Part B: Instructions
The purpose of this assignment is to engage your peers in an exploration of a health challenge across the lifespan and its impact on
the Canadian health care system. Your team is expected to design and deliver a comprehensive Nursing Care Plan that defines
specific nursing diagnosis, goals and interventions for the topic you are assigned.
NURS 4506 Course Learning Outcomes Evaluated in this Assignment:
1. Develop a plan of care for selected surgical and non-surgical conditions using the nursing process.
2. Apply principles of assessment, collaborative care, and nursing management of the patient with health challenges across the
lifespan.
3. Provide appropriate health teaching strategies that will enhance the client’s learning.
4. Apply a systematic approach to solve problems.
5. Use a variety of thinking skills to anticipate and solve problems.
6. Analyze, evaluate, and apply relevant information from a variety of sources.
7. Show respect for the diverse opinions, values, belief systems, and contributions of others.
8. Interact with others in groups or teams in ways that contribute to effective working relationships and the achievement of goals.
9. Takes responsibility for one’s own actions, decisions, and consequences.
The grade will apply to the entire group unless it can be proven that a team member did not evenly contribute to the
team project (through the DC discussion board only). In this situation, I have the right to assign an appropriate grade
ranging from 0-10 marks.)
Sections:
1. Group Project Plan 2.5% -Due week 4 – One submission per team in the assignment folder.
2. Nursing Care Plan 15%- Due week 7- One submission per team in the assignment folder.
3. Peer Assessment 2.5%- Due week 7 – Each team member to submit in the assignment folder.
Requirements: Your team is expected to design and deliver a Nursing Care Plan related to your topic.
1. The following content must be covered:
Title page following APA guidelines (tile page, margins, line spacing, format & font)
A one-page introduction around the topic (Discuss what is it? Impact on Canadian Health Care system)
A one to two-page clinical summary describing your patient profile
5 Nursing diagnosis (Nanda statements) related to the topic (one per team member)
You must include one nursing diagnosis on health education/promotion, and psychosocial needs
Each nursing diagnosis must have 3 SMART goals (SMART goals must have a date or time for evaluation)
Each SMART goal must have 3 nursing interventions
Each nursing intervention must be supported by comprehensive referenced nursing rationale minimum 120 words
References must include RNAO BPG Strategies to Support Self-Management in Chronic conditions, for a minimum of 10
current references in total. The use of nurse’s lab, blogs, Web MD, or references with n.d will result in a grade of zero.
Each individual nursing diagnosis must be supported by 3 or more different scholarly references
A one-page conclusion discussing your NCP
Reference page following APA guidelines
The expectation is that the use of direct quotes will be limited throughout the care plan. It is best practice to paraphrase were
possible.
answer
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Nursing diagnosis: Caregiver burnout related to several caregiver tasks and long shifts as evident by mental exhaustion. |
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Goal #1: To identify three reasons for caregiver burnout and mental stress and solution to each to avoid any such situation in future for the caregiver by the end of hospital stay.
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Interventions |
Rationale |
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The RPN will discuss with the patient, Mr Smith, his current supportive care process to identify the stress level. The patient should be introduced to stress-reducing methods that help him relive it. |
It is really important that the caregiver himself takes out time to relax and also re-energize mentally, physically and emotionally throughout the day to take up care responsibilities. This includes encouraging the caregiver to know all the available resources like the family and friends who can help with and he is should not be responsible solely for successful caregiving. This will not only give the caregiver relief from the feeling of being alone but will make him full of energy mentally and emotionally to feel the presence of other members in his caregiving procedure (Hawken, et al., 2018).
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The RPN will discuss with the patient his current role in caregiving to an aged man (Mr Smith) with external rotation of right leg, swelling and bruising on hip by falling on the sidewalk. His patient was found by his son and is confused having inappropriate behaviour.
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It is important that the caregiver is given ample time to discuss concerns and his feelings and provide emotional support and guidance all through this tough and challenging situation (Hawken, et al., 2018). It is a known fact that information provides an initiating point for educational sessions and if there is fundamental guidance provided, it might reduce his strain and help build a stronger relationship with the patient.
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The RPN will discuss with the caregiver the past health of his current patient who had Arthritis, hypertension, diabetes mellitus, and memory loss. The patient also suffers from sleep disorders and this makes it more important for the caregiver to be energised all through his service even in the middle of the night. |
It is important that the caregiver understands the fact that his patient has a strong health issue in the past and so it is important that he has a realistic perspective of the situation and also of the scope of responsibility. The caregiver should have idea to safe and effective alternatives to the patient’s medication and this is important when there is usage of inappropriate medication because of side effects and a lack of proof of their effectiveness to treat the problem (Hawken, et al., 2018).
