Quality Of Discharge Teaching Care Plan - MyAssignmenthelp.com

Question: Discuss about the Quality Of Discharge Teaching Care Plan. Answer: Introduction: Admission to hospitals and nursing homes is considered by many patients and their family members to be an intimidating event. A continuous period of tension and stress accompanies family members of the patients who is admitted to the hospital and is going under severe treatments. However, the care provided in the hospitals and care setting is by healthcare professionals, which ensure safe practice. Therefore, it becomes a concern to the relatives and family members about how to handle the transition of care form hospitals to homes (Slover 2016). This is mainly because they remain unsure of the level of care required by patient and the level of care, which they could provide to patients. Therefore, researchers are of the opinion that healthcare professionals like nurses and similar others should take an active part in development of proper discharge and care plan for the patient (Thoma and Waite 2017). They should also educate the patient and family members in proper ways so that the chances of hospital readmissions, medical errors and others become less. The following report should mainly comprise of a care and discharge plan of a client named Jim along with how Jim and his wife can develop better quality lives. The plan should be such that it considers all ethical and legal obligations along with a care practice that is culturally competent to the patient and his family. Discharge and care plan: A proper discharge and care plan ensures that the healthcare professionals have developed a procedure by which patients can be transferred from one level of care to another level of care successfully and safely. In case of complicated patients like Jim, it is extremely important that the doctor in charge should authorize the discharge plan developed by the nurse. In the discharge plan of Jim, six important aspects need to be checked by the nurse. Those are: Qualified personnel should properly evaluate Jim in order to know about his present condition. It is also important to ensure that his condition is stable enough to travel back to home and is out of danger. The professional should undertake a proper discussion with the patient Jim and his family member Angela (daughter) to be sure that they are ready to leave the professional care and had proper arrangements both mentally, emotionally, financially and physically to take care of the patients. The professional should also ensure that proper care planning is conducted so that the patient and his carer and family members can conduct the care and treatment of the patient required at home until he becomes healthy physically and mentally (Knier et al. 2015). The professional should also ensure that he or she determines whether the caregiver training or other kinds of support are important or not. Here, it is recognized that Angelas son is already suffering from Autism Spectrum Disorder and her mother is suffering from COPD and heart failure. Therefore, it is important for Jim to allocate a professional carer who would take for him The next important aspect is Here, the professional would recommend Angela to a home care agency and other support organizations from where she can arrange for carer support for her father Jim. The next important point is arranging for follow up appointments and tests where health of Jim would be evaluated for improvement. The care plan for Jim would be portraying three important aspects: The first aspect of the care plan would include keeping the blood pressure of the patient in check. It becomes extremely important for the caregiver to monitor the blood pressure of the patient at a regular basis. Other important things, which should be kept in mind by the family members and the professional carer, are to use more salts in foods. Normally, doctors do not recommend this to old people as it leads to increase of chances of heart failure. However, since he is suffering from low blood pressure, use of more salts will not result in any such incidences (Hird et al. 2015). Jim should drink more water as fluids increase blood volume and help in prevention of dehydration. These are important in treating hypotension. Many researchers also say that wearing of compression stockings help in relieving the pain and swelling of varicose veins (Burke et al. 2014). This would help in reducing of the pooling of blood in veins. The carer should maintain several medications. Drugs like Fl udrocortsisone can be used. Moreover, drug like midodrine orvaten helps in rising blood pressure levels in patients with hypotension. Eating small, low-carb meals are important, paying attention to body positions is also important. The second aspect of the care plan is to take care of the infection site that had taken place from the initial CVC infection. The high-risk procedures after discharge like dressing changes, the wounded site care and others need to be done by professionals or those who have proper health literacy (Douglas et al. 2014) at home. The patient, family and caregivers should be taught about the skills that would help in reducing the chances of further infection. Jim was erratic previously and was trying to move all tubes which might have created infection. As infection had taken place, proper dressing of wound with clean, washed or sanitized hands are important and therefore full course of antibiotics would be provided to him so that he is freed from the infection (El amouri and Oniell 2014). It is seen in the case that condition of Jim is fragile and at the same time, his wife Amara is suffering from heart failure and COPD. In such condition, the nurse should try to engage professional caregivers or social workers who