Consider the importance of patient and family centered care as it… Consider the  importan

Consider the importance of patient and family centered care as it… Consider the  importance of patient and family centered care as it relates to care coordination (think of engaging the patient and family in developing and understanding the plan of care [i.e who will deliver care? When? What is their role?].  Choose one patient from this week’s scenario to discuss various evidence-based patient engagement strategies and select a specific strategy you can utilize to assess and activate patient and family involvement in care. (Be sure to consider cultural competence and sensitivity).  ADULT/PEDIATRIC – CANCER TREATMENTYou are working 7PM-7AM on an oncology service of a university medical center with a pediatric/adolescent/adult population. The staff working with you includes an experienced oncology RN, an experienced RN who has completed orientation to oncology, 3 PCTs (Patient Care Technicians) and a nursing student.  Interns and residents (oncology) are on call.  The patient assignment is as follows: 420D                         AC       66 year old             maleAdm. Dx:        Colon cancer (Stage 2) – receiving chemotherapy cycle as an outpatient. Hosp. day 2, admitted for diarrhea and dehydrationPMH:              Colon resection 2 months agoSoc. Hx:          Married, lives with wife and 3 children (20 yrs, 18 yrs and 12 yrs); Wt: 62.7 Kg; Employed, owns home, health insurance, occasional alcoholintake, non-smoker Report:            Port-a-cath CVC in place – site clean/dry                                    FOLFOX protocol (5-FU, leucovorin and oxaliplatin) last week                                    Bland diet, unable to tolerateAntiemetics and anti-diarrheals PRND5W w/20 mEq KCL @ 100 mL/hr                                    Morning labs: RBCs – 3.8, Hgb 12, Hct 38, WBCs 4, Platelets 99                                    Stool culture negative for C-diff 427   X.M.                  54 yr old   maleAdm. Dx:        Acute Myelocytic Leukemia (AML) Hosp day 10PMH:              Placement of venous device 1 week ago, anxietySoc. Hx:          Lives with wife and two children (18 & 20), financially supports family, physician in a single practice Report:            Induction chemotherapy – completed 3 days agoNS w/20 mEq KCL & 50mEq NAHCO3 @ 100 mL/hrLow microbial diet                                    Wife at bedside                                    WBC 1.6, Hgb 7.2, Plt 52                                    BP 90/50, HR 112, R24, 100.8° F                                     425    K.J.                 20 yr old      female Adm. Dx:        Non-Hodgkin’s Lymphoma Stage III.  Hosp day 1PMH:              Infectious mononucleosis, all immunizations completeSoc. Hx:          Lives with parents, college freshman, no siblings, non-smoker, occasional                        marijuana use, sexually active, under parents medical insurance Report:            Starting chemo today: Hyper CVAD A (Adriamycin, Vincristine, Cyclophosphamide, prednisone)                        PICC line insertion scheduled for 0900                        PLTs 60, needs 1 unit platelets prior to PICC insertion                                    Diet as tolerated  426    J.B.                 38 yr old femaleAdm. Dx:        B/L Radical MastectomyPMH:              Newly diagnosed breast cancerSoc. Hx:          Lives with partner, denies smoking, leukemia as a child, depression, has 2                        dogs at home, unemployed Report:            Post-op day 1                                    D5 ½ NS @ 50mL/hrStrict I & O                                    WBC 11.2, Hgb 9.8, PLTs 167                                    B/L JP drains                                    Preparing for discharge tomorrow, plan for chemotherapy in 6 weeks  Consider the  importance of patient and family centered care as it relates to care coordination (think of engaging the patient and family in developing and understanding the plan of care [i.e who will deliver care? When? What is their role?].  Choose one patient from this week’s scenario to discuss various evidence-based patient engagement strategies and select a specific strategy you can utilize to assess and activate patient and family involvement in care. (Be sure to consider cultural competence and sensitivity).  Health Science Science Nursing NUR 4307 Share QuestionEmailCopy link Comments (0)

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