1-2 page (3-4 reliable sources) that addresses the following scenario: Your neig
ID: 124273 • Letter: 1
Question
1-2 page (3-4 reliable sources) that addresses the following scenario:
Your neighbor's father has just had a stroke and is in the hospital. She has called upon you to consult with her, and gather information about alternative services they may use when he comes home to live with her. He is paralyzed on one side and must use a wheelchair. You report to her as a health care professional helping her with discharge planning.
In this paper, you will detail:
• all the options available based on his condition and her ability as a single, working woman to care for him
• payment criteria and options in the continuum for her to consider such as rehabilitation, ADS, nursing facilities, assisted living, home health, etc.
Explanation / Answer
Dischage planning:
a). Communication- Speech, comprehension and language deficit are the most difficult problems for the patient and family. As a nurse, we should advised the following interventions that support communication:
b). Sensory- Perception functions: Patients who have had a stroke frequently have perception deficits. Patients with stroke on the right side of the brain usually have difficulty in judging osition, distance and rate of movement. Environment control such as removing clustter and obstacles and using good lighting aids in concentration and safer mobility.
c). Coping: The patient with a stroke may experience many losses including sensory, intellectual, functional, role behaviour, emotional, social, and vocational losses. The patient and family need helh with coping with the losses associated with stroke. The nurse may assist the coping by
d). Muscoloskeletal function: Balance training is the initial step and begins with patient sitting up in bed or dangling the lower extremities over the edge of the bed. The next step is transferring from bed to chair or wheelchair. The nurse should incorporate physical therapy activities into the patient's daily routine for additional practice and repetition of rehabilitation efforts.
e). A bowel management program should be advised for problems with bowel control, constipation or incontinence. A high fibre diet and adequate fluid are usually recommended. Patient with stroke frequently have constipation which responds to the following dietary management.
2), Rehabilitation is the process of maxximising the patient capabilities and resourse to promote optimal functioning related to physical, mental, and social well being. The goals of rehabilitation are to prevent deformity and maintain and improve function. Rehabilitation requires a team approach so the patient and family can benefit from the combined, expert care of an interdisciplinary team. The patient and family's participation in decision making during rehabilitation is essential to goal achievement after a stroke.
The rehabitation nurse asseses the patient and family with attention to
The goals for rehabilitation are mutually set by the patient, family, nurse, and other members of the rehabilitation team. The rehabilitation goals typically include the following
Most stroke survivors will receive treatment in a stroke rehab program. There are several types of rehab programs for stroke survivors. These programs differ from each other in three ways: Type and range of services provided Frequency of services Setting (where the treatment occurs)
Some stroke rehab programs are inpatient programs and others are outpatient programs. An inpatient program will assign you a room to live in while you are being treated. An outpatient program will provide treatment to you but not admit you to stay overnight.
Programs Services Setting Frequency Likely Candidates Acute care (inpatient) and rehab hospitals 24-hour medical care and a full range of rehab services Hospital or special rehab unit of a hospital Several hours each day (most demanding) Survivors who have many medical issues and may develop problems without continued medical treatment Sub-acute facilities Provide daily nursing care and a fairly wide range of rehab services Rehab center, rehab unit of a hospital, skilled nursing facility (short-term nursing care) or skilled nursing home (long-term), skilled nursing unit in the hospital Less demanding than acute programs, but continue for longer periods of time Survivors who have serious disabilities but are unable to handle the demands of acute programs Long-term care facilities One or more treatment areas Nursing home, skilled nursing facility 2-3 days per week Survivors who have their medical problems under control but still need 24-hour nursing care Outpatient facilities One or more treatment areas Doctor’s office, outpatient center of a hospital, other outpatient centers 2-3 days per week Survivors who have their medical problems under control enough to live in their own homes and can travel to get their treatment Home health agencies Specific rehab services in one or more treatment areas In the home As needed Survivors who live at home but are unable to travel to get their treatmentRelated Questions
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