Randy Myers (82 yr old) man with multiple chronic illness concerns. Randy lives at home with his wife and son. His wife Elona is his primary carer. Randy receives limited ín-home’ care from the local community nursing service. Please review Randy’s video. You are also provided with a written summary of the patients current status, their medication regime and the notes from Randy’s most recent visit to his GP.
You are required to review the stimulus materials for each of these patients. Using your knowledge of the chronic illnesses that are evidenced in their medical history- develop a care plan that addresses a minimum of three (3) primary problems that you can identify.
Ensure that you have addressed:
• The immediate physical, psychological and social needs of the patient;
• Have established short term/ mid-term and long term goals in collaboration with the patient;
• Evidence that you have included the primary carer/s and other health care staff in the plan;
• Consider a crisis point in their care and a ‘safety valve’ (an appropriate emergency response) should their condition deteriorate.
You are required to use the appropriate care planning form in Long Term Hospital Admission.
1. You need to show an understanding of lifestyle and developmental issues of chronic illness- PHC principles should embedded across you response in the case.
2. Excellent application of content knowledge to various dimensions of chronic illness processes for a range of patients.
3. It should be highly develop of insight into the patient voice across all responses.
4. Effective integration of multi-disciplinary team approach into patient care.
5. High quality of presentation is highly recommended; effective communication. All aspects clear and concise. Language is precise/accurate.
6. Please, watch your grammar, punctuation marks and spelling.
The client has attached the care plan format where you going to put you answers and some other files that may help you.
1. On spare paper: List all of the chronic illness issues that relate to Randy’s current health status.
2.Review the admission / patient history notes. Look at the medical history and the medication. What else do these documents tell you about their health.
3. On your spare piece of paper, try to prioritise the care needs for your patient from most important to least important. Have good reasons in your mind as to why you prioritise as you do.
4. Think about patient factors that will influence your patient’s ability to be self-caring or as independent as possible. What are the risk factors in his personal and home situation? How important are the risk factors in terms of Quality of Life?
5. Now — Using the care planning tool – use a separate sheet to identify each problem and strategies/interventions that might address them adequately. Use your knowledge of his personality, his life choices to date and his current situation to guide your thoughts about what might work best for him.
6. Randolph only – Use the completed pain assessment tool to direct your thinking about appropriate short-term and longer-term management of his pain.
7. Consider what referrals you might arrange for your patient (and why)
8. Once you have done all of this – it’s a bit like Sherlock Holmes – you need to piece together all of the clues – then you are to summarise the objective/subjective data and using your clinical reasoning – develop a plan of care for appropriate patient-centred interventions /action with measurable outcomes, time lines and evaluation criteria.