NUR109 M5.3 Debriefing Discussion: Unfolding Case Study
Considering the rehab case manager report and the medical record information, describe three strengths in the Gardner family that the nurse would incorporate into the plan of care. To identify the strengths, consider family structure, setting, and resources.NUR109 M5.3 Debriefing
List three to four physician-initiated and/or collaborative interventions that the nurse will work with others on to provide effective home care to the family. Consider who and how the nurse will work with other professional and paraprofessional team members. Explain your clinical judgement for choosing these interventions.NUR109 M5.3 Debriefing
Strengths in the Gardner Family for the Plan of Care:NUR109 M5.3 Debriefing
Strong Family Structure: One significant strength in the Gardner family is their strong family structure. The family comprises two parents, both of whom are actively involved in caregiving. This structure allows for emotional and practical support for the patient, Mary Gardner, which is essential for her rehabilitation and well-being. The presence of both parents can provide a stable and nurturing environment, contributing to Mary’s recovery.
Supportive Setting: The Gardner family resides in a spacious and accommodating home that can be advantageous for Mary’s rehabilitation. A well-maintained and spacious living environment is crucial for a patient with mobility issues. This setting allows for necessary adaptations and equipment to be easily integrated to facilitate her recovery.
Available Resources: The Gardner family seems to have access to financial and community resources that can be beneficial for Mary’s care. Their ability to afford a rehab case manager demonstrates a commitment to her well-being and the willingness to invest in her recovery. Furthermore, the community resources can provide additional support, such as physical therapy services, which are essential for Mary’s rehabilitation.
Physician-Initiated and Collaborative Interventions for Effective Home Care:
Collaborative Home Care Team: The nurse should work collaboratively with a team of professionals, including physical and occupational therapists, social workers, and home health aides. Together, they can address Mary’s physical, emotional, and social needs comprehensively. Collaborative interventions may involve coordinating therapy sessions and ensuring that the home environment is safe and accommodating for Mary.
Medication Management: Collaborating with the physician and pharmacist is crucial for proper medication management. Mary is on multiple medications, and the nurse should ensure that the family understands the medication regimen, its potential side effects, and the importance of adherence. A medication schedule and regular reviews with the physician can help prevent adverse effects and ensure Mary’s optimal response to treatment.
Psychosocial Support: Mary’s emotional well-being is a critical aspect of her recovery. Collaborating with a social worker or therapist to provide counseling and emotional support for Mary and her family is essential. These professionals can help the family cope with the challenges and emotional stress associated with her condition.
Family Education and Training: Educating the Gardner family about Mary’s condition and the care plan is essential. Collaboratively, the nurse can work with a healthcare educator to ensure that the family is well-informed and capable of providing care effectively. This includes training on mobility assistance, wound care, and recognizing signs of complications.
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