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Community Nursing Class/Homework

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Community Nursing Class/Homework

Review and complete assignment on the (2) Cases – Case Management and Faith-Based Community. Please answer the following questions related to the cases. Please be thorough and concise with your responses and include references to support your answers.

For the Case Management Case, please read the introduction and review Case Part 1 and 2.

Here is a brief overview.

Case Part 1 : Florence Brown, a 67-year-old woman, recently spent 3 days in the hospital following a myocardial infarction (MI). Florence waited over an hour in the emergency room before it was determined that she had had an MI. She had two stents inserted while in the hospital. Florence has had hypertension for 20 years. Florence, who lives alone, will receive home health visits after discharge. The home health nurse, Judy Prescott, will provide the case management assessment for Florence and develop a comprehensive post-discharge plan to meet Florence’s physical, mental, and social needs.

Case Part 2  A home health nurse, Judy Prescott, visits elderly client Florence Brown at her home to provide support and assessment after the client’s recent MI. Judy assesses Florence’s ability to carry out several activities of daily living, including getting around in her home, bathing, and doing chores. Florence’s son lives 30 minutes away.

Please answer the following questions:

  1. What are three key case management priorities that are evident from this brief description?
  2. What is Judy’s role as the case manager of Florence’s care? What components of case management are needed in this scenario to provide comprehensive, holistic care to Florence? What are the priorities of care for Florence at this time in her recovery?
  3. What information technology items could be used to monitor Florence’s recovery?

 

  1. Why is it important for Florence to be involved in her plan of care? What aspects of her social support system could be used to improve her outcome?
  2. What other information would be important to know regarding Florence’s hospital stay and discharge instructions to provide effective case management?

For the Faith-Based Community Video Case, please read the introduction and review Case Part 1 and 2 in Coursepoint.

Here is a brief overview:

Case Part 1 : Darnell, who is 56 years old, is of African American heritage and has a diagnosis of late-stage colon cancer. His physician has indicated that there are no additional medical interventions to treat the condition. The physician has contacted the home health agency and requested that a nurse visit the family. Amy, a home health nurse from the AOM Home Health Agency, visits Darnell and his wife, Carlene, to discuss their available support systems and possibly arrange for Darnell to have hospice care services.

Case Part 2 : Amy, the home health nurse, visits Darnell, a 56-year-old client with late-stage colon cancer, and his wife to discuss the possibility of hospice care, along with integrating support from the nurse in their faith community.

Please answer the following questions:

  1. How might the congregation of Darnell and Carlene’s church (a faith-based community) be involved in Darnell’s coordinated hospice care?  
  2. What other expertise might a faith-based community nurse bring to this situation, compared with a home health nurse?
  3. Reflect on actual or potential cultural values and beliefs of this family that the culturally competent nurse should consider when planning hospice care for Darnell.
  4. Discuss end-of-life pain management strategies and interventions for Darnell.
  5. Examine Healthy People 2020 and identify key indicators that apply to faith-based community care, home health care, and hospice care nursing.

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