hlten513b student assessment - transtutors · submit to your trainer/assessor by the due date you...

Student Assessment

HLT54115 Diploma of Nursing HLTENN012 – Version 2.1 Jul 2017

1

Student Assessment

HLTENN012 Implement and monitor care for a person with chronic health problems

HLT54115 Diploma of Nursing

Record of Assessment Outcome

Student Name: Student ID:

Summary of evidence gathering techniques used for this assessment:

O Questioning O Scenario O Case Report O Professional Practice Experience

The evidence presented is:

O Valid O Sufficient O Authentic O Current

Unit Result: Competent O Not Competent O

The student has been provided with feedback and informed of the assessment result and the reason for the decision.

Assessor Name: Date Assessed:

Assessor Signature:

SCEI Contact: [email protected]

Student declaration on assessment outcome

I have been provided with feedback on the evidence I have provided. I have been informed of the assessment result and

the reason for the decision.

Student Name: Date:

Student Signature:

Student Assessment

Student Assessment


2

Reasonable Adjustment

Was reasonable adjustment applied to any of the assessment tasks? (please tick) Yes O No O

If yes, tick which assessment task(s) it was applied to.

O Questioning O Scenario O Case Report O Professional Practice Experience

Provide a description of the adjustment applied and why it was applied.

Name of Assessor: Assessor Signature:

Name of Student: Student Signature:

Student Declaration

Plagiarism constitutes extremely serious academic misconduct and severe penalties are associated with it. By signing below,

you are declaring that the attached work is entirely your own (or where submitted to meet the requirements of an

approved group assessment, is the work of the group).

I certify that

I have read and understood the Southern Cross Education Institute’s PP77 Assessment and submission

policy and procedures.

This assessment is all my own work, and no part of this assessment has been copied from another person.

I have not allowed my work to be copied by another person.

I have a copy of this work and will be able to reproduce within 24 hours if requested.

I give my consent for Southern Cross Education Institute to examine my work electronically by relevant

plagiarism software programs.

Student Signature: .......................................................... Date: ......../........../................

Student Assessment


3

ASSESSMENT OUTCOME SUMMARY AND FEEDBACK

Assessment Task 1 – Questioning

Submission No. Result Score Date Assessed Assessor Name Assessor Signature

O First submission O S O NS ____/100

O Re-submission 1 O S O NS ____/100


S = Satisfactory NS = Not Satisfactory

Feedback to the Student:

Assessment Task 2 – Scenario







Student Assessment


4

Assessment Task 3 – Case Report







Assessment Task 4 – Professional Practice Experience


O First submission (booklet) O S O NS

O Re-submission 1 (booklet) O S O NS

O Re-submission 2 (booklet) O S O NS



Student Assessment


5

ASSESSMENT OBJECTIVES

This unit describes the skills and knowledge required to contribute to the care of a person with chronic health

problems by performing nursing interventions that support the person’s needs and assist them in maintaining an

optimal lifestyle.

This unit applies to enrolled nursing work carried out in consultation and collaboration with registered nurses,

and under supervisory arrangements aligned to the Nursing and Midwifery Board of Australia regulatory authority

legislative requirements.

To achieve competence the following assessment tasks must be successfully completed in the time allocated with

the essential resources. Your trainer/assessor will give you the due date to submit the assessments and provide

you with feedback after assessing your work.

Refer to the table below for the summary of Assessment Task for this unit:

Assessment Task

Number

Assessment Type Notes

1 Questioning To be completed in own time and submitted

to the trainer/assessor by due date

2 Scenario To be completed in own time and submitted

to the trainer/assessor by due date

3 Case Report To be completed during professional practice

and submitted to the trainer/assessor within

five days of professional practice completing

4 Professional Practice

Experience

Undertake professional practice placement at

the end of the semester in a SCEI approved

health facility

Students may need to spend some hours outside the class hours without supervision to complete the

assessments

All assessment tasks must be satisfactory to achieve competency in the unit

All the units of competency must be deemed competent to complete the qualification and obtain a certificate

The assessment requirement for this unit are presented clearly in the Unit of Competency located at:

(http://training.gov.au/Training/Details/HLTENN012)

