For each of the provided marginalised / vulnerable groups within…
- For each of the provided marginalised / vulnerable groups within Australia, discuss two (2) health challenges.
| Marginalised / Vulnerable groups within Australia | Two (2) health Challenges |
| Disability inequities within the NDIS access. |
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| Rural & Remote access to local Health Services |
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| Aboriginal and or Torres Strait Islander access to cultural appropriate Health Services. |
- Outline two (2) factors for each of the following environmental health issues impacting Australian and Aboriginal and Torres Strait Islander communities.
| Water treatment and supply |
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| Access to affordable and healthy food and food safety | |
| Rubbish collection and disposal |
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| Drought |
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| Bushfires |
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a) Identify three (3) beliefs that underpin the principles of primary health care.
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Discuss how the following members of the multidisciplinary health care team can provide primary health care to a 35 yr. old Aboriginal male who lives remotely and is a newly diagnosed Type 2 diabetic.
| Multidisciplinary health care team | Professional expertise provided |
| Indigenous health worker |
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| Podiatrist |
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| Pharmacist |
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- There are two (2) parts to this question. Both parts must be attempted to support a successful result. What are Aboriginal Community Controlled Health Organisations (ACCHOs) and what are their aims?
| Scenario – Karen | |
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You are an Enrolled nurse working for a community home care service, each week you go to Karen’s house to help her get ready for her weekly hydrotherapy treatment that helps to improve her strength and coordination. You generally get Karen ready, take her to the hydrotherapy and bring her home. Karen uses a wheelchair as she has cerebral palsy. Karen is usually enthusiastic and happy to chat with you while getting ready for these sessions, however today Karen seems down and only mumbles a greeting when you say good morning. You ask Karen if everything is aright, she says, “I don’t want to go to therapy, why does everyone bother with me, I’m not worth spending time with. I’m better off dead” |
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a) Identify four (4) ways you can talk to Karen in regard to her suicidal thoughts.
b) Discuss three (3) ways you can be alert to the fact a person maybe experiencing an acute mental health episode.
| Scenario – Mr Jones | |
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Mr Jones a 65yr old farmer has been driving for 1 hour to visit a small rural community clinic as he has an appointment to review his leg ulcer which is almost healed. The temperature that day is 40 degrees and humid. Mr Jones air-conditioning in his car is broken. Mr Jones enters the building and comes to the receptionist who asks him to take a seat and states that the nurse will see him shortly. 10 minutes later you as the Enrolled nurse escorts Mr Jones to the observation room to have his Vital signs taken, weight and BGL as Mr Jones is a Diabetic. You notices that as Mr Jones is seated, he is sweaty, pale and rubbing his chest, you asks if anything is wrong Mr Jones states he is feeling nauseated and his chest hurts |
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a) As this is clearly an emergency situation, prioritise six (6) emergency response actions you would take, in accordance with Code Blue / First Aid guidelines.
| Scenario – Olivia | |
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Olivia is a 35 yr. old woman who arrives at your medical centre to have a series of blood tests. Olivia feels dizzy during venepuncture and collapses in the phlebotomy chair/ bed and is unconscious. You are in the room when this happens. |
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b) Outline four (4) principles for the management of first aid and other emergencies that may occur in a community setting.
- Identify three (3) health issues for each of the age specific groups in the table
| Age specific group | Health issues |
| Infants | |
| Children | |
| Adolescents | |
| Adults | |
| Older people |
- Identify and briefly discuss three (3) social determinants of health and wellness in Australia.
- Identify four (4) multicultural cultural factors that may affect the health and wellness in Australia.
- Discuss two (2) ways the nursing process provides primary health care nurses with problem solving strategies.
