Edith to help establish her care needs. It is subsequently assessed that for Edith to remain within her own home she will need assistance with showering, meal preparation and housekeeping.
Q4..
Which definition best identifies the function of a Community Aged Care Package?
PC 1,2
Group of answer choices
a. Community Aged Care Packages (CACPs) are packages of care that any elderly person can purchase to help them remain within their own home
b. Community Aged Care Packages (CACPs) are parcels that are given to the elderly containing vouchers that can be exchanged for care.
c. Community Aged Care Packages (CACPs) are individually planned packages of care that are used in the transition from hospital to community-based care.
d. Community Aged Care Packages (CACPs) are individually planned and coordinated packages of care tailored to help older Australians to remain living in their own homes.
Q5
How can patients access aged care packages and who provides these incentives?
Q6
Within Australia, which team has the role and function of assessing clients for eligibility for support care packages?
Group of answer choices
a. SCAN team
b. ACAT team
c. Triage team
d. Rehab team
Q7.
Who makes up the ACAT team and how do they assess patients?
INTRODUCTION
Edith was discharged from hospital and has been back in her home for several weeks. The occupational therapist initiated the erection of hand rails and the agency providing her care started working with her within 24 hours of her discharge. Edith has a nurse assisting her with showering twice a week, meals on wheels are delivered daily and a cleaner undertakes light household chores for three hours every second week. The community agency nursing supervisor visits Edith once a month to review her ongoing needs. Edith’s daughter-in-law rings her each morning; she also takes Edith to her appointments.
Q8. Which of the following are models of community healthcare?
PC 1
Group of answer choices
a. Integrated healthcare system
b. Managed care
c. Outreach programs
Q9.
What are outreach programs in primary healthcare?
Q10.
Primary healthcare is best defined as:
Group of answer choices
a. the beginner level of healthcare.
b. care that is given by a primary care giver. c
c. care that is given outside of a hospital setting
d. care that is given within a specialist unit of a teaching
Q11.
What are the three levels of healthcare? Describe each.
INTRODUCTION
Edith uses a walker when mobilising outside of her home but not inside it. Despite being instructed to use the walker at all times, Edith sometimes tries to be independent of her walker and grasps hold of her furniture if she needs support. She has a number of small rugs on her floor and her slippers are the soft slip-on type. One night when Edith was in a hurry to get to the toilet she tripped over and fell. Although not seriously hurt she was quite upset and shaken by the fall. She was able
to get up by herself and return to bed. In the morning when her nurse came to assist her with showering, Edith told the nurse about her fall. The nurse advised Edith to consider buying a personal monitoring system. The nurse also undertook a risk analysis of Edith’s home and identified a number of areas of risk.
Q12.
Which of the following is correct?
Group of answer choices
a. All older people will fall.
b. Falls within the home can be minimised
c. Falls by the elderly can generally be linked to disease pathology
d. Falls by the elderly are generally the result of a change in body shape and perception and the failure to adjust their lifestyle accordingly.
Q13.
What is a personal monitoring system device?
This case study revolves around Edith Holman, an 87-year-old woman living independently in Victoria, Australia, who recently experienced cerebral vascular accidents (CVA). To facilitate her transition back home and ensure her safety and well-being, it is essential to assess her needs, provide appropriate care, and understand the role of community-based healthcare.
Answer: c. doctor, nurse, occupational therapist, community agency representatives, Edith.
Explanation: A comprehensive discharge team should encompass healthcare professionals, community agency representatives, the patient (Edith), and her family. This multidisciplinary approach ensures a holistic assessment and care plan development.
Answer: The team involved in Edith’s care plan should include:
Doctor: Oversees her medical condition, medication management, and overall health.
Nurse: Provides ongoing healthcare monitoring, wound care, and education.
Occupational Therapist: Recommends home modifications and assesses her functional abilities.
Community Agency Representatives: Coordinate support services and resources.
Edith: Active participation in decision-making about her care.
Family: Provide emotional support and assist with transport and daily activities.
The roles involve assessing her physical and emotional needs, ensuring a safe home environment, and coordinating care services.
Answer: a. Preventive, curative, rehabilitative, supportive, or palliative nursing care.
Explanation: Community-based nurses provide a wide range of care, including preventive, curative, rehabilitative, supportive, and palliative care, depending on the patient’s needs.
Answer: d. Community Aged Care Packages (CACPs) are individually planned and coordinated packages of care tailored to help older Australians to remain living in their own homes.
Explanation: CACPs are designed to support elderly individuals in maintaining their independence and living in their own homes by providing individually tailored care packages.
Aged care packages can be accessed through an assessment by the Aged Care Assessment Team (ACAT). These packages are provided by the Australian Government to eligible individuals.
Answer: b. ACAT team.
Explanation: The ACAT team, or Aged Care Assessment Team, assesses clients in Australia for their eligibility for support care packages, including Community Aged Care Packages (CACPs).
The ACAT team typically consists of healthcare professionals such as doctors, nurses, social workers, and occupational therapists. They assess patients by conducting comprehensive evaluations of their physical, mental, and social needs to determine eligibility for support care packages.
Answer: a. Integrated healthcare system, b. Managed care, c. Outreach programs.
Explanation: Integrated healthcare systems, managed care, and outreach programs are all models of community healthcare that aim to provide comprehensive and coordinated care to individuals.
Outreach programs in primary healthcare involve actively reaching out to individuals and communities to provide healthcare services, education, and support. These programs focus on preventive and early intervention measures.
Answer: c. Care that is given outside of a hospital setting.
Explanation: Primary healthcare refers to the first level of healthcare services provided outside of a hospital setting, often involving preventive and basic medical care.
The three levels of healthcare are:
1. Primary Healthcare: The initial level of healthcare delivered outside of hospitals, emphasizing preventive and basic medical services.
2. Secondary Healthcare: Specialized care provided by medical specialists and hospitals, often involving diagnosis, treatment, and surgery.
3. Tertiary Healthcare: Highly specialized and advanced medical care provided in specialized hospitals or medical centers, often for complex conditions and procedures.
Answer: b. Falls within the home can be minimized.
Explanation: Falls within the home can indeed be minimized through various preventive measures, including home modifications, education, and personal monitoring systems.
A personal monitoring system device is a tool that allows individuals, especially the elderly, to call for assistance or alert healthcare providers or family members in case of emergencies or falls. These devices enhance safety and provide peace of mind for individuals living independently.
Edith’s case highlights the significance of a multidisciplinary approach in community-based healthcare, emphasizing the importance of tailored care plans, home modifications, and preventive measures to support elderly individuals like Edith in maintaining their independence and well-being within their own homes.
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