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Practice In The Domimcilary Health Care Environment Carers Australia , College Of Nursing Asignment

1159 words - 5 pages

Diploma of Nursing
HLTEN608B PRACTISE IN THE DOMICILIARY
HEALTH CARE ENVIRONMENT
Impact of Health Problems on Domiciliary Client Care
Assessment
Introduction
As for all nurses, Domiciliary Nurses are entrusted with:
• Client and family information enabling them to
• Recognise and respond to
- Condition changes
- Care needs
- Coping abilities
• Family involvement is encouraged – however should be:
- Co-ordinated as per the care plan
- Timely and responsive
- And incorporate the philosophy and aims of Domiciliary Care
Case Management
Case management is a system of care provision
• commonly used in the domiciliary health care environment.
• That provides cost effective
• client assessment,
• care planning,
• implementation and
• evaluation of provided care,
• ensuring appropriate care
• An EN plays integral role in facilitating the care management process
Case Management
Working with a case manager
e.g. RN, Allied Health Professional ensuring that the care includes:
• Assessment and evaluation
• Client goal directed care planning
• Education for client and family
• Knowledge of available services
• Co-ordination and appropriate referrals
• Accurate documentation (Video 11 minutes) to ensure timely care plan
and goal revision
• Appropriate goal oriented discharge planning
Funnel et al 2009 p80-81
EN: desired qualities and awareness
To provide effective domiciliary health nursing care a nurse must:
• Adapt to different home environments and
• Adapt to client/family responses and perceptions of support and
care.
• Be aware of
• client history and life experiences,
• immediate environment and
• cultural and religious beliefs.
Domiciliary health care environment EN role
Enrolled nurse role in domiciliary care: ‘Job description’
• Work ethically and professionally within scope of practice
• Independently under indirect S/V but seek guidance
• Recognise, respond to clinical manifestations of client health problems
• Communicate effectively with clients/families and allied health team
• Strong organisational and time management skills - self-motivation
• Client and family advocate; Non-judgmental approach
• Adapt care based on client and family needs
• Maintain safety: own and client; adhere to infection control
• Current driver’s license – no restrictions
Confidentiality, Privacy and Trust
Confidentiality and privacy of client information in all situations
• An ethical, professional and legal obligation in domiciliary health
care environment
• Mandatory reporting obligations challenging but essential
Therapeutic relationship:
• open and honest approach to gain and maintain mutual trust
Patient education:
• Explain to client how information is gathered, documented and
• Used in line with service policies and protocols encompassing
• The need to share information with other health professionals such
as the case manager
8
Recognising impact of Health Problem
Initial assessment involves:
• Initial phone call – establishing initial nurse, client, caregiver...

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