Great Deal! Get Instant $10 FREE in Account on First Order + 10% Cashback on Every Order Order Now

CNA254 CNA254 CASE STUDY RUBRIC Criterion High Distinction (HD) Distinction (DN) Credit (CR) Pass (PP) Fail (NN) 1. Demonstrates and applies legal & ethical principles to clinical decision making, and...

1 answer below »
CNA254
CNA254 CASE STUDY RUBRIC
Criterion High Distinction (HD) Distinction (DN) Credit (CR) Pass (PP) Fail (NN)
1. Demonstrates and
applies legal & ethical
principles to clinical
decision making, and
discusses the important of
shared decision making
(30%)
Demonstrates exceptional
critical analysis and
exploration of the key
principles with seamless
integration of literature.
Demonstrates comprehensive
critical analysis and exploration
of the principles with
integration of literature.
Demonstrates sound critical
analysis and exploration of
the principles with
integration of literature.
Demonstrates some
evidence of insight and
analysis of the applicable
principles with some
integration of the
literature.
Demonstrates little or no
insight into the applicable
principles
Little or no attempt made to
co
elate literature.
2. Analyses the factors
which may impact the
provision of palliative care
for aboriginal people, and
demonstrates culturally
safe care (20%)
Demonstrates a sophisticated
understanding of the cultural
factors which may impact on
the provision of care for Tom
and his family, evidence of
advocacy is clearly evident.
Demonstrates a sound
understanding of the cultural
factors which may impact on
the provision of care for Tom
and his family, evidence of
advocacy is clearly evident.
Demonstrates a sound
understanding of the
cultural factors which may
impact on the provision of
care for Tom and his family,
some evidence of advocacy
is evident.
Demonstrates a partial
understanding of the
cultural factors which may
impact on the provision of
care for Tom and his
family.
Demonstrate a limited
asic
understanding of the cultural
factors which may impact
on the provision of care for
Tom and his family.
3. Demonstrates
knowledge of palliative
assessment,
communication and
pharmacology issues (30%)
Demonstrates an outstanding
knowledge of assessment,
communication and
pharmacology.
Demonstrates an excellent
knowledge of assessment,
communication and
pharmacology.
Demonstrate an sound
knowledge of assessment,
communication and
pharmacology.
Demonstrates knowledge
of assessment,
communication and
pharmacology.
Demonstrates a poor or
limited knowledge of
assessment, communication
and pharmacology and/or
inco
ect information
presented.
4. Writes in an appropriate
academic style,
substantiating work with
scholarly literature and
legislation and Harvard
eferencing (20%)
High level of academic
writing with strong evidence
of planning.
Discussion is consistently
expressed in a clear and
fluent manner.
Draws on a judicious
selection of literature &
legislation to inform and
justify writing.
Accurately referenced all
sources using the Harvard
style, without e
or.

High level of academic writing
with evidence of planning.
Discussion is consistently
expressed in a clear and fluent
manner.
Draws on a judicious selection
of literature to inform and
justify writing.
Accurately referenced all
sources using the Harvard style.
Communicates in academic
writing by using coherent
and cohesive planning.
Draws on a selection of
literature & legislation to
inform and justify writing.
Accurately referenced the
majority of sources using
the Harvard style guide.
Communicates in
academic writing by using
coherent and partly
cohesive expression.
Some appropriate
literature & legislation
accessed to support
writing.
Accurately referenced
most sources using the
Harvard style guide.
The clarity of your paper is
hindered by poor structure,
poor grammar, and
structure (little evidence of
planning).
Minimal appropriate
literature & legislation
accessed to support writing.
Inaccurate/poor referencing
style or does not use the
Harvard style.

