HLTENN045 Implement and monitor care of the older person

Read carefully and answer the questions below and address the followingassociated questions. The required word count for each question is 50-100 words if it does not mention otherwise.

  1. Determine the commonly referred to stereotype statements that you mayencounter regarding aged people and how these may adversely impact theolder person
  2. Briefly discuss the problems associated with the pain management of anolder person in aged care, including how chronic pain might affect the personand their family/ carer and their capacity to perform daily living activities.
  3. List 4 (four) chronic age-related health problems, including onepsychological problem. Discuss their impact on the person, family, and carers.
  4. Discuss the communication strategies to be put into use while explaining tothe carers & the client have sensory impairments4.1
    • 4.1. Hearing impairment
    • 4.2  Slurred speech
    • 4.3  Vision impairment
    • 4.4 Legally blind clients
  5. Determine the steps you would need to take in making a Nursing Care Plan(NCP) for an old patient admitted to an aged care facility & the tools that youwould use for the clientas preventive health assessment.
  6. Elder abuse has been a recurring issue and area of concern amongst theelderly. Define elder abuse and the possible different forms of elder abuse youmay encounter in your nursing career.
  7. Identify the legal requirements and possible ethical issues in aged carepractice regarding elder abuse. List four (4) possible signs of elder abuse
  8. Briefly explain the meaning of dual diagnosis. List down and briefly explaina minimum of three (3) issues from a nursing perspective that can arise whiledealing with a dual diagnosis patient.
  9. Outline the various theories proposed to explain the ageing process andwork practices that could be applied to reflect these theories.
  10. Analyze possible non-pharmacological therapies used in the possibletreatment of dementia patients.
  11. Identify two (2) external factors associated with ageing and brieflydescribe how these external factors could adversely impact an older person.
  12. For clients with behaviors of concern, various triggers may be present-physical or emotional. Moreover, they vary from person to person. Describehow the following physical triggers contribute to behaviors of older people andwhat strategies may be available to manage these triggers and behavior
    • 12.1: Untreated or chronic pain
    • 12.2: Not wearing the prescribed hearing aids or not using alternative listening devices
    • 12.3: Loud noises
    • 12.4: Crowded areas
    • 12.5: Feeling depressed as a family not visiting
    • 12.6: Asking a client to do activities that the client resists
  13. The nurses must identify the grieving process to provide support andcomfort to the grieving families. Identify the stages of grief and how we maybe able to assist the families.
  14. Each of us manages stress differently; however, it can diminish yourquality of life if not managed properly. It is essential to recognize the warningsigns of stress, especially in older clients or clients diagnosed with dementiaor Alzheimeras disease. Identify physical, emotional, and mental signs ofstress and how you would respond to each of these signs.
    • 14.1: Physical
    • 14.2: Emotional
    • 14.3: Mental
  15. The medical practitioner providing the patientas care is ultimatelyresponsible for the decision to restrain a patient. However, this decisionshould not occur in isolation. It involves a process of request, assessment,team involvement and consent within an ethical and legal framework. Restraint is a device or medication administered to restrict the movementand/or behavior of a person. Determine the limitations and legal ramificationsof the following forms of restraint:
    • 15.1: Physical
    • 15.2: Chemical
    • 15.3: Psychological
  16. Everybody realizes that death is an inevitable part of the life cycle. As theultimate human mystery, death is often feared, but for most people, it is theprocess of dying that is more fearful. Differentiate between end-of-life careand palliative care.
  17. Knowing the legal and ethical considerations and assessment toolsrelevant to an older person is essential when working in an aged care facility.For each area below, define and determine the legal aspects surrounding boththe legislation or assessment tool and its relevance to the aged care sector (in 30- 60 words each).
    • 17.1: Advance care directives
    • 17.2: Aged Care Act 1997 (Cwlth)
    • 17.3: Aged Care Funding Instrument (ACFI)
    • 17.4: Careras recognition legislation
    • 17.5: Aged care risk classification system
    • 17.6: Code of Ethics for Nurses in Australia and the Code of Professional Conduct for nurses (NMBA)
    • 17.7: Residential care quality assessment (RESCAREQA)
  18. Briefly describe the purpose of providing counselling and support servicesfor the elderly in an aged care context and describe the role of bereavementcounsellors in an aged care facility.
  19. Complete the following questions
    • 19.1: Briefly describe the role of primary health care services in supporting older people.
    • 19.2: Briefly, in addition to GP clinics, what other resources and facilities offer primary health care services toolder people?
  20. Ageing-related physiological changes can increase the risk of diseases andthe progression of disease
    • 20.1: Complete the following table summarising ageing-related physiological changes and how they affectnursing care:
    • 20.2: The prevalence of cancer increases with age. Provide three (3) examples of commonly found cancers inolder people.
  21. Case Study: Carefully read the case study below and address the following associated questions. The required word count is 50-70 words if it is stated otherwise.Please follow APA 7th Style of referencing.


You are taking care of a newly admitted 78-year-old resident, Ms. Wong, in anAged Care unit. She suffered a stroke last year, resulting in right-sidedweakness on the upper and lower limbs. She now walks with the help of a 4-wheely walker and needs assistance with her ADLs due to the weakness of herright arm. She is a retired Registered Nurse.
She has a past medical history of Type 2 diabetes mellitus, hypertension, andosteoporosis. She also has osteoarthritis and complains of pain during restand mobility. She has age-related hearing problems and has not checked herhearing since the stroke. She uses one hearing aid on her right ear. She is currently on multiple drugs for all these conditions and worries aboutforgetting to take her medications on time. When her medication was checked,it appeared that she had medication dispensed from several pharmacies, andmany drug containers were duplicated. She had missed some medicationdoses on several occasions.
She lives alone and has always been single. Her mother passed away two (2)years ago, and Ms. Wong, who was much attached to her, deterioratedmentally and physically after the incident. Ms. Wongas brother, Chan, is hernext of kin and getting a family member into an aged care facility is frownedupon in his culture. Chan did not have another choice and felt terrible aboutadmitting Ms. Wong into the care facility.

  • 21.1 Explain polypharmacy.
  • 21.2 What are the factors that indicate Ms. Wong was a victim of polypharmacy? What are the dangers ofpolypharmacy? How does this affect Ms. Wong?