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Sample Assessments

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WGU HLTH 2320 D396 Evidence-Based Practice for Health and Human Services - Patient Family Centered Care Plan

A. Incorporating Palliative Care into a Patient-Family-Centered Care Plan

Palliative care is an essential aspect of a patient-family-centered care plan, offering physical, emotional, and spiritual support to individuals facing serious illnesses. This approach prioritizes symptom relief and stress management, often complementing curative treatments (Teoli & Kalish, 2020). In this case, palliative care is a suitable option for the patient diagnosed with metastatic breast cancer, with metastasis to the brain and bone, along with uncontrolled pain and generalized weakness.

By integrating palliative care, the patient can receive effective symptom management, including pain relief, anxiety control, and support for depression. Additionally, palliative care facilitates open communication between the patient and her family, ensuring that all emotional and spiritual needs are addressed. It also provides end-of-life care planning and support for loved ones, helping them cope with the challenges associated with a terminal illness.

B. Refining Quality of Life for the Client and Family

Enhancing the quality of life for the patient and her family requires a patient-centered approach that considers her physical, emotional, and spiritual well-being. The patient’s physical needs can be met by implementing symptom control measures, pain management strategies, and assistance with activities of daily living (ADLs) and instrumental activities of daily living (IADLs) (Grabovac & Dorner, 2019).

To support the patient’s emotional and spiritual well-being, healthcare providers should facilitate open communication, offer emotional support, and provide access to spiritual counseling. Furthermore, the patient’s daughter, who is her primary caregiver, may benefit from respite care services, as well as assistance with meal preparation and grocery shopping, helping alleviate some of the stress associated with caregiving responsibilities.

C. Strength-Focused Perspective

Adopting a strengths-based perspective when coordinating care honors the patient’s autonomy and self-determination. This approach highlights the patient’s abilities and strengths, rather than focusing solely on her limitations. Encouraging the patient to exercise control over her care decisions fosters a sense of independence and dignity.

Given the patient’s history of living independently, this perspective will help preserve her autonomy for as long as possible. Additionally, since she may have difficulty comprehending medical terminology, healthcare providers should communicate clearly and concisely, ensuring she fully understands the care plan and treatment options (Morrison et al., 2019).

D. Cultural Dynamics

When developing a care plan for the patient, it is crucial to acknowledge and respect cultural dynamics. The patient, a Korean American, has a preference for traditional Korean cuisine, making it important to identify and accommodate any dietary restrictions related to her cultural and religious beliefs (Kapelari et al., 2020).

Additionally, the family’s cultural values regarding end-of-life care and medical decision-making should be taken into account. Understanding cultural norms ensures that the care plan aligns with the patient’s values and preferences, fostering a sense of respect and dignity in her final stages of life.

E. Risk-Benefit Analysis

A risk-benefit analysis is necessary to evaluate the advantages and potential risks of various interventions. This process should consider the patient’s cultural, socioeconomic, developmental, and physical factors. Given her advanced age and metastatic breast cancer diagnosis, it is essential to weigh the risks and benefits of any proposed treatments carefully (Obidovna & Sulaymonovich, 2022).

Additionally, the patient’s daughter, who is her primary caregiver, has significant responsibilities, including full-time employment and raising two young children. It is important to ensure that caregiving demands do not overwhelm her, as excessive stress may impact both her personal well-being and ability to provide care.

F. Verbal and Nonverbal Communication

Effective verbal and nonverbal communication is vital in establishing trust and understanding between the patient and her care providers. Healthcare professionals should use clear, respectful language when speaking with the patient and maintain a calm, reassuring tone.

Nonverbal cues such as nodding, smiling, and maintaining eye contact can further demonstrate empathy and attentiveness. Additionally, gestures such as gentle touch or a comforting hug, when appropriate, can help foster a sense of connection and trust between the patient and her healthcare team.

G. Referrals and Community Connections

To ensure comprehensive patient-centered care, referrals to community-based services can provide essential support for both the patient and her family. Connecting the patient with home health services, meal delivery programs, and caregiving assistance can significantly improve her quality of life.

Furthermore, the patient’s daughter may benefit from support groups and counseling services, which can offer emotional and psychological assistance during this challenging time. Establishing strong community connections ensures that both the patient and her family receive the resources and support they need.

H. Care Transitions

A smooth care transition process requires an assessment of the patient’s biopsychosocial and cultural factors to identify any potential barriers to effective care. An individualized care plan should address the physical, emotional, and spiritual needs of both the patient and her family (Rego et al., 2020).

Assessing the home environment is also essential to ensure that the patient has access to necessary resources, creating a safe and supportive space for her continued care.

J. Legal Considerations and Ethical Dilemmas

Legal and ethical aspects of end-of-life care must be addressed to uphold the patient’s rights and ensure that her wishes are honored. Establishing an advance directive, such as a healthcare power of attorney (HCPOA), will provide clarity regarding medical decisions in the event that the patient becomes unable to express her preferences (West et al., 2022).

Additionally, it is crucial to communicate with family members to ensure they understand and respect the patient’s choices. Ethical concerns, such as informed decision-making, should be carefully considered to prevent the patient from feeling pressured or coerced into making choices based on guilt or fear.

References

Grabovac, I., & Dorner, T. E. (2019). Association between low back pain and various everyday performances. Wiener Klinische Wochenschrift, 131(21-22), 541–549. https://doi.org/10.1007/s00508-019-01542-7

Kapelari, S., Alexopoulos, G., Moussouri, T., Sagmeister, K. J., & Stampfer, F. (2020). Food Heritage Makes a Difference: The Importance of Cultural Knowledge for Improving Education for Sustainable Food Choices. Sustainability, 12(4), 1509. https://doi.org/10.3390/su12041509

Morrison, A. K., Glick, A., & Yin, H. S. (2019). Health Literacy: Implications for Child Health. Pediatrics in Review, 40(6), 263–277. https://doi.org/10.1542/pir.2018-0027

Obidovna, D. Z., & Sulaymonovich, D. S. (2022). Physical Activity and Its Impact on Human Health and Longevity. Достижения науки и образования, 2(82), 120–126.

Rego, F., Gonçalves, F., Moutinho, S., Castro, L., & Nunes, R. (2020). The influence of spirituality on decision-making in palliative care outpatients. BMC Palliative Care, 19(1).

Teoli, D., & Kalish, V. B. (2020). Palliative Care. PubMed; StatPearls Publishing.

West, S. K., Peek, B., Al-Achi, A., & LeCompte, D. (2022). Advance Care Directive Preferences in Women Veterans. OMEGA – Journal of Death and Dying.

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