 end of life care (terminal phase).
After the commencement of the morphine/midazolam syringe driver to which Tom consented, Tom's daughter Carina a
ived at the hospital. Carina tells you that she has power of attorney for her father and she wants the morphine stopped and changed to 'something better'. She explains she wants 'everything done to save her father' and that only she has the capacity to make decisions for her father.
Jimmy confirms the power of attorney claim however states that his mother Cec is Tom's enduring guardian and he thinks his father did an "advanced care paper, but he is not sure, but that would ove
ide the guardian thing anyway".
While reviewing the progress notes, you also note an entry from Tom's last admission, the page is tagged with a red dot and a medical registrar has written "Following discussion with team - NFR, not for CPR, not for ICU admission". The entry is signed and dated.
Carina's a
ival and comments are causing obvious distress to the rest of Tom's family, who are aware of Tom's wishes and are supportive of the palliative approach cu
ently being undertaken, however they are concerned about Tom's increasing agitation and the fact he is not longer drinking or eating. They are also wo
ied about the the long gaps between
eaths which seems to be happening more and more.
You are the Registered Nurse caring for Tom, you will need to process the information provided to:
· identify the issues (there are two separate issues the first legal and the second clinical)
· establish goals (what do you want to happen)
· select a course of action (what are you going to do)
A good starting point is to ensure you research and understand the terms above which are in bold.
Module three will provide you with a range of resources to assist you with your case study.
Attention 
· This assessment is to be presented in essay format - it must have an introduction, body and conclusion.
· You may write in the first or third person, however please remember to be consistent (do not swap between the two).
· For the purpose of this assessment task Tom lives in the state that you are enrolled in, for example if you are enrolled in Tasmania, Tom lives in Tasmania.
· You may use headings, please ensure they do not disrupt the flow of your writing.
· Please read the ru
ic for this assessment before you start writing.
Answered Same Day Apr 26, 2020 Swinburne University of Technology

Solution

Anju Lata answered on May 01 2020
142 Votes
PALLIATIVE CARE FOR ABORIGINAL POPULATIONS
    ASSESSMENT
PALLIATIVE CARE FOR ABORIGINAL POPULATIONS
CASE STUDY: TOM’S STORY
INTRODUCTION
Aboriginal populations are the ancient indigenous groups of people making 2.5% of the total population and living in the Australian mainland since the earliest times (Maddocks and Rayner,2015). They have scattered in all the parts of Australia, however, they believe in their own ancient and traditional cultural practices in healthcare and treatment like those of bush medicines prescribed by traditional healers. They live an isolated life even while living in the main population. To provide culturally safe treatment in Australia, there are special Aboriginal Organizations with Aboriginal Liaison Officers and Aboriginal Health workers to address their culturally relevant requirements.
The essay identifies two issues in Tom’s case study, (One is legal and other is clinical) and addresses both the issues by providing the appropriate course of action. The work establishes appropriate goals for solving the dilemma and reaching a conclusive point in the case study. Lastly, the essay describes the complete course of action to be followed to provide culturally safe Palliative care for aboriginal patient and addressing the requirements of the family.
IDENTIFYING THE ISSUES
In the case study of Tom, there are mainly two issues. First is legal and another is Clinical.
The legal issue is regarding the claim of Tom’s daughter, Carina, about having the power of Attorney and that she only has the capacity to make decisions about her father’s case. She argues to immediately stop the Morphine dose, as she wants to save her father. While Jimmy, Tom's son says that Tom’s wife, Cec, is the enduring guardian to have all the rights to take decisions about Tom’s treatment. Jimy and Cec are aware of Tom’s serious health condition. They are also concerned about the increasing gaps between Tom’s
eaths and have already supported the proceedings of Palliative care for Tom. In his last hospital admission also, the Medical registrar had mentioned in the clinical reports- Not for Resuscitation, Not for Cardio Pulmonary Resuscitation, Not for ICU admission. It shows his health condition was showing no improvement as he was not ready to take any of the medical treatment (CPR or ICU) following the discussion with his family.
The clinical issue is whether Tom and his family agree to the use of Morphine as a treatment for Tom or they prefer to shift to some Aboriginal Community Hospital. Whether they decide to continue the End of life care (Palliative care) approach for Tom or prefer to follow ethical traditional treatment if suggested by their traditional healer. Tom is completely against the use of Morphine on himself. He does not take any interest in talking to Nancy though Sarah and Nancy try their best to make the family aware that morphine will control his pain and
eathlessness. As Tom seems more concerned about connecting with Joe, and want him to take all his decisions regarding continuing this treatment or not, Sarah and Nancy will have to allow the family to discuss their concern with Joe may be through Video Teleconferencing. However, in the wake of Tom’s continuously deteriorating health and longer
eath gaps,
ESTABLISHING THE GOALS
Due to consistently worsening health of Tom, we want to provide him an appropriate Palliative care so that his sufferings of extreme pain and
eathlessness...
SOLUTION.PDF

Answer To This Question Is Available To Download

Related Questions & Answers

More Questions »

Submit New Assignment

Copy and Paste Your Assignment Here