Reference no: EM133119761

HLTENN015 Apply nursing practice in the primary health care setting

PART - Case study questions

Question 1: Narelle, an enrolled nurse, is undertaking her routine visit to a person's home. On arrival, Narelle notices that the door is left open and the person, a 68-year-old man, is on the floor holding his chest showing signs of severe pain, sweating and showing difficulty to breath. When she asks whether he has chest pain, the person says ‘yes'.

a. Briefly describe the appropriate first aid management Narelle must provide for the casualty in this situation.

b. After three minutes of first aid interventions, the person suddenly became unconscious and stopped breathing. Briefly describe how an enrolled nurse must respond to this situation.

Question 2: Russell, an enrolled nurse, observed on a home visit that Mr Chan, a 72-year-old, Chinese man who migrated to Australia three months ago was not complying with his self-management plan. He was not proficient with English language (reading and writing) and technology (using mobile phone and internet), however, could manage with broken simple English when speaking. Mr Chan's wife and son had returned to China for a week to manage their ancestral property and some household affairs. Mr Chan was finding it hard to communicate with Russell without his wife being around as an interpreter. Mr Chan appeared sick and needed a check up for further management. However, he has not made an attempt to seek medical support yet. Mr Chan had a pamphlet in English from his GP detailing self-management strategies.

a. Briefly describe four (4) examples of possible health literacy issues that may inhibit Mr Chan's capacity to access appropriate health services.

b. Briefly describe strategies you could implement to support Mr Chan with his health literacy issues.

Question 3: Mr Darren Dale presented himself at a GP clinic with complaints of sneezing and mild rashes on his face and arms. Hay fever and spring season related allergies were common presentations at the GP clinic during that time. The receptionist advised him to take a seat and wait for the doctor to call him. Mr Dale asked whether he could consult a doctor at the earliest as he was ‘feeling funny in my tummy'. A nurse who overheard this conversation commented ‘It is quite common to hear people say that to avoid waiting' and suggested he wait for his turn the same as other people in the waiting room. Mr Dale didn't comment any further and took a seat. After a couple of minutes, he started wheezing and rapidly became breathless. Mr Dale collapsed on the floor and an ambulance was immediately called and he was rushed to a nearby hospital.

Discuss what went wrong in this situation. Outline critical thinking and problem-solving strategies the nurse should have applied to avoid deterioration of Mr Dale's condition in this situation.

Question 4: You saw one of your colleagues providing wound dressing for a client who presented with a moderately bleeding wound on his foot. The care giver didn't wear any PPE when managing the wound. You also observed that the care giver was talking to the client, leaning over the wound. When asked, the colleague responded ‘Hey, come on. I used the hand rub before the procedure, and I knew the client. He has no infectious disease that he may pass on to me from his wound. I don't have any cold or other respiratory infections that he may possibly get from me'.

What infection prevention and control evidence-based practice guidelines should the care giver access and comprehend in relation to this situation? What does the evidence recommend as the most appropriate infection prevention and control strategies when managing an open wound?

Attachment:- primary health care setting.rar