Explore and discuss legislation on advance care planning, advance care directives and notification of a death in your State/Territory in relation to a person admitted in a hospice/aged care facility/hospital setting.

  1. Discuss ways an enrolled nurse could identify needs of the person in palliative care, and their family or carers, when providing palliative care support to them. Include in your response examples of specific assessment tools a nurse may use and common needs and preferences they must identify.
  1. Explore and discuss legislation on advance care planning, advance care directives and notification of a death in your State/Territory in relation to a person admitted in a hospice/aged care facility/hospital setting.

Include in your responses an enrolled nurse’s role in applying the legislation.

  1. Discuss diverse cultural, religious and spiritual factors underpinning the person’s choices at end-of-life using appropriate examples. How is this understanding vital in providing nursing care?
  1. Discuss the following ethical and legal issues related to a palliative care approach:
  • Decisions regarding advance care directives
  • Conflicts that may occur in relation to personal values and decisions made by or for the person
  • Organ donation
  • Request for autopsy

How could each of these ethical and legal issues affect your nursing practice?

  1. Briefly describe the hydration and nutrition requirements of an adult patient during palliative care and at end-of-life. Discuss ways a nurse could address the hydration and nutrition requirements of the patient when providing palliative care or end of life care.
  1. Discuss the use of syringe driver and intima sub-cut lines in administering analgesic medications for a patient receiving palliative care or end of life care. Include in your answer:
  • Examples of analgesics administered using a syringe driver or intima sub-cut lines.
  • Indications and contraindications for use of syringe drivers in administration of pain medication.
  • Indications for intima sub cut lines for pain relief, anti-nausea and steroid injections.
  • Role of an enrolled nurse in administering medications via a syringe driver or intima subcut lines.
  1. Discuss the impact of loss and grief on nurses and other team members. How could they manage these impacts?
  1. Identify and briefly describe three (3) relevant resources available to those requiring grief and bereavement support in your State or Territory.
  1. Discuss own role and responsibilities as an enrolled nurse in palliative care provision.
  1. Discuss role and responsibilities of doctors, registered nurses and personal care assistants/nursing assistants in palliative care provision.
  1. Briefly describe the values and philosophies that apply to mental health care.
  1. Briefly describe the biological and psychosocial effects of mental health conditions.
  1. Explore and discuss consumer and carer perspectives on mental health care.

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