In the Student assessment, you must be able to:

o Answer all questions

o Complete all assessment tasks within the required timeframe

o Complete all skills assessments tasks to a satisfactory standard

The following resources are required for this assessment:

o Lemone, P., 2013. Medical-Surgical Nursing (Australian Edition) Volumes 1-3 (2e). Australia: Pearsons

o Tollefson, J., Bishop, T., Jelly, E., Watson, G. & Tambree, K. (2012). Essential Clinical Skills:

Enrolled/Division 2 Nurses (2nd Ed.) Australia: Cengage

o Nursing and Midwifery Board of Australia websitehttp://www.nursingmidwiferyboard.gov.au/

http://training.gov.au/Training/Details/HLTAID003

http://www.nursingmidwiferyboard.gov.au/

Student Assessment


6

Reasonable Adjustment

For information on reasonable adjustment please refer to the student handbook located at: http://scei.edu.au/wp-

content/uploads/2016/11/2016_Studenthandbook.pdf

Record of Assessment Outcome

After all of the assessment evidence has been gathered from the assessment tasks for this unit/cluster of units of

competency the Record of Assessment stating your result will be completed.

Information for the Student

If you do not understand any part of the unit or the assessments you are required to undertake, please talk with

your trainer/assessor. It is important that you understand all of the aspects of the learning and assessment process

that you will be undertaking. This will make it easier for you to learn and be successful in your studies.

http://scei.edu.au/wp-content/uploads/2016/11/2016_Studenthandbook.pdf

http://scei.edu.au/wp-content/uploads/2016/11/2016_Studenthandbook.pdf

Student Assessment


7

ASSESSMENT TASK 1 – QUESTIONING

Instructions for

completion

You are required to complete all requirements of this written assignment

Responses may be typed or hand written

If hand written, writing must be legible and in pen NOT pencil

Use of correct grammar and spelling is required to demonstrate foundational

skills

You must complete the assignment in your own words or use appropriate

referencing

Use of APA referencing must be used where original sources other than your

own have been used – to avoid plagiarism

Write your name, student ID, the assessment task and the name of the unit of

competency on each piece of paper you attach to this assessment document

This assessment task contributes to 30% of the overall grade for this unit

Answer questions in less than 50 words each.

Submit to your trainer/assessor by the due date

You must achieve a satisfactory result

DUE DATE The trainer/assessor will inform you of the due date

S no. Questions

1 List two clinical manifestations for each of the following chronic health conditions.

I. Congestive heart failure

II. Osteoarthritis

III. Eczema

IV. Stroke

V. Systemic lupus erythematous

2 a. Define chronic pain. What are the demographics of chronic pain in Australia?

b. Mention 3 etiological factors for Lumbago.

3 Define each of the following diseases and outline two clinical manifestations

a. Rheumatoid arthritis

b. Motor neurone disease

c. Parkinson’s disease

4 List 2 common clinical manifestations seen in a patient with a permanent tracheostomy and a

temporary tracheostomy each

5 Identify four (4) common anatomical sites that may undergo malignant changes

Student Assessment


8

6 List four clinical features of chronic obstructive airway disease (COPD)

7 Describe the aetiology, pathogenesis, clinical features and management of Chronic Bronchial Asthma

8 List and describe three clinical manifestations of a patient with chronic renal failure or chronic kidney

disease stage-5

9 Define and classify Diabetes mellitus. Outline 4 most common symptoms of type 2 Diabetes Mellitus

10 List 2 clinical manifestations of neurological injury

11 Define persistent vegetative state. Outline 3 clinical manifestations that are observed in patients

suffering with this ailment

12 List the 6 National health priority areas of chronic diseases

13 What is continuum of chronic disease?

14 List 4 life variables that has impact on health and wellbeing

15 Describe the impact of chronic diseases on an individual for each of the following:

a. social

b. emotional

c. physical

d. psychological

e. financial

16 a. Define the following modalities of rehabilitation. For each modality, state examples of the

equipment involved and techniques used.

Modailty Definition and/ or Technique involved Equipment

used

Physiotherapy

Occupational Therapy

Hydrotherapy

Pilates

Massage

Art and Music therapy

b. Briefly outline the importance of wheelchairs, scooters, walking aids and prosthetics in

rehabilitation of a patient.