- a) Outline the importance of using Evidence Based Practice (EBP) for nursing in the primary care setting.
b) Access the CRANA Plus website https://crana.org.au and review research recently completed. Identify one (1) piece of research that interests you and provide a brief description of that research and its application to primary health care. (Word count 50 – 100 words)
c) Provide two (2) examples of professional bodies within Australia associated with primary health care management
- a) Discuss how the illness – Wellness continuum model assists nurses assessing a client in the primary care setting.
b) Identify four (4) ways the Enrolled nurse can contribute to the health and wellness of individuals
a) Outline three (3) aim of preventative care in health.
b) State the aim of curative care in health and provide two (2) examples.
c) Outline three (3) principles of rehabilitative care in health.
- Explain how the following client meets NDIS eligibility.
A 72-year-Old female client living in Roma Queensland, diagnosed with dementia, COPD (Chronic Obstructive Pulmonary Disease) and ESRF (End Stage Renal Failure).
a) How does CATSINaM support Aboriginal & Torres Strait Islander Nurses & Midwives?
| Scenario – Edith | |
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Edith is a 72-year-old Aboriginal woman who was discharged from hospital following a total Hysterectomy following Uterine Cancer diagnosis. She has been back in her home for several weeks now and her daughter is bringing Edith into the local community health centre for a review of her plan of care. Edith is from Doomadgee Country and has no cultural connection with the community centre. |
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b) Outline three (3) practices the nurse can implement to ensure that Edith and her daughter feel culturally safe when visiting the community health centre.
a) State what telehealth is and the benefits to the rural community.
b) Identify three (3) ways health informatics benefit nurses in the delivery of primary health care.
- a) State how the Australian National Immunisation Program benefits eligible members of the Community.
b) State the correct age for each of scheduled immunisations for all people in Australia
| Age to receive immunisation | Immunisation to be given |
| Hepatitis B (usually offered in hospital) | |
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Diphtheria, tetanus, pertussis (whooping cough), hepatitis B, polio, Haemophilus influenzae type b (Hib)
Meningococcal B (Indigenous children) |
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Diphtheria, tetanus, pertussis (whooping cough), hepatitis B, polio, Haemophilus influenzae type b (Hib)
Meningococcal B (Indigenous children) |
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Diphtheria, tetanus, pertussis (whooping cough), hepatitis B, polio, Haemophilus influenzae type b (Hib) Pneumococcal (Indigenous children living in WA, NT, SA, Qld) Meningococcal B (Indigenous children with specified medical risk conditions) |
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Meningococcal ACWY Measles, mumps, rubella Pneumococcal Meningococcal B (Indigenous children) |
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Haemophilus influenzae type b (Hib) Measles, mumps, rubella, varicella (chickenpox) Diphtheria, tetanus, pertussis (whooping cough) Hepatitis A (Indigenous children in WA, NT, SA, Qld) |
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Diphtheria, tetanus, pertussis (whooping cough), polio Pneumococcal (Indigenous children living in WA, NT, SA, Qld) Hepatitis A (Indigenous children in WA, NT, SA, Qld) |
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Human papillomavirus (HPV)f Diphtheria, tetanus, pertussis (whooping cough) |
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c) Identify the aim and requirements of catch-up immunisation.
d) Identify three (3) population-based cancer screening programs in Australia:
- Identify five (5) health literacy issues that may inhibit a person’s ability to communicate, understand, access or evaluate information for health improvement.
| Scenario – Jamie | |
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Jamie Boaz is a 56-year-old Greek man interstate truck driver. He weights 110kg – he states he eats a lot of fast food at truck stops with his mates on the road. He is to be discharged from a small rural hospital where he lives in Boonah after having a myocardial infarction (MI) 4 days ago. His doctor has told him that he is to stop smoking, change diet and lose weight. Jamie and his wife would like to understand more about the community resources he can access to help him with the suggested lifestyle modifications. |
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- For each lifestyle change below, identify one (1) community resources around Boonah that Jamie could access once discharged.
| Lifestyle change | Resources |
| Weight loss |
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| Smoking cessation |
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| Healthy eating |
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