Mr. S and Mrs. M are both chronically ill and have complex/special needs. Both of their conditions limit them from doing their activities of daily living. In taking care of these patients, proactive health care team coordination is necessary. There are so many factors involved when coordinating care to address the complex nature of their illness. According to the AHRQ (2012), these factors that raise the complexity of care are their various physical issues, susceptibility to social bias, involvement different healthcare team and environment, patients’ care capabilities and preferences. The care for both of these patients are similar in terms of coordinating care f or their complex needs. As AHRQ (2012) stated, both patients need constant (1)
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S. involves his family. Aside from giving attention to his personal needs, an NP should also consider his family dynamics, cultural preferences, and the family’s caregiving concerns. The fact that he tries to help with the chores at home despite his physical limitations shows that he is concerned about his family, particularly his daughter who juggles her multiple responsibilities. Open communication with him about his concerns, values, and preferences would be helpful. Perhaps another family member or relative could temporarily help in giving the daughter a period of break/relief from her caregiver role to avoid burn out. It could probably alleviate Mr. S’ worries, which in turn help him recover better. Additionally, educating the patient about his medications could help increase his compliance. An NP could help in setting up his meds and could also give him the medication instructional materials. I tis also vital to that Mr. S. performs a return demonstration after an NP does the patient teaching. Similarly, finding some recreational activities and support group for Mr. S. would help. It might be possible that he is showing some signs and symptoms of depression. It is also the role of an NP to assess, diagnose, and treat his comorbidities. In terms of a nursing theory or model, the Orem’s theory of self carecould be applicable to Mr. S’ situation. As Roussel (n.d.) explains, this theory consists of “the theory of self-care, the theory of self-deficit, and the theory of nursing systems”. The theory of self-care focuses on individuals’ action/capacity to care for oneself, which is learned in response to one’s needs. When there is a failure to meet these needs, deficit on self-care occurs, and the nursing system comes into play to counteract its potential negative impacts to health. A nurse/NP can enable the patient to enhance the self-care abilities (Roussel, n.d.). In Mr. S’ case, the theory might be applicable if there is a mutal
S. involves his family. Aside from giving attention to his personal needs, an NP should also consider his family dynamics, cultural preferences, and the family’s caregiving concerns. The fact that he tries to help with the chores at home despite his physical limitations shows that he is concerned about his family, particularly his daughter who juggles her multiple responsibilities. Open communication with him about his concerns, values, and preferences would be helpful. Perhaps another family member or relative could temporarily help in giving the daughter a period of break/relief from her caregiver role to avoid burn out. It could probably alleviate Mr. S’ worries, which in turn help him recover better. Additionally, educating the patient about his medications could help increase his compliance. An NP could help in setting up his meds and could also give him the medication instructional materials. I tis also vital to that Mr. S. performs a return demonstration after an NP does the patient teaching. Similarly, finding some recreational activities and support group for Mr. S. would help. It might be possible that he is showing some signs and symptoms of depression. It is also the role of an NP to assess, diagnose, and treat his comorbidities. In terms of a nursing theory or model, the Orem’s theory of self carecould be applicable to Mr. S’ situation. As Roussel (n.d.) explains, this theory consists of “the theory of self-care, the theory of self-deficit, and the theory of nursing systems”. The theory of self-care focuses on individuals’ action/capacity to care for oneself, which is learned in response to one’s needs. When there is a failure to meet these needs, deficit on self-care occurs, and the nursing system comes into play to counteract its potential negative impacts to health. A nurse/NP can enable the patient to enhance the self-care abilities (Roussel, n.d.). In Mr. S’ case, the theory might be applicable if there is a mutal