17 Define and describe palliative care?

18 Discuss the principles and practices of person centred nursing care

19 List 3 preventative measures for a patient with chronic asthma

20 List and describe the four components in the WHO chronic disease model of care?

21 Define incontinence. How does this manifest in a patient with chronic disease?

22 List three various treatment modalities for diabetes mellitus type - 2

23 Identify two ways an enrolled nurse can support a client with chronic rheumatoid arthritis to

maintain a positive life role

24 Identify two behavioural changes required for a client with chronic history of diabetes mellitus

overtime

25 Identify two positive attitudinal and behavioural change that can be established by a patient with

chronic renal failure.

Student Assessment


9

26 Access and consider below mentioned links regarding resources for the core standards for nurses

who support people with disability (NSW Family and Community Services) and answer following

questions:

1. https://www.adhc.nsw.gov.au/__data/assets/file/0003/301782/Working-with-people-with-

chronic-and-complex-health-care-needs-Practice-Package.pdf

2. https://www.adhc.nsw.gov.au/sp/delivering_disability_services/core_standards

3. http://www.adhc.nsw.gov.au/__data/assets/file/0005/301775/1.-PC-Health-Care-Assessments-

and-Dev-of-Health-Care-Plans-Practice-package.pdf

A. TRUE or FALSE

The Nursing and Health Care Core Standards can be used for any nurse supporting

people with disability, giving them the basic required knowledge to be able to do

their job and be able to demonstrate this. (TRUE /FALSE)

B. Following are the core standards for nursing and health care who support people with

disability (NSW Family and Community Services). Circle one correct answer.

i. Person-Centered Health Care Assessments and the Development of Health

Care Plans

ii. Communication and Behavior Support

iii. Working with People with Chronic and Complex Health Care Needs:

iv. Mealtime Management for Nurses

v. All of above

C. Circle one correct answer. The core standards materials and resources can be used in a

variety of ways-for example:

i. Professional education and training

ii. Knowledge translation and appraisal of core standards in practice

iii. Induction of new staff or staff new to the area of disability

iv. As a reference point in supervision or mentoring

v. Use with students on placement or within learning institutions

vi. All of above

D. “Nurses works with the multidisciplinary team in the management of chronic and complex

health care needs of clients. The multidisciplinary team may include a Speech Pathologist,

Dietitian, Physiotherapist, Occupational Therapist, Gastroenterologist and Physician”.

Answer following questions considering above statement and the first web link above.

Choose at least four of provided chronic and complex health care needs. Explain for each

condition/care need: its management, list what is considered by a nurse during its (condition)

https://www.adhc.nsw.gov.au/__data/assets/file/0003/301782/Working-with-people-with-chronic-and-complex-health-care-needs-Practice-Package.pdf

https://www.adhc.nsw.gov.au/__data/assets/file/0003/301782/Working-with-people-with-chronic-and-complex-health-care-needs-Practice-Package.pdf

https://www.adhc.nsw.gov.au/sp/delivering_disability_services/core_standards

http://www.adhc.nsw.gov.au/__data/assets/file/0005/301775/1.-PC-Health-Care-Assessments-and-Dev-of-Health-Care-Plans-Practice-package.pdf

http://www.adhc.nsw.gov.au/__data/assets/file/0005/301775/1.-PC-Health-Care-Assessments-and-Dev-of-Health-Care-Plans-Practice-package.pdf

Student Assessment


10

management and which multidisciplinary members/people will a nurse be working with in

order to meet care needs of clients and why. (250-300 words)

Conditions and care needs are: Management of Chest Infection / Aspiration Pneumonia,

Respiratory Health, Management of Type 2 Diabetes, Management of Osteopenia and

Osteoporosis, Management of chronic pain, Management of bowel problems: Colostomy,

Ileostomy.

E. In regard to Person Centered Health Care Assessments and the development of Health

Care Plans Core Standard for Practitioners. Answer following questions considering the third

web link provided above.

Explain the purpose of Person Centered Health Care Assessments and the development of

Health Care Plans Core Standard for Practitioners. Explain what does this mean for in your

nursing practice.

