Care for Individuals and Families Essay Assignment Paper

Care for Individuals and Families Essay Assignment Paper

Care for Individuals and Families

By (Student’s Name)
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Healthcare professionals
One of the healthcare professionals that should be incorporated would be the Occupational Therapist (OT), the treating physician, and the Healthcare Service Coordinator (HSC).
Contributions of the Healthcare professionals
The OT would examine the patient’s physical abilities such as functional ambulation, sit-to-stand transfers, bed mobility, ability to perform tasks such as toileting, dressing, and bathing. The treating physician would access when this patient is stable for discharge/transfer and give discharge diagnosis, precautions and recommendations, and medications/prescriptions needed at the pre-acute stage. The HSC would play a vital role in the care plan mainly because the patient was transferred to this hospital from a smaller facility to access acute and emergency care. The HSC would handle all the patient’s care components, such as coordinate discharge plans and care with specialists with doctors located in the hometown, facilitating conversation with family, and ensuring that the family is well informed of every stage of the transition progress.

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Process for setting healthcare goals
The healthcare professionals ought to involve the client by considering his wishes to feel empowered in his care. This will assist in making him realize that the quality of his life has not diminished and that he can manage his healing; this will help achieve better health results (Graban & Toussaint, 2018). Thus, professionals ought to have a strategy to have the client get back home and be as independent as possible, and as for his daughter, who cannot see him often and can check on him by phone call, she needs to be assured that the father is the father will recover. This can be done by assisting in activities and rehabilitation of daily activities as the daily activities will assure the daughter that the father is well taken care of. Over time, I think the health care team can encourage more independence as the patients rehabilitate and get stringer to return to everyday life.
Potential differences of opinion
One of the differences in opinion that would come up would be between the client and his daughter, as she is concerned about potential risks and how unsafe it is for the father to go back home independently since she cannot stay with him. This can be sorted by including a home health option as this enhances the patient’s wishes of being and having an assistant at the beginning of his post-acute care. This would reduce the daughter’s stress by making phone calls to be notified of changes and progress. The other difference would be between the healthcare team and the client about promoting his independence. The home health option would be a possible way for the patient to recuperate his freedom compared to a long-term care setting. This can be resolved by making weekly goals that the client strives to achieve to gain independence, hence reducing the number of visits as the client regains seventh and health.
Interviewing and communication technique
One motivational interviewing criterion that would enhance the patient’s self-determination would be being empathic. This would make the client feel accepted and feel that his health are concerns are valued hence positive treatment outcomes. One communication skill that would be significant would be health literacy to make the patient feel empowered and self-determined in his care.

Intervention strategy
If the client fails to comply, I would advise the healthcare team to hold a meeting and ask open-ended questions to examine the client’s reasoning. After discovering the issues in place, it would be vital to make all parties comprehend the significance of the medical problem and how the risks are accompanied when the medical case, which is left-sided weakness, is not handled (Elliott, 2021).
Partner resources
One of the resources the client could use is Meals on Wheels because due to his left-sided weakness, he will have problems making his meals and since he would not be able to drive and do grocery shopping because of his current condition. The other resources would be community transport such as disability or vanpool transportation since the daughter cannot transport him. He could also join a local brain/stroke damage support group due to his condition and interact with other individuals with the same situation to assist him in not feel lonely in his rehabilitation.
Potential physical barrier
One potential physical barrier would be opening up the door to get meals and take them home from the Meals on Wheels resource, and also eating on his own would be a challenge because of his condition. Another physical barrier could be transportation as we do not know how far he can walk independently. This would require more rehabilitation and assistive device to enable walking from the driveway to the transit.

Strategies to overcome barriers
Assistive devices like using a wheelchair, walker, and home health services could be used to recuperate strength on the client’s left side. About Meals on Wheels, the client could put a tray attachment on his walker, and also, he could be provided with unique silverware used by patients with his weakness.
Reimbursement and third-party insurance requirements
Reimbursement and third-party insurance requirements can have negative repercussions on the continuation of care for the patient. Determination of stipends for continuing care services before discharging the patient to go home would be vital. Some services considered crucial by the HSC and treatment team may not be entailed in service under the client’s health insurance plan. This would need adjustment to the care plan to guarantee the client’s goals are achievable.
Five A’s EBP
To use the five A’s of EBP, we would first access to ask, which would aid in recognizing the client’s problem, which would be the left-sided weakness, and consider the family and patient’s concerns. After that, the healthcare team will gather information on transitioning the client back home depending on their wishes and give some independence to the patient while considering his daughter’s concerns. The healthcare team also needs to have evidence and act promptly to enhance proficient attention on the patient’s needs. While gathering evidence, it would be vital for the healthcare professionals to use care favorable to the client to help in succeeding ad researching for evidence that would allow the client. The evidence would support the how teams appraise the results garnered that home health would be beneficial to the patient, back to rehabilitation while at home, and enhancing independence. This would be found via case studies, expert professional opinions, and handbooks. Healthcare professionals would also use the evidence by applying it in the care they offer the client, for example, by documenting each visit in their medical records and providing processes made by the client. Lastly, they will access the care offered by the client. This will be conducted in every meeting with the client and healthcare team as they review the care plan at every appointment and a look at the document care/decision making with clients and examine past and future goals for care (de Groot, van der Wouden, van Hell & Nieweg, 2013).

