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CHC43015 Certificate IV in Ageing Support
Task
Assessment 1 Underpinning knowledge questions
Instruction to Students:
- Answer the questions below in the spaces text box provided.
- Ensure all references are documented under each individual question.
- Answers are to be typed or for written submissions, use black or blue ink and ensure your name is attached to the responses.
Case study 1
Daphne is an 86-year-old female who has been admitted to the high dependency unit of the aged care residential facility for treatment for bipolar disorder and chronic back pain. Daphne presents as a thin, frail, elderly woman who requires assistance to walk and be seated and speaks mostly in French her native tongue. Using an interpreter, she reports that she has a decreased appetite, fatigue, decreased concentration, and believes at time she is being held against her will. Occasionally she experiences panic attacks, in which she feels extremely anxious and fearful of not being able to get out and go home.
Recently Daphne’s only relative a daughter passed away, and this is why she was admitted to the residential facility as she is unable to care for herself and has a tendency to wander.
In the context of the aged care worker role you have been allocated the workload of 4 residents in the high dependency unit including Daphne.
Daphne’s care plan
Physical assessment
BP 110/90
P 80
R 16
T 37.5
Weight: 55kg Height: 155cm BMI 21
Medications
- Targin Oxycontin 40mg/ naloxone 20mg (Slow-release tablet )12hourly
- Paracetamol 1000mg prn
- Seroquel. 200mg 12hourly
- Nurofen Plus 1 caplets 6 hourly
One of your responsibilities for the day is to administer medications to residents with dose administration aids (DAA). When administering medication under the delegation of an RN, Daphne spits out one of her tables because she does not like the taste and refused to take the tablet.
You are concerned that it might be Daphne’s pain medication that has not ingested and inform the RN and also report that Daphne has a temperature and has been prescribed Paracetamol and should you administer this medication to Daphne. The RN delegates you to administer the prn Paracetamol tablets to Daphne and requests that you monitor her pain levels.
On your way to give Daphne the Paracetamol tablets you are requested to assist with some manual handling of a person and then requested to go off and have lunch.
After lunch you remember that you still have not given Daphne her tablets and you are not sure what you should do. After taking Daphne’s temperature while she was asleep you note that it is back to normal so you do not give the prn medication and report this to the delegating RN.
Provide responses to the following questions based on case scenario 1.
1. Look at the list below of medications dispensed by the pharmacy in a dose administration aid for Daphne. (PC 1.5)
- Identify which drugs are classified as Schedule 2, 3, 4 or 8
- List the drug action and why you think Daphne might have been prescribed this medication
- Calculate how many tablets Daphne would be required to take in a 24hr period if she received one dose of her prn medication of Paracetamol
(Min 100 words for the table)
|
Name of drug |
Ingredients |
Drug action (Pharmacodynamics) |
Schedule |
Number of tablets per day |
|
1. Targin |
Oxycontin and naloxone |
|||
|
2. Paracetamol |
Paracetamol |
|||
|
3. Seroquel. |
Quetiapine |
|||
|
4. Nurofen Plus |
Ibuprofen; codeine phosphate |
|||
|
Total number of tables in 24hrs |
||||
2. Looking at the first two drugs in the list above drugs from the list above, comment in the table below on why you think they have been classified into the Schedules they have. Compare the action of the drug with the Schedules of drugs from the Poisons Act. (PC1.5,2.1) (Min of 50 words for table)
|
Medication |
Action of the drug with the Schedules of drugs from the Poisons Act. |
|
Targin (Oxycontin and naloxone) |
|
|
Paracetamol |
3. In the context of the aged care worker role, describe what you understand by the word ‘delegation’ and what your responsibilities are when delegated the task of administering and monitoring medications? Include in your answer who can delegate and when they can delegate. (PC 2.1, 4.1) (Min 200 words)
4. When you are administering Daphane’s medication how would identify if the medications prescribed had any substance incompatibilities and if Daphne had any allergies? (PC 1.1, 4.8,) (Min 50 words)
5. In the context of the aged care worker role, what would be best practice when Daphne refused one of her medications? Who else might your supervisor who delegated the task of administering medications notify? (PC 6.1) (Min 100words)
6. How should Daphne’s medications in her dose administration aid be managed whilst undertaking a medication round and how should it be stored until next medication round based on the schedule of drugs she is prescribed? (PC 7.3) (Min 50 words)
7. In the context of the aged care worker role, how would you administer Daphne’s prn medication, calculate the dose and monitor the response or outcomes? (must show dose calculation in your response) (PC 1.6,) (Min 100 words)
8. In the context of the aged care worker role, detail four things you may and may not do in relation to any aspect of dealing with medication and duty of care? (PC 2.2, 4.6) (Min 100 words)
9. How can you help a person to swallow their tablets if they don’t like the taste? (PC6.1) (Min 25 words)
Case Scenario 2
Arati is a 79- year–old woman who, lives in a self-managed residential aged-care facility and whose health has declined over the last 15 years with a history of poorly controlled type 2 diabetes for which she takes metformin 500mg BD.