Student Assessment


11

Assessment Task 1-Questions -Checklist

Trainer/assessor to document the students’ knowledge as relevant to the summative assessment. Indicate in

the table below if the learner is deemed satisfactory (S) or not satisfactory (NS) for the activity or if

reassessment is required

Student’s name

Assessor’s name

Unit of Competence

(Code and Title)

Date(s) of assessment

Has all questions been answered, as required to assess the competency of the

student?

Yes No

(Please circle)

Has sufficient evidence and information been provided by the student all

questions?

Yes No

(Please circle)

Comments

Provide your comments here:

The Student’s

performance was: Not yet satisfactory Satisfactory

If not yet satisfactory, date for reassessment:

Feedback to learner:

Student’s

Signature

Assessor’s

Signature

Student Assessment


12

ASSESSMENT TASK 2 – SCENARIO

Instructions for

completion

Read the scenarios details provided and complete the assessment instructions

Responses to the questions may be typed or hand written



skills





You answer all questions correctly to achieve a satisfactory result


This scenario assessment task contributes to 40% of the overall grade for this unit

DUE DATE The trainer/assessor will inform you of the date and time of the examination

Scenario One

Mrs Paula Jones is a 68 year old lady who was admitted to the ward for a left below knee amputation. Paula has

Rheumatoid Arthritis and Type 1 Diabetes, insulin dependent who has had chronic leg ulcers on her left shin for

eleven months that are not healing. She has glaucoma and cataracts in both eyes, leaving her with poor eyesight

and peripheral neuropathy. Paula is non-compliant with her diabetic diet, she eats what she likes and does not

regularly check her blood sugar levels.

Paula lives alone but is supported by her two sons who live nearby. Her husband died four years ago. Her

extended family live in New Zealand.

Paula is recovering in the ward post the amputation. She is very upset about the amputation and not accepting of

it. She is resistant to adhering to a diabetic diet, despite the efforts of the dietician and nursing staff. Her BSL’s

fluctuate as a result and she is on her regular insulin with a sliding scale.

Paula is managing her pain with Paracetamol and Ibuprofen, which is effective. Her left stump is bandaged and free

from infection. She is not sleeping well, making her tired during the day and reluctant to commence

physiotherapy.

Paula will be discharged to a rehabilitation centre to improve her independence with ADL’s prior to going home.

Student Assessment


13

Scenario 1: Part A

1. Develop a nursing care plan for her admission using the nursing process. The care plan must contain at

least 2 nursing interventions

2. Outline a health teaching plan for Paula that prepares her for discharge to rehabilitation and then home.

3. Explain the ways/strategies that you can implement to evaluate Paula’s understanding of her chronic

problems in consultation with interdisciplinary health team.

Scenario 1: Part B

1. Identify and describe Paula’s condition and chronic health problems. Research and describe the possible

impact of at least two of the identified conditions on body systems and explain how these can affect a

person’s ability to perform daily living activities.

2. List and describe at least 2 clinical manifestations of diabetes and rheumatoid arthritis and their long-term

effects on the body’s systems.

3. Explain three available resources and support services available to Paula upon her discharge from the

rehabilitation centre to home.

4. Discuss the physical, psychological, emotional, social and financial impact Paula’s chronic health problems

and recent amputation has on her ADLs and her family

Student Assessment


14

Scenario Two

Mr Shane Gillespie is an 80 year old male, admitted to the ward via A&E with exacerbation of COPD and

abrasions to his left shin and elbow and a cut to the forehead following a fall.

Shane lives alone and up until now has managed with the assistance of home help (cleaning services) and meals on

wheels for lunch. His wife has dementia and lives in a nursing home within walking distance from his home. He

has a two very supportive neighbours who visit daily, bring him the newspaper and stay for a chat. He has one

daughter who lives interstate and another who lives 1.5 hours away.

Shane is emaciated and admits he does not like preparing meals and only eats the lunch delivered by meals on

wheels. He has a dosette box for his medication, but he is increasingly forgetting to take them or mixing up the

days and times.

Shane has recently found it difficult with activities like showering and dressing and walking to the letter box due

to experiencing shortness of breath. He has been unable to visit his wife for a few weeks due to his increasing

shortness of breath.

Shane is an ex-smoker of 25 cigarettes/day for 46 years, he stopped smoking 20 years ago. He has a history of

chronic asthma (since childhood) and epilepsy.