de Groot, M., van der Wouden, J. M., van Hell, E. A., & Nieweg, M. B. (2013). Evidence-based practice for individuals or groups: let’s make a difference. Perspectives on medical education, 2(4), 216-221.
Elliott, H. E. D. (2021). Motivational Interviewing Training: Improving Subject Matter Expert and Instructional Designer Relationships Through Consultation (Doctoral dissertation, Morehead State University).
Graban, M., & Toussaint, J. (2018). Lean hospitals: improving quality, patient safety, and employee engagement. Productivity Press.

Healthcare service coordinators play a vital role in the healthcare industry, helping clients navigate a variety of care settings. In this assessment task, you will consider a fictional scenario describing a client who is transitioning from acute care to post-acute care services. The purpose of this task is to measure your critical thinking and interdisciplinary communication skills in a simulation of a real-life situation.

You are a healthcare service coordinator for a health insurance organization. You have been tasked with coordinating healthcare services for a new client, a 74-year-old man.

A review of his past medical history includes the following information:

He takes daily cardiac medications to treat atrial fibrillation and anticoagulants to prevent blood clots. He is a widower who lives alone in a two-story home in a rural community. He lives independently and does not need assistance with activities of daily living or with managing medications. He drives himself to his appointments and has been active in the community.

His 48-year-old daughter lives nearby with her husband and two children. She checks on him by phone every day but only visits in person weekly due to her busy work and family schedules.

The client’s medical history describes the following incident that occurred two weeks ago:

When the man did not answer the phone one evening, his daughter decided to check on him. She found him lying in the bathroom on the second floor, trapped between the toilet and bathtub. He was lethargic and unable to answer her questions, and he had a laceration on the right side of his forehead. She called for an ambulance, and he was brought to the emergency room in his local community hospital. He was treated for his head injury, and a CT scan showed bleeding in his brain tissue.

In his neurological evaluation, he was unable to move his left arm or left leg, and as he regained consciousness, it was determined that he had left-sided facial droop.

His community hospital did not have a neurologist on staff, so he was transferred to a larger hospital in the nearest metropolitan area 45 miles away for a higher level of care. He is currently admitted in the neuro-ICU unit.

The man wants to return home and continue to live independently. His daughter is concerned about fall risks and feels it is unsafe for him to return home, especially since it is not possible for her to stay with him.

As the healthcare service coordinator for your new client and his family, you are responsible for determining the services your client will need throughout his acute care stay and transition into the most appropriate post-acute services.
Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. The originality report that is provided when you submit your task can be used as a guide.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

A. Identify three healthcare professionals that should be involved in creating a comprehensive care plan for the client’s transition from acute care to post-acute care.

1. Describe specific contributions that each of the three professionals make in determining prevention, intervention, or treatment strategies for the client.

B. Describe the process for setting realistic healthcare goals for the client by doing the following:

1. Develop a plan to involve each of the following perspectives in the process of setting healthcare goals: the client, his family, and the healthcare professionals involved in his care plan.

2. Describe two potential differences of opinion that may arise between the client, his family members, or healthcare professionals when setting healthcare goals for the client, as well as a strategy to resolve these differences.

3. Describe one interviewing technique and one communication skill that can be used to encourage the client’s self-determination.

4. Develop an intervention strategy to use in the event of the client’s noncompliance with agreed-upon healthcare goals.

C. Recommend three potential community or healthcare partner resources that the client could use for ongoing support in achieving his long-term healthcare goals.

1. Identify two potential socioeconomic or physical barriers that would likely hinder the client’s access to the resources described in part C.

2. Propose a strategy to overcome each of the potential barriers described in part C1.

D. Describe how third-party insurance or reimbursement requirements may negatively impact continuity of care for the client.

E. Describe how to apply the five A’s of evidence-based practice (EBP) to support the client’s care plan.

F. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

G. Demonstrate professional communication in the content and presentation of your submission.

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