Arati has been admitted to the high dependence unit after a severe allergic reaction to a medication she had taken.
After taking a physical assessment you find out that Arati is overweight, history of DVTs, does not pay much attention to her blood sugar levels or her diet and leads a relatively sedentary lifestyle and mentioned that lately she notices dizziness or light headedness towards the end of the day.
You overhear the nurses and doctor discussing that Arati and has also developed elevated serum creatine levels indicating renal impairment.
After a visit by the medical practitioner (GP) it is noted that Arati’s blood pressure is elevated and she has protein and glucose in her urine. This leads to further investigations where she is diagnosed with chronic renal failure Grade 4.
The medical practitioner suggests that a new assessment be conducted to determine Arati’s level of care requirements within the residential aged care facility.
Provide responses to the following questions based on case scenario 2.
10. What would be some of the major factors that can affect the action of drugs on Arati and her physical status? (PC 5.1 ) (Min 25 words)
11. You are requested to administer Arati with her evening medication as she is a bit drowsy, describe how you undertake the rights of medications to ensure quality use of medicines? (PC 3.2,3.3,3.44.1,4.2) (Min 100 words)
12. In the context of the aged care worker under the delegation of a RN you are asked to provide accurate information to Arati on her medication metformin. Using the table below provide responses to the following question regarding information that you could provide. (PC 5.1, 4.8) (Min 100 words for table)
|
Medication |
Response to questions |
|
How is this medication delivered to the client? |
|
|
What are the indication for prescribing this medication? |
|
|
Are there any contraindication for use of this medication? |
|
|
Are there any adverse effects that you need to watch for? |
|
|
What medication group does this belong? |
|
|
What other form of medication is used to treat diabetes? |
13. What would you do if you noticed Arati was suffering from a side effect of her metformin medication because it was contaminated and out of date? (PC 5.1,5.2,6.2, 6.3) (Min 100 words)
14. What would you do if Arati experienced anaphylaxis to a new medicine she had been given for her renal condition? (PC 5.2,5.3) (Min 50 Words)
15. Will Arati’s diagnosis of Chronic Renal failure affect the standard precautions previously used to manage infection control in Arati’s self-managed room? (PC 2.4) (Min 50 words)
16. How will the Disability Service Act and the Age Care Act assist people like Arati who has now been diagnosed with a chronic illness and will need additional healthcare services? (Min 100 words)
17. Arati has been place on bedrest until her renal condition is stabilised and due to her history of DVTs she has been recommenced on low dose of warfarin and requested to wear anti- embolic stockings. Should you be concerned that Arati has a box of aspirin, a small bottle of scotch whiskey and a menu of her meals which indicates lots of green leafy vegetables located in her bedside draw within easy access, if so why? (PC 1.2,1.6, 5.2 ) (Min 50 words)
CHC43015 Certificate IV in Ageing Support
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