Case Study Information:

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Clinic Information:

• Ren Lancaster works as a Primary Health Care (PHC) Nurse in Drysmere, Victoria
• Ren has gained experience working as a Primary Health Care nurse in remote communities in Northern Territory and South Australia and urban centres in Melbourne and Horsham.
• Ren works with two other PHC nurses on a rotating roster.

The Drysmere Clinic is open 8am-4pm Monday-Friday. They provide an emergency on call service, in conjunction with a CERT team. (Community Emergency

• Response Team- local volunteers that provide first aid until an ambulance arrives. See https://www.ambulance.vic.gov.au/community/volunteers/).
• The nearest Ambulance Service is in Horsham, 50 minutes away.
• The clinic runs GP sessions 2 days per week. The doctor lives in Horsham.
• The nearest hospital is in Horsham. For specialised surgery and complex medical conditions, residents of Drysmere may need to travel to Horsham, Ballarat or Melbourne.

Information about Drysmere:

• Drysmere is a fictional town and exists only for purposes of this case study.

• Drysmere is a small farming community population 986.
• Drysmere has a permanent and seasonal worker community of indigenous, non-indigenous and multicultural families from Vietnamese, Sri Lankan and Pacific Islander backgrounds.
• 15% of the town are employed at the chicken farm, processing poultry for consumption.
• 10% of the town are employed at the Hay Processing Plant. Grasses are milled to a fine powder that can be reconstituted with water to form animal feed.
• Seasonal workers are employed at citrus fruit orchards in the area.
• Agricultural farming including wheat, sunflowers, barley and corn.
• The town has a caf, pub, general store, Catholic and Anglican church and a small pharmacy that is open Monday, Wednesday and Friday.
• There is a small primary school for grades Prep- year 6. Students travel to Horsham for years 7-12

Questions: Provide your responses in the boxes below each question.

Question 1:

Drysmere Clinic provides screening for all ages for immunisations as prescribed in the National Immunisation Program (NIP) schedule.

May-Ling Lee works in aged care and her employer has asked her to be up-to-date with her vaccinations.

Mrs. Lee speaks limited English, and does not understand:

• how vaccinations work
• What is a catch-up vaccination
• why she may need childhood vaccinations at 34 years of age (catch-up vaccinations)

In response to Mrs. Lee's three concerns, provide the rationale that supports the importance of vaccination.

In your answer you are required to provide evidence to support the advantages of a person receiving vaccination. (Provide website/document name and URL)

Answer:

1. How does a vaccine work:

Evidence:

1. What is a catch-up vaccination:

Evidence:

1. Why May-Ling may need catch-up vaccinations:

Evidence:

Comment:

Question 2:

When May-Ling removes her sweater to receive the vaccination, Ren notices many bruises on her arms and chest. On closer inspection, Ren notices faded bruising on May-Ling's neck and cheek.

Ren believes May-Ling may have been physically abused.

Explain how Ren may talk to May-Ling about her concerns and respect May-Ling's dignity, privacy, cultural, physical and psychosocial needs.

Answer:

Respect for:

1. Dignity:

2. Privacy:

3. Cultural needs:

4. Physical needs

5. Psychosocial needs:

Question 3:

May-Ling confides in Ren that she is exposed to Family Violence and is feeling extremely anxious. She has two children and is afraid for their safety.

1. Discuss two (2) recommendations the clinic team may give to May-Ling to assist with her self-care and safety.

1. Describe one (1) community resource (describe what they do) that the clinic team may recommend May-Ling access to support with her psychological trauma/family violence situation.

Answer:

A. Self-care and safety recommendations (Provide 2)

1.

2.

(2 marks)

B. Community Resource referral

1. Title:

2. Role:

Question 4:

The Drysmere clinic serves all members of the community.

For each of the following age groups, identify one (1)specific health issue they may experience, and one (1) hospital or community resource the GP and PHC team may refer them to for furthermanagement (no URL required)

Answer:

Age Group	Specific Health Concern	Hospital or Community Resource
Infant (Birth-1 yo)
Child (1- 12)
Adolescent (13-18)
Adult (18- 60)
Older Person (60+)

/5 marks ( mark per health issue; mark for resource)

Comment:

Question 5:

Mahesh Mudasinghe lives in Drysmere.

Mr Mudasinghe grew up in a poor rural community in Sri Lanka. He had no access to dental care, healthcare, running water or a high school education.

Mr Mudasinghe left school at 10 yo to work on the family farm and arrived in Australia 3 years ago to work at the Hay Processing Plant.

He is now 31 years old.

How does Mahesh's childhood life impact his health on the:

1. The illness-wellness continuum

1. Social Determinants of Health

Answer:

a. Illness-Wellness Continuum
b. Social Determinants of Health

Comment:

Question 6:

Mahesh presents to the Drysmere clinic with frequent chest infections, shortness of breath and allergies.

Discuss one (1) actual or potential environmental issue that could be affecting Mahesh's health

Answer:

Question 7:

Describe two (2) nursing interventions the PHC team could recommend to Mahesh to manage his respiratory disorders.

Answer:

1.

2.

Question 8:

Pearl is a 75yo Aboriginal retired teacher with dementia.

She lives at home with her husband Charlie, who is her primary carer.

Pearl is becoming more confused and is starting to wander. Her husband is concerned she may leave the house and get lost.

Discuss two (2) strategies the PHC could recommend that Charlie implement to help prevent Pearl wandering and keep her safe at home.

Answer:

1.

2.

Comment:

Question 9:

Pearl fell recently and sustained a #ankle.

1. Identify and describe the role of two (2) members of the primary health care team from the Aboriginal Community Controlled Health Organisation (ACCHO) who may provide rehabilitative and supportive services to Pearl after her ankle injury.

1. Describe how their roles complement the philosophy of the ACCHO.

Answer:

ACCHO Role	Description of the role	How role complements the philosophy of ACCHO

Question 10:

Answer:

Ren visits Pearl at home. Pearl is due an Influenza vaccination as per the National Immunisation Program schedule. The care plan states that Pearl has an appointment scheduled for the influenza vaccination at the local pharmacy.

Provide one (1) update to the plan of care that will address this appointment, considering Pearl's forced immobility due to the #ankle.

Answer:

Drysmere Clinic Care Plan Name: Mrs Pearl Scott DOB: 16/9/1947 UR: 233681
Assessment	Diagnosis	Planning	Implementation
-Immobility due to ankle injury -Altered cognitive function due to neurological deterioration	Risk for chest infection due to immobility	For Flu vaccination at Lincoln Pharmacy Booked 12/4 @1430hr	Update: Answer here:

Question 11:

Describe 3 key components of the Australian National Immunisation Program (NIP).

Answer:

1.

2.

3.

Question 12:

Explain how Ren can ensure she provides culturally safe care to Pearl.

Answer:

Question 13:	Explain how CATSINaM can support Ren to provide culturally safe care for Pearl.
Answer:

Question 14:	Discuss the benefit of interdisciplinary meetings within the primary health care team to monitor and evaluate Pearls' response to nursing and allied health intervention.
Answer:

Question 15:	Describe how the National Disability Insurance Scheme (NDIS) complements primary health care in supporting individuals with disabilities.
Answer:

Question 16:	Drawing on the ideas from Assessment Task 1 Question 1, and with your knowledge of Primary Health Care and information about the township of Drysmere: paragraph/statement for the local newspaper about the role of the Drysmere Clinic in the community (no dot points). In your answer, include examples of how the clinic may use technology to assist in achieving this role.
Answer: Australian references please