Care Transitions: A Case Study

Improved Essays
Care Transitions - Part B
The transition that Mr. C experienced was complex and multifaceted in its causes and implications. In order to better appreciate Mr. C’s transition, we can examine the relationships between Mr. C, his providers, and the healthcare system as a whole. Complexity science breaks down complex systems into individual parts in order to understand how they function as a whole. Concepts of self-organization, sensemaking, and emergence were evident throughout Mr. C’s transition and provided valuable insight into the most effective approach to his care. Self-organization is when new patterns or behaviors emerge as a result of an individual’s reaction to changes within the system (Geary, 2012). As Mr. C had interactions with
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C went through a period of sensemaking as he processed the information about his diagnosis and what that meant for him. The diagnosis of diabetes held significant meaning for him due to his family history and experience with the disease, and it seemed to be a strong wake-up call that he needed to make some changes. He often recounted stories about his sister’s experiences with diabetes and his past unhealthy behavior that may have contributed to his condition. Although he struggled to find meaning in his diagnosis in the beginning, as time went on and he felt better and better, he was able to give positive meaning to the changes in his life.
The role of the healthcare providers in this situation was extremely important to Mr. C’s outcome. As nurses, fulfilling our role and creating relationships that foster information flow, cognitive diversity, and connection, can have huge repercussions for patients. In Mr. C’s case, it was so important to meet him where he was at and tailor his care so that it worked for him. We demonstrated open boundaries by communicating with all members of the healthcare team so that we were all on the same page, allowing for questions, providing answers, and following through on commitments, which established

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