Weight: 60% Must Complete: Yes Word Length: 2000 words Notes: Written assignment Due Date: Is displayed at the bottom of this page This assessment relates to: Learning Outcomes1-3 The Youbeaut Clinic...

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Weight:60%



Must Complete:Yes



Word Length:2000 words



Notes:Written assignment



Due Date:Is displayed at the bottom of this page



This assessment relates to:


Learning Outcomes1-3


The Youbeaut Clinic has been accepted to participate in the NSW Healthcare Homes program. As the senior RN in the practice you have been the given the task of care coordinator for patients who have agreed to participate it the program.


Liam is a 15-year-old male patient who has recently joined the program. You have not met Liam previously and he and his mother, Erica, are due to attend the surgery later today. In preparation for Liam’s appointment you review his patient’s notes and shared care plan. On review you note that the shared care plan has been started however is not yet complete.



Task


Review the attached case study of Liam and his shared care plan then answer the following questions:


Part one


Complete the missing information on Liam’s care plan and provide the relevant information;




  1. Patient Care Team: Identify all of the facilities, organisations and professionals Liam and his parents will have to access/interact with to achieve his treatment goals. Separate these into primary secondary or other (if relevant) and document the referral process and their role in Liams' care.


  2. Patient’s barriers to care goals: Review the patient care goals identified on the care plan. Identify barriers for achieving the care goals(note: may be: medical, situational system. Consider self-management strategies, health literacy and the team goals, this is not exhaustive).



Part two


Role of the RN as the complex care coordinator to deliver the shared Care Plan




  1. Nursing practice: Outline the relevant care coordination skills you as the Registered Nurses require to effectively manage Liam’s shared care plan.

  2. Identify Strategies: As the complex care coordinator you have to effectively implement Liam’s shared care plan. Identify any/all projects, programs, technology, organisations, innovations etc. that would assist with delivering the goals identified in Liam’sshared care plan.

Answered Same DaySep 02, 2021

Answer To: Weight: 60% Must Complete: Yes Word Length: 2000 words Notes: Written assignment Due Date: Is...

Soumi answered on Sep 05 2021
134 Votes
Running Head: HSNS363 ASSESSMENT 2 SHARED CARE PLAN: LIAM    1
HSNS363 ASSESSMENT 2 SHARED CARE PLAN: LIAM    12
    
HSNS363 ASSESSMENT 2 SHARED CARE PLAN: LIAM
Table of Contents
Part One    3
Introduction    3
1. Patient Care Team    3
2. Patient’s Barriers to Care Goals    5
Part Two    6
Introduction    6
1. Nursing Practice    6
2. Identifying Strategies    8
References    10
Part One
Introduction
The case study of Liam denotes the presence of medical complexity in him as he is suffering from JIA, asthma and right carpel fracture. Along with that
, he seems to be mentally torn due to the separation of his parents. As informed by Pordes, Gordon, Sanders and Cohen (2018), medical complexity is the presence of multiple substantially important chronic health issues in a single individual. As supported by Kuo and Houtrow (2016), it results in affecting multiple organ systems and extreme need for frequent healthcare support with advanced technologies.
It may lead to several functional impairments and there are chances of being combined with other mental disorders, such as trauma, anxiety and depression, which is commonly observed in case of Liam. Such people are in continuous need for essential healthcare services for survival and are termed “medically fragile”. As suggested by Goodman et al. (2016), there is an utmost need to handle such cases with proper care that the patients actually need to keep them mentally strong enough to fight through all odds.
1. Patient Care Team
As per calculation of risk factors in Liam’s case study, he is already in high risk due to his medical complexity as a result risks due to several different factors together. Liam due to his critical condition has been registered under the Health Care Homes program in Australia, which strives to provide coordinated care to greater than 10,000 patients in 10 different regions across Australia. It will provide with one coordinate team to take care of people with chronic and complex conditions and he does not necessarily look for different doctors in his field.
According to the shared care plan given by the Patient Centred Primary Care Institute (2020), there is no mention regarding the acute exacerbation of asthma in the medical summary. A diagnosis of any chronic respiratory condition such as COPD or Chronic Obstructive Pulmonary Disease, which is a major cause of morbidity, has substantially increased the mortality rate in the Australian population (Jackson & Hambleton, 2017). As argued by Heraganahally et al. (2019), as a whole, it needs to be taken care of, being asthma attack to be considered as one of the risk factors in case of Liam.
In addition, the main consideration in Liam’s case needs to be his degrading mental health as he might be undergoing severe depression due to his parents’ separation and the reasons that he is often bullied being introvert in school. Even Liam is irritated when his mother, Erica, reminds him to take his medication, which states that he might be having temperamental issues. He is already at high risk factor owing to environmental factors affecting his mental health. As supported by Ellis et al. (2017), there is a necessity of a therapeutic counsellor or nurse, who is involved in the co-ordinated care team for such kinds of patients, in order to exhibit therapeutic relationship to cater with the needs of their degrading mental health conditions.
Liam and his parents need to access all these facilities in order to get the proper care that he deserves. As supported by Krahe, Milligan and Reilly (2019), as this is a case of a new patient under the care team, the primary healthcare, in this case, first needs to make up and maintain, which is the contract for providing or availing healthcare related facilities between the individuals and families with the health system. It is the hospital in this case. The treatment of common diseases or injuries, provision of essential facilities and so on can be availed in this (Oxelmark, Ulin, Chaboyer, Bucknall & Ringdal, 2018).
The secondary healthcare is that, in which patients from primary health care are referred to specialists in higher hospitals for treatment. In tertiary healthcare, there is a third level of health system where specialised consultative care and integrated care planning is provided usually on referral from primary and secondary medical care (Steutel et al., 2017). There are prevalence of specialised Intensive Care Units and advanced diagnostic support services to provide proper medical care with patients having high risks and medical complexities like Liam. Hence, Liam and his family will be referred to the tertiary healthcare for providing an integrated care for Liam.
2. Patient’s Barriers to Care Goals
The care goals, which are implemented and need to be fulfilled to improve Liam’s condition, include devising the communication amongst all relevant specialists, regardless of their location. This is also including the use of an electronic health record, developing collaborative care strategy for Liam’s monthly case conferences, including him and his parents, every 2 months for 6 months. They should also foster Liam’s independent management of both chronic conditions, with minimal parental supervision, monitor effectiveness of physical and psychological interventions closely over the next 6 months with monthly clinic visits...
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