would be taking care of both of them. At the same time, their daughter is also facing issues with her son who is facing ASD. Therefore, the caregiver should be knowledgeable about the caring interventions of each of the members mentioned. They should be helping with the daily activities of life of both Jim and Amara at their home like bathing, dressing, cleaning them, making beds and providing them with correct medications. Moreover, the caregivers in the home should also counsel them and try to make them free from their emotional pain through proper counseling. Care should be taken so that their daughter no longer has to be concerned about her parents. The caregivers should also ensure risk assessment of both Jim and Amara and should make sure that they ar e exposed to a safe environment free from any danger. Besides, both their diet should be taken care of. Ethical and legal considerations and culturally competent care: Autonomy and dignity is one of the most important ethical principles of care. This principle holds the choice of the patient and his family members to be of utmost importance above everything else. Informed consent is one important part where nurses should seek for consent of the patient before applying interventions (Hong et al. 2014). A nurse, not abiding by the principle, may face legal obligation resulting in penalization, cancellation of license and similar others besides harming the dignity of the patients. Jim had always been a believer of the fact that he would be a better carer for his wife Amara than any professional carer. Therefore, he had always taken initiative to take care of his wife who is suffering from COPD and heart failure. In such an instance, going against him and forcing him to take a professional help in home would harm his dignity and autonomy. It might harm him emotionally making him feel that he can no longer take care of his wife in home whom he loved so much. Therefore, this might expose the nurse to legal crime (Rumbold and Baylis 2016). Therefore, the nurse should follow the principle of beneficence and non-maleficent. The previous principle means taking the best care of the patient ensuring safety in all interventions and the later means those interventions should be such that no harm or suffering occurs to the patient. The nurse should think for the benefit of Jim, Amara and Angela and therefore she should politely try to make the patient understand the importance of a professional support at such time when the three members are mentally and physically not stable to take care of each other. One important aspect of the care plan would also involve a psycho-social counseling for the patient and his wife Amara so that they can get rid of the tensions regarding their financial conditions and their physical issues. The caregiver or the social workers at home should do this, as clients are not comfortable to go anywhere. Jim is adama nt of the fact that he and his wife would not go to residential care. Therefore, the nurse should softly speak to him and made him understand the importance of a professional caregiver in his treatment in his home. He should be made to understand that if he stresses on himself to care for his wife in such fragile condition, both of their health might degrade. This might affect the health of Angela also who is handling the situation alone besides caring for his son. Proper counseling and allocation of a professional caregiver who is expert in care giving is necessary for Jim and Amaras health. Care should be taken that the patient and his wife should not feel pressurized and understand their situation. They should never feel that their dignity is affected. They should be made to think logically in a polite manner. This would ensure that health of all the members of the family would be out of danger (Gausvik et al. 2015). While providing care and counseling the patients, both the nurs e who would be developing the care plan and the caregiver should be careful that all the interventions mentioned in the care plan would be provided in a culturally competent manner. They are from Greece and therefore they have cultural differences with that of the Australians. Such views of Jim and Amara should be respected and hence, the care plan made by the professionals should maintain the likings, disliking and traditional aspects of their family. Amara is not very comfortable with the English language and Jim tries his best to keep her happy. Therefore, the nursing professional and the caregiver should respect their cultural attributes and thereby plan care in a way that is essential for better living (Lenk and Duttge 2014). Conclusion: While developing the discharge and care plan, care should be taken so that CVC site infection and hypotension of the patient can be maintained. Jim is not ready to get any support for their care. Therefore, besides maintaining dignity and care of the patient, he should be made to understand the importance of caregiver. The care should be culturally competent as well to maintain his dignity. It is the responsibility of the nurse to develop a plan, which would help the family and especially Jim to come back into a healthy life. References: Burke, W., Evans, B.J. and Jarvik, G.P., 2014, March. Return of results: ethical and legal distinctions between research and clinical care. InAmerican Journal of Medical Genetics Part C: Seminars in Medical Genetics(Vol. 166, No. 1, pp. 105-111). Douglas, M.K., Rosenkoetter, M., Pacquiao, D.F., Callister, L.C., Hattar-Pollara, M., Lauderdale, J., Milstead, J., Nardi, D. and Purnell, L., 2014. Guidelines for implementing culturally competent nursing care.Journal of Transcultural Nursing,25(2), pp.109-121. El Amouri, S. and ONeill, S., 2014. 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