Explain how the Home Care Nurse (HCN) will partner with the patient and family members (from concept map) to encourage adherence to the treatment plan?
The Home Care Nurse will work with the patient’s family to relieve the patient’s sister of various tasks that the patient relies on her to do. These include getting groceries, cooking and cleaning the patient’s room. The Home Care Nurse(HCN) will also encourage the patient to live independently by summoning her energies to drive herself do normal house chores and participate in family activities like she used to before the surgery.
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Explain how social determinants listed on the concept map impact the patient’s/family ability and the Home Care Nurse to meet the patient’s health goals?
The social determinants include language, familial support, economic dependency, health cover accessibility and social support. Language is important in facilitating communication between the patient and the HCN. Since the patient’s language is English, they are likely to communicate effectively. The Patient has strong family presence, represented by her sister and other relatives. This is important for offering moral support and fulfilling emotional needs. The patient however does not work, which is likely to affect (her) economic stability, making (her) rely on family and friends for financial support. The access to the health Care RX plan ensures the patient’s medical needs are met in time, which facilitates (her) recovery process.
What barriers can you identify that exist for the patient/family?
The barriers that exist are the inability of the patient to comprehend most of the instructions given to (her) due to hearing loss. Also, the patient is allergic to Baclofen which may be difficult for the patient’s family to note and keep track of, especially if the care giver changes/switches.
Identify the patient’s and family strengths.
The patient’s strengths are the non-smoking behavior and the availability of effective health care/medical cover. The family’s strengths are the network of social support that they have created for the patient.
Explain how the Healthy People objectives on the Concept Map correlate to this patient/family.
The Healthy People objectives seek to increase the number of adults who report better physical conditions and to reduce the cases of patients with hypertension and chronic kidney diseases. The objectives correlate with the patient’s efforts of seeking better health care for (her) kidney complications, quitting smoking and taking measures to reduce her hypertension, like not taking up more tasks, and relying on family for heavy domestic duties. The patient is making efforts to achieve the Healthy People Objectives.
