Short Answers

1. Explain ethical and legal issues that impact nurses when caring a palliative patient and their families.
2. Briefly describe the needs of the person, family, or carers during the palliative approach to health care in terms of a holistic assessment. (30-40 words)
3. Explain briefly how digital tools assist with the palliative approach of care in aged care facilities.
4. Explain the hydration and nutritional needs of patients on palliative care and at end-of-life?
5. Briefly describe the protocol of pain management in palliative nursing care.
6. List the main four types of common non-pharmaceutical and complementary care
7. Briefly explain the following:
   • 7.1: Organ donation is considered a noble deed and assists many healthcare clients in reaching an optimal outcome. How is a person able to make an organ donation? As health care professionals, are we allowed to harvest organs for therapeutic reasons from a deceased client who had not consented to organ donation?
   • 7.2: What laws regulate the provision of palliative care?
   • 7.3: What is Voluntary assisted dying (VAD)?
   • 7.4: Autopsy
   • 7.5: What is an Advance Health Directive, and how does it work?
   • 7.6: Assessment and management of delirium
8. Health care professionals should consider a syringe driver or intima sub-cut lines as a means of providing symptom control via subcutaneous infusion of drugs to treat unrelieved pain. Answer the following questions:
   • 8.1: Mention four (4) indications for the use of syringe drivers in the administration of pain medication.
   • 8.2: Specify two (2) contraindications for the use of syringe drivers in the administration of pain medication.
   • 8.3: List two (2) indications for intima sub cut lines for pain relief, anti-nausea, and steroid injections
9. Loss and grief are inevitable and impacts everyone involved a” client, carers, family, and team members. Explain briefly how loss and grief impact the client, family, carers, and team members.
10. Identify the community resources which can be used to assist family/next of kin through a bereavement.
11. Listed below are the members of the palliative care team. What are the roles and responsibilities of the team member in caring for the client?                                                                      Palliative Care team member                                                               Role and responsibilities
    • 11.1: Physician
    • 11.2: Nurses
    • 11.3: Occupational therapist
    • 11.4: Social worker
    • 11.5: Speech pathologist
    • 11.6: Pastoral care
    • 11.7: Pharmacist
    • 11.8: Counsellors
    • 11.9: Carers and family
    • 11.10: Dietician
12. Case Study:

Answer the following questions based on the case study. Mark made it clear that he intended to die at home after being discharged from the acute care hospital for treatment of complications of motor neuron disease. Cathy, his wife, supported his decision and arranged for extra home aid with his personal care, hydration, and medications. After three weeks, Mark died quietly in his own house, accompanied by his wife and two teenage children.

• • 12.1: Mark has signed an advance directive stating that no life-sustaining measures will be used. What exactly does this imply?
  • 12.2: When Cathy wants a break from caring for Mark at home, what options are accessible to her?
  • 12.3: What is your job as his nurse in caring for Mark and Cathy?
  • 12.4: Identify organizations that support grieving families.?
  • 12.5: How do you provide support to Cathy and yourself outside work?
  • 12.6: Reflect on self-care when nursing palliative patients and their families.
  • 12.7: What actions would you take to address this situation? What support is available at the workplace to assist you?
  • 12.8: To list the ethical issues regarding pain management and cultural beliefs in palliative nursing.