On arrival his vital signs are:

RR – 30 bpm

HR – 100 bpm

BP – 190/100 mmHg

SpO2 – 87%

Temp – 38.3oC

Questions

1. Briefly describe Shane’s condition and chronic health problems including chronic obstructive pulmonary

disease and chronic asthma.

2. List and describe five clinical manifestations of COPD and long-term effects on the body’s systems.

3. List three each and explain the role of other services and health care workers who will be involved in his

care.

4. Discuss the impacts of chronic disease: physical, emotional, social and psychological.

Student Assessment


15

Assessment Task 2-Scenarios - checklist

Trainer/assessor to document the students’ knowledge as relevant to the summative assessment. Indicate in

the table below if the learner is deemed satisfactory (S) or not satisfactory (NS) for the activity or if

reassessment is required

Student’s name

Assessor’s name

Unit of Competence

(Code and Title)

Date(s) of assessment

Have all questions been answered in Both scenarios, as required to assess the

competency of the student?

Yes No

(Please circle)

Has sufficient evidence and information been provided by the student for all

questions in Scenario 1 and scenario 2?

Yes No

(Please circle)

Comments

Provide your comments here:

The Student’s

performance was: Not yet satisfactory Satisfactory

If not yet satisfactory, date for reassessment:

Feedback to learner:

Student’s

Signature

Assessor’s

Signature

Student Assessment


16

ASSESSMENT TASK 3 – CASE REPORT

Instructions for

completion

Read the case report details provided and complete the assessment instructions

Responses to the questions may be typed or hand written



skills





You answer all questions correctly to achieve a satisfactory result


This scenario assessment task contributes to 30% of the overall grade for this unit

Due Date

To be submitted to the trainer/assessor within five days of professional practice

concluding.

You are required to discuss evidenced based nursing practice for TWO patients, with chronic health problems,

you cared for during your professional practice.

You will be required to access the patient’s medical records to prepare for your case report for both patients.

Please maintain patient’s anonymity at all times

Use a pseudonym name for the patients that is not identifiable and state this in your case report

Be careful not to include any information that my identify the patient including places, dates, time, events

The case report should include information related to only ONE patient (word limit less than 70 words

each):

1. Brief introduction (one paragraph)

2. Presenting complaint, assessment data and diagnosis

3. Past medical and health history including medications

4. Discuss the clinical manifestations of the chronic health problems on the body systems

5. Identify two (2) actual and two (2) potential health issues of the patient

6. Explain current treatments for the identified chronic problems. Name and explain a few resources and

support services which can be utilised to meet patient’s care needs.

7. Answer following:

Student Assessment


17

a. Identify two (2) nursing interventions you performed based on the patient’s needs according to

continuum of chronic disease

b. Discuss the patient’s (as appropriate, with family or carer to confirm their) understanding of the

conditions and its impact.

c. List other agencies and interdisciplinary team members involved in supporting patient’s care.

8. Formulate an action plan for the patient which includes referral to community support services or

rehabilitation services or other support services as needed

9. Explain how you actively involved the patient in the development of strategies to manage their condition.

Write what progress notes documentation you did for this patient.

10. Explain how did you identify and meet own role and responsibilities in communicating and reporting the

person’s response to nursing interventions.

11. Enlist at least any two variations in person’s needs and explain your response to these variations in the

context of a coordinated service approach.

12. Explain what and how you identified the level and type of contribution and support made by family or

carer.

Support your case report with reference to current literature. (Minimum 2 literature and maximum of 4

literature).

Student Assessment


18

Assessment Checklist S = Satisfactory

NS = Not

Satisfactory

Case report includes all following: S NS

1 = Introduction

2 = Current admission diagnosis and medications

3 = Past medical history including medications

4 = Discussion of clinical manifestations of the patient’s chronic health problems

5 = Discussion of two actual and potential health issues

6 = current treatments for the identified chronic problems, few resources and

support services

7 = Nursing interventions according to continuum of chronic disease, patent’

understanding of the conditions and its impact.

