Chcccs004 Community Service For Aboriginal Assessment Answers

Questions:

Answer:

In the case of Margaret main two tools which could be used to assess her physical condition are as below.

DASS 21: As per case study Margaret is in a lot of pain from her loss. She is in a serious state of depression. Due to that depression, she leads a very unsystematic lifestyle. DASS 21 will help to measure the depression and the anxiety level of Margaret. In the Direct Access programme, this tool is present. After the assessment, appropriate measures can be taken according to need.

ASSIST- (Alcohol smoking and substance involvement screening test is another important test which is formed by the direct access in the case of Margaret. It will help to assess the holistic condition of her physiological state due to the effect of excessive drinking and smoking did by her. Margaret Drinks 1 pot and smokes 25 bundles per day which are detrimental for physical as well as mental health (Dalley, 2015). 

The direct access programme can get more information about Margaret from her previous working place as she was a respected nurse in the aboriginal health care. Information can be gathered from the cousins of Margaret. Information can be gathered from her previous doctors for more clear assessment which helps the overall holistic assessment. 

After the holistic assessment of Margaret, some of the practical aspects of the assessment should be considered by the direct access programme.

• The assessment should be documented in the proper printed way. The reports should be explained in detail to Margaret. It is done so that Margaret can comprehend her situation and direct access programme can justify their position.
• A suitable room should be organized for Margaret as per her needs. Emergency requirements like water, tissue etc should provide to Margaret (McConvell, 2011).
• A nurse should be appointed for her monitoring on an emergency basis. 

The legal information that is needed to be discussed with Margaret by the Direct Access is as below.

• Privacy and confidentiality of the data of Margaret should be maintained by the organization.
• The physical and mental health care procedure its budget and consequences should be clearly discussed with the patient party.
• Inform consent of Margaret should be taken by direct Access programme.
• Margaret will be informed about the service she will get in this programme. If she wants she can withdraw at her own will (McDonald et al., 2010). 

Discussion with Margaret is essential. An open discussion should be done with Margaret and her assessment and procedures of treatment should be discussed with her. The mental and physical health of Margaret should be assessed and opinion should be taken from the doctors so that they can opine about assistance needed in case of Margaret. Since she is suffering from the Mental and physical problem a collaboration of branches like psychologist and health specialist is required (Neville, 2015). 

Direct access program should explain the physiological and mental status of Margaret to her in an empathetic way. This will help Margaret to understand her own needs and will help in the holistic recovery of her health. Since she has a weak liver her Blood pressure is highly proper and she is suffering from stress anxiety proper medication and care should be taken on her own to fight the situation.

The assessment reports will be analyzed by the Direct Access care. According to the assessment report, the best facilities for Diagnosis of Margaret will be decided by the Direct Access programme. 

Due to excessive drinking and smoking and drug use, Margaret is suffering from ill physical health as well as mental health. She is arguing with her cousins and even she is not listening to the nursing home staffs. Her level of depression and anxiety is increasing which is totally interrelated (Nielsen, 2009). 

Weak liver, over alcohol intake, depression and anxiety are the issues of urgency in the case of Margaret. 

Cultural: Margaret is an aboriginal woman so during care given by her in direct access her culture should be respected or else it might be a potential risk.

Assessment: Assessment tool may possess some risks factor if Margaret gets made about the lengthy process of Assessments (Power, 2013). 

The discussion should be made with Margaret to consider her experience about the service of Direct Access benefit programme. Feedback will be needed from Margaret to improve the service of nursing according to the strength. 

The Direct Access programme cover service like mental health, alcohol intake and drug use, homelessness, family support, aged care. The support which is given to Margaret is quite extensive. In case there is a need for referral it should be referred to the Aged Care Assessment Team (ACAT). In that place, they can assess the holistic condition of Margaret health properly (Power, 2013). 

The brochure and the service given by the Direct Access programme should be given to Margaret. It will help her to understand the service that is provided inside the programme. A proper explanation of the brochure should be done if she faces any difficulty find comprehending it. 

A strength-based approach should be taken to motivate Margaret so that she can advocate for her own needs in the programme. An interpersonal relationship should be improved so that the advocacy done by the staffs of direct Access programme is effective. This will have an over positive effect on the health of Margaret (McConvell, 2011).

Reflective Report

Margaret is an aboriginal woman and she was an efficient and respectful nurse in the past. Due to her loss, her three children and husband were killed in an accident she went it a state of shock. I think we learned an important lesson that life will catch us off guard and we have to prepare for every situation. In this case, life got the better of Margaret as she totally depended upon alcohol smokes and drugs to compensate her pain. In my point of view, we should hope for the best and prepare for the worst situation. The path that Margaret has chosen is not the right path and she should take proper help from the professional and recover from this situation. I think that it is essential for every person to socialize talk to people and close relatives in the situation like these to get relief from the pain. 

References

Dalley, C. (2015). Love and the stranger: Intimate relationships between Aboriginal and non-Aboriginal people in a very remote Aboriginal town, northern Australia. The Australian Journal Of Anthropology, 26(1), 38-54. doi: 10.1111/taja.12119

McConvell, P. (2011). Time perspective in Aboriginal Australian culture: two approaches to the origin of subsections. Aboriginal History Journal, 9. doi: 10.22459/ah.09.2011.04

McDonald, E., Bailie, R., Grace, J., and Brewster, D. (2010). An ecological approach to health promotion in remote Australian Aboriginal communities. Health Promotion International, 25(1), 42-53. doi: 10.1093/heapro/daq004

Neville, C. (2015). Collaborative Care Approaches for People With Severe Mental Illness. Clinical Nurse Specialist, 29(3), 143-144. doi: 10.1097/nur.0000000000000127

Nielsen, K. (2009). A collaborative perspective on learning transfer. Journal Of Workplace Learning, 21(1), 58-70. doi: 10.1108/13665620910924916

Power, D. (2013). Australian Aboriginal Deaf People and Aboriginal Sign Language. Sign Language Studies, 13(2), 264-277. doi: 10.1353/sls.2013.0000