Journal: PhDN 315 Financial-Budgeting and Resource Management in Nursing Services, Leticia C. Eslabra RN, MAN Moving into Private Geriatric Nursing Care Management Reaction In this multifaceted and creative role, care managers help people care for their older relatives or loved ones, especially those with chronic needs related to physical problems or dementia. They may be hired to resolve a specific problem or they may provide long-term oversight and become part of the family. Proficient care managers follow the nursing process: assessment, nursing diagnosis, planning, interventions, and evaluation. The care manager can: * monitor the client's condition with visits and telephone calls. * accompany clients to appointments.
It enables individual's to recieve the care and support they need, in a person centered way and to be part of deciding the care that they will recieve. Person centered care is good pracitce and helps to ensure that the correct and agreed care and support is given to each individual. No individual is the a same and by having a person centered approach, it ensures that everyone is not treated the same, but in a way that respects their needs, wishes, preferences and values. Working to a person centered approach is essential in dementia care. It will help to maintain the individual's self-identity, self respect and dignity.
For example, a patient may be in a care facility as a result of a chronic illness, other health needs will also be addressed. For example an Alzheimer patient may need the service of a hematologist, the interrelation of services will permit consultation with the specialist. Functional independence is promoted by allowing patient to implement responsibilities that can still be done, with or without adjustment or adaptive devises. How do affordability, physical accessibility (delivery), and acceptability (quality) of services affect access of care? The affordability of long-term care depends on the type of facility, length time spent at the facility, and the provider.
Unit 4222-332 Support individuals at the end of life. Outcome 1 Understand the requirements of legislation and agreed ways of working to protect the rights of individuals at the end of life. 1.1 Outline legal requirements and agreed ways of working designed to protect the rights of individuals in end of life care. Caring for patients at the end of life is a challenging task that requires not only the consideration of the patient as a whole but also an understanding of the family, social, legal, economic, and institutional circumstances that surround patient care. A legal requirement of end of life care is that the wishes of the individual, including whether CPR should be attempted, as well as their wishes how they are cared for after death are properly documented.
Mr. Trosack’s family interview will assess their ability to provide adequate care if he is discharged home. Social isolation is a real concern for Mr. Trosack it may lead to depression therefore, affecting his recovery. Members of the interdisciplinary team would are the nurse taking care of Mr. Trosack in the acute care setting, a physical therapist, a pharmacist, and the home care coordinator. The safety assessment helps analysis and determines the discharge plan and placement. After gathering all the needed information a recommendation of discharge placement will to be made.
Questions and answers 1 Edward Cooper Liberty University NURS 519 November 1, 2014 QUESTIONS AND ANSWERS 1 1. What are essential components of cultural assessment for this family? In addressing the needs of the patient, essential components of the cultural assessment must be addressed. Communications remains at the forefront of the plan and should include the designated family representative and/or the patient in many cases. As stated in the text, communications at the end of life are also complicated by reluctance to discuss prognosis and diagnosis (Matzo & Sherman, 2010).
Understand the aims, principles and policies of end of life care The aims and principles of end of life care: choices; priorities; the person is at the centre of planning and delivery; effective communication; efficient and effective multi-disciplinary/inter agency working; carers/family/friends informed as appropriate; carers/family/friends involved in care planning; person centred approach to service delivery; care and support available to any person affected by end of life and death; practitioners are supported to develop their knowledge, skills and attitudes; practitioners take responsibility for continuing professional development. Why it is important to support an individual in a way that promotes their dignity: self-esteem; privacy; respect; independence; choices; preferences; person centred approaches. The importance of maintaining comfort and wellbeing in end of life care e.g. : choices; care planning; physical and mental well-being; relatives/carers well-being; symptom management; pain relief; encourages and supports communication
Knowing their past history, relationships and interests or trying to see the world from their perspective can often help with this. Person-centered also means focusing on the best in someone, their strengths rather than their difficulties, responding to their feelings even when we do not understand their behaviour. 1.2 Outline the benefits of working with an individual with dementia in a person-centred manner The benefits are that the individual and their families will feel empowered and safe within the care being provided. If everyone within the care setting is carrying out a person centred approach and recording and passing on relevant information to other staff members everyone will become familiar with the individual and their requirements, which in turn will make them feel empowered too, this will go a long way to promoting good communication. 2.1 Describe the role that carers can have in the care and support of individuals with dementia Carers can support individuals with dementia by: Being understanding, caring, compassionate, and having patience .
I have a key role in ensuring the elderly resident is looked after, healthy and happy. This could mean a number of things. Based on my own judgement it is my responsibility to communicate with the wider sector or health care to assist with any personal issues or problems with those in my care. E.g *
Cooperation with the person with AD in the construction of a valued social identity is vital. Clinical and family foci should be on positive attributes not defective