Question 1
The home care nurse will partner with the patient through booking her counseling appointments, ensuring a supply of pain management medication and ensuring the patient attends her orthopedic clinics from time to time. The family members will also communicate with the homecare nurse regarding the progression of the patient concerning episodes of pain, feeding habits and ensuring they accompany her to the recommended amenities. The partnership will ensure the continuity of care and enhance adherence to treatment (World Health Organization, 2018)
Question 2
In the concept map, the social determinants listed are limited transportation which hinders the patient to interact with the social amenities as she cannot go out as many times as she could wish. Lack of social resources denies her the ability to do what she enjoys which hinders her psychological health. Understanding this parameter helps the health care provider to identify the setbacks as well as drivers of health goals (DeVoe, et al., 2016)
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Question 3
The patient is faced with; economic and social barriers, this is because the lack of adequate support hinders their quick recovery while the economic barrier hinders her from access the care that could be more efficient for her condition. The family leaves away from the patient and thus can only see them from time to time due to the persuade of other personal issues. The economic barrier hinders the patient to have enough space thus increasing the risk of falls.
Question 4
The patient has a strong connection with her son and the church. This support acts as a motivation to get better and be able to leave a normal life. The patient is also covered with Medicare and thus can access quality health service that is essential for her wellbeing. The family supports the patient through ensuring they have access to the resources they need as well as she has food.
Question 5
Healthy people's objective reduces the number of elderly people with limited functionality. This relates to the patient as the nursing goal to ensure they are free from immobility. This will allow her to engage in recreational activities she enjoys as she can move around on her own.
References
DeVoe, J. E., Bazemore, A. W., Cottrell, E. K., Likumahuwa-Ackman, S., Grandmont, J., Spach, N., & Gold, R. (2016). Perspectives in Primary Care: A Conceptual Framework and Path for Integrating Social Determinants of Health Into Primary Care Practice. Annals of Family Medicine , 104-1108. DOI:10.1370/afm.1903
World Health Organization. (2018). Continuity and coordination of care. 3-76. Retrieved from https://apps.who.int/iris/bitstream/handle/10665/274628/9789241514033-eng.pdf?ua=1