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V2 2020 CHCPAL001 Deliver care services using a palliative approach 9. You are caring for Mr Peterson, an 85-year-old gentleman who lives in a nursing home. Mr Peterson suffers from immense pain and is now for palliative care. During his bed bath he was very unsettled, fidgety and screaming in pain. Mr Peterson’s wife visits daily, this afternoon Mrs Peterson informed staff that Mr Peterson did not eat his lunch and was complaining of pain and had not taken his medication. In the care plan, it states that Mr Peterson has a heat pack applied to his back twice a day and a massage every morning with Flexall pain relieving ointment for 10 minutes by the career. He has been prescribed pain relieving medication that is locked in the drug trolley and can only be administered by an Enrolled Nurse (EN) or a Registered Nurse (RN) during the medication round. . . What are the symptoms of pain in this scenario? What can you do to reduce Mr Peterson’s pain and how will you communicate with his wife? (50 words) What other non-pharmaceutical strategies can be used to relieve pain that are in the careers scope of practice? What will you report to the EN about Mr Peterson? . 10. Mrs Ada Martin is a 79-year-old woman who has advanced Alzheimer’s disease. She is unable to identify or respond to family or those around her. Her mobility is declining and she is incontinent. Ada is on a pureed diet to prevent choking episodes. Her family insists that she must eat all her food; they say it is cruel to allow her to ‘starve to death’. Ada shows very little interest at meal times and only manages a couple of spoonful’s she is now for comfort care only. How would you communicate with family members about Ada’s nutritional needs? (70 words) How will you notify the Registered Nurse about Ada’s family? (50 words) Why is Ada on a pureed diet? (50 words) .
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