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Consider Importance Patient Assignment Help: How to Answer This Question

This type of question evaluates analytical and critical thinking skills.

What This Question Is About

This question relates to consider importance patient and requires a structured academic response.

How to Approach This Question

Use appropriate theories and support your answer with clear reasoning.

Key Explanation

This topic involves consider importance patient. A strong answer should include explanation, application, and examples.

Original Question

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 TREATMENT You 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 male Adm. Dx: Colon cancer (Stage 2) – receiving chemotherapy cycle as an outpatient. Hosp. day 2, admitted for diarrhea and dehydration PMH: Colon resection 2 months ago Soc. 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 alcohol intake, 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 tolerate Antiemetics and anti-diarrheals PRN D5W 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 male Adm. Dx: Acute Myelocytic Leukemia (AML) Hosp day 10 PMH: Placement of venous device 1 week ago, anxiety Soc. Hx: Lives with wife and two children (18 & 20), financially supports family, physician in a single practice Report: Induction chemotherapy – completed 3 days ago NS w/20 mEq KCL & 50mEq NAHCO3 @ 100 mL/hr Low 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 1 PMH: Infectious mononucleosis, all immunizations complete Soc. 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 female Adm. Dx: B/L Radical Mastectomy PMH: Newly diagnosed breast cancer Soc. 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/hr Strict 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).

 
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