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Evaluation: The goal will be met if the Caregiver identifies all his behaviours that trigger him to take stress and plans ways to treat these triggers in the future. |
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Goal #2:
To identify three reasons that the caregiver is not able to give himself time and solution to each of them to make sure that the caregiver experience good health plan and want to promote their health by the end of hospital stay
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Interventions |
Rationale |
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The RPN will refer the patient to a dietician who will guide the patient to have his essentials in place during the day of his service. The patient is more into frozen food and the caregiver has to look for all the meals in the day including fruits and vegetables with a good amount of water intake.
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The caregiver himself must take out time to at least have his three essential meals during the day. This may happen if he is particular about his mealtime along with the patient’s meal timing. A dietician will help him guide with different meals or protein intakes that will help keep him energize even if he is not able to have his food. He should be advised protein shakes that are easier to sip and keep him full the entire day and also help give him the desired source of protein in his body ( Roberts & Struckmeyer, 2018).
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The RPN will offer the caregiver support and guidance in his every activity towards his patient to promote his health. He forgets to even take his medications while assisting his patient on various medications on different diseases as the patient is not compliant with his medicines and forgets to take it often.
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The caregiver must realize that his medicines are equally important as his patient’s medicines. If he is taking them property then only he will be in the situation to provide medications for his patient. He has to promote his health first and then go for taking care of his patient’s health and well-being ( Roberts & Struckmeyer, 2018). This he cannot do at the cost of his health, which will lead to his ill health in the long run. With this, they will end up being secondary patients who are at high risk of injury and various adverse events that will follow. |
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The RPN will encourage the Caregiver to take some time off their work and indulge in some meditational activities that help distress mind and soul. |
The caregiver must realize that his unwinding time is also important so that he stays with a healthy mind and soul to perform his duty with best possible manner. The current patient Mr. Smith has his family as well and they can take care of him some days before the caregiver returns back to his duty ( Roberts & Struckmeyer, 2018). |
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Evaluation: The goal will be met when the caregiver realizes the importance of self-health before anything in his life. |
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Goal #3:
To identify ways to evaluate the appraisal for the caregiver and introduce him to various other social workers for referral community resources and financial aid to make sure he has a quality life for himself and his patient |
Interventions |
Rationale |
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The RPN will make sure to encourage the caregiver with an appreciation for his immense hard work without any selfish reasons to take care of such an aged man
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Feeling appreciated decreases feelings of strain and stress in humans and gives them the motivation to continue the same with more dedication and enthusiasm. Allowing the care recipient to show a good level of gratitude for the care given will bring a smile on his face and feel good about his duty and work. It is necessary to reduce or at least prevent stress-related problems so that they can enhance the overall quality of their life ( Del-Pino-Casado, et al., 2018)
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The RPN will provide him with different opportunities apart from his current duty to help him relieve financial stress |
Introducing a social worker for the referral community resources and any type of financial aid will help reduce any stress related to finance or any personal level load ( Del-Pino-Casado et al., 2018). Giving information on the disease process and management approach will help them be confident and ready for any future cases that they get the opportunity to deal with. There can be the introduction of grants and special funds that help to assist with his physical needs
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The RPN will provide him contacts of different social workers to help him choose the best suitable job and this is possible if he has multiple choices to choose from
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Having different options in life help us choose the best possible option and take the same according to its suitability and viability. If the caregiver has the option to choose the jobs from various sources, he can evaluate the best for himself a type of job where he is not having much stress and has a balance in his work and personal life maintaining a good amount of physical and mental well being ( Del-Pino-Casado, et al., 2018).
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Evaluation: The goal can be met if the caregiver can relate to the concept of different options and choosing the best possible one amongst it after evaluating them sincerely. |
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References
Del-Pino-Casado, R., Frias-Osuma, A., Palomino-Moral, P. A., Ruzafa-Martinez, M.,
& Ramos-Morcillo, A. J. (2018). Social support and subjective burden in caregivers of adults and older adults: A meta-analysis. Plos One,13(1). DOI: https://doi.org/10.1371/journal.pone.0189874
Hawken, T., Turner-Cobb, J., & Barnett, J. (2018). Coping and Adjustment in
Caregivers: A Systematic Review. Health Psychology Open, 5(2). DOI: https://doi.org/10.1177/2055102918810659
Roberts, E., & Struckmeyer, K. M. (2018). The Impact of Respite Programming on
Caregiver Resilience in Dementia Care: A Qualitative Examination of Family Caregiver Perspectives. Sage Journals, 55. DOI: 10.1177/0046958017751507