Since the culture and practices of care settings are inherently different changes in sites of care are often difficult for geriatric patients. Efforts should be made to limit changes to only those necessary.
Since the culture and practices of care settings are inherently different changes in sites of care are often difficult for geriatric patients. Efforts should be made to limit changes to only those necessary; however sometimes a patients situation might require multiple changes in sites of care. When selecting sites of care such as home assisted living rehabilitation facilities and hospitals many factors must be considered by patients their families and their health care providers. Health status ability to perform self-care financial limitations and patient preferences are all factors that might influence a patients site placement. As an advanced practice nurse who recommends sites of care and facilitates changes you must evaluate factors and consider sites that limit the impact of these changes on geriatric patients. To prepare: Review this weeks media presentation as well as Chapters 4 and 7 of the Flaherty and Resnick text. Reflect on your personal experiences observations and/or clinical practices from the last 5 years. Select a case from the last 5 years that involves an elderly patient who has been in two different sites of care such as home assisted living hospital etc. Note: When referring to your patient make sure to use a pseudonym or other false form of identification. This is to ensure the privacy and protection of the patient. Reflect on issues that occurred because of the change in the patients sites of care. Think about the impact of differences in the settings themselves inherent cultures of the settings and ethical practices of these sites on the patient. Consider whether the patient had an advanced directive in place at the time of the change in sites of care. Reflect on whether any difficult treatment decisions had to be made as a result. Think about the impact of financial issues on site placement and treatment decisions. Post a description of a case from your personal or clinical experiences in the last 5 years that involves an elderly patient who has been in at least two different sites of care. Explain the impact of differences in the settings themselves inherent culture of the settings and ethical practices of these sites on the patient. Then explain whether the patient had an advanced directive in place at the time of the change in sites of care and if so whether any difficult treatment decisions had to be made as a result. Finally explain the impact of financial issues on site placement and treatment decisions. references Flaherty E. & Resnick B. (Eds.). (2014). Geriatric nursing review syllabus: A core curriculum in advanced practice geriatric nursing (4th ed.). New York NY: American Geriatrics Society. Houde S. & Melillo K. (2009). Caring for an aging population. Journal of Gerontological Nursing 35(12) 813.
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