8 Formulate an action plan

9 = Actively involved the patient

Academic writing and Referencing

OVERALL RESULT:

Trainer’s comments:

Trainer’s Name_____________________ Trainer’s Signature_____________________

Date:____________

Learner’s Name_____________________ Learner’s Signature_____________________

Date:___________

Student Assessment


19

HLTENN012 - SIMULATED LABORATORY WORK

Please note : The following activities are to be demonstrated by the trainer

and performed by the student in the simulated laboratory, during the course

of unit delivery.

Total allocated lab

time for this unit:

8 Hours

ACTIVITIES

Analysed health information and the clinical presentation of 1 person in the workplace or

simulated environment to reach an accurate conclusion on possible nursing interventions

related to their chronic health problems, in consultation with a registered nurse

Palliative care

Student Assessment


20

ASSESSMENT TASK 4 – PROFESSIONAL PRACTICE

Instructions for

completion

You are required to undertake professional practice as per the timetable

You must have been graded successful in your skills assessment prior to

commencing professional practice placement

You must have been graded successful in your assessments for all units of

competency prior to commencing professional practice

The SCEI work placement coordinator will arrange your work placement to

ensure it is undertaken in a SCEI approved Health Service.

Due Date

The work placement booklet must be submitted to the trainer/assessor within

five days of completion of the work placement

Prior to attending professional practice you will be issued with a professional practice booklet. This will outline:

the roles and responsibilities of you (the student), the nurse educator and host organization

the skills you will be observed and assessed performing

Assessment tasks to complete prior to work placement and during professional practice.

It is expected during the professional practice placement the student will consistently demonstrate achievement

of the required skills and knowledge as set out below. Please refer to the professional practice booklet

for further details of the professional practice and the assessment requirements.

There must be evidence that the candidate has:

Undertaken nursing work in accordance with Nursing and Midwifery Board of Australia professional practice

standards, codes and guidelines

Analysed health information and the clinical presentation of 1 person in the workplace or simulated

environment to reach an accurate conclusion on possible nursing interventions related to their chronic

health problems, in consultation with a registered nurse

Performed nursing interventions in the workplace to contribute to the support of 2 people who have

chronic health problems.

Student Assessment


21

Assessment Criteria

It is critical that the candidate demonstrate the ability to effectively do the task outlined in elements and

performance criteria of this unit, manage the task and manage contingencies in the context of the identified work

role. This includes the ability to:

Apply professional standards of practice:

ANMC code of conduct

ANMC code of ethics

ANMC national Enrolled/Division 2 nurse competency standards

state/territory Nurse Regulatory Nurses Act

state/territory Nursing and Midwifery Regulatory Authority standards of practice

scope of nursing practice decision making framework

Skills must have been demonstrated in the workplace with the addition of simulations and scenarios

where the full range of contexts and situations cannot be provided in the workplace. The following

conditions must be met for this unit:

use of suitable facilities, equipment and resources in accordance with the Australian Nursing

and Midwifery Accreditation Council’s Standards including:

assessment data

progressive notes of a de-identified person’s medical history

organisation policy and procedures on which the candidate bases the planning

Modelling of industry operating conditions including access to real people for

simulations and scenarios in enrolled nursing work.

analysed health information and the clinical presentation of 1 person in the workplace or simulated

environment to reach an accurate conclusion on possible nursing interventions related to their chronic

health problems, in consultation with a registered nurse

Performed nursing interventions in the workplace to contribute to the support of 2 people who have

chronic health problems.

Use effective communication skills

Use language, literacy and numeracy competence as required

Student Assessment


22

Sno. There must be evidence that the candidate has: Satisfactory Unsatisfactory

1 Undertaken nursing work in accordance with Nursing

and Midwifery Board of Australia professional practice

standards, codes and guidelines

o o

2 Analysed health information and the clinical presentation

of 1 person in the workplace or simulated environment

to reach an accurate conclusion on possible nursing

interventions related to their chronic health problems,

in consultation with a registered nurse

o o

3 Performed nursing interventions in the workplace to

contribute to the support of 2 people who have chronic

health problems.

o o

OVERALL RESULT: o o

Trainer’s Comments:

Trainer’s Name_____________________ Trainer’s Signature_____________________

Date:____________

Learner’s Name_____________________ Learner’s Signature_____________________

Date: ____________

hlten513b student assessment - transtutors · submit to your trainer/assessor by the due date you...

Documents