Question

Robert, 52, newly diagnosed COPD patient. Currently works at a shipping company. Lives in a private home with his 96-year-old mother. He is her primary care giver. He has insurance supplemented by his employer up to 40%. He resides in zip code 11225

All scenarios are as follows: A client scheduled for discharge back to their community (zip-code area) from the acute care setting. As the Community Health Nurse assigned to be the Case Manager for this client, the student will be required to prepare a discharge plan of care for the client (template provided). Plan of care must focus on Primary, Secondary and Tertiary levels of prevention for management of the client while in the community, resources and knowledge of the resources available within the community. Students provided with a discharge plan template.

** For submission, please attach the original scenario selected in class to your completed template.

Points allotted as follows:

• Identification of 3 Priority Nursing Diagnoses for care in the community – 12%

• Identification of Primary, Secondary and Tertiary levels of prevention appropriate for

  age, gender and diagnosis – 6%

• Setting S.M.A.R.T objectives for continuity of care in the community setting – 2.0%

• Using the Function Health Status Approach to Community Health Assessment

  (Chapters 11 and 13): identify the health care agencies within the community (Zip code area) you would most likely collaborate with to ensure your client receives optimal care in the community setting. – 5.0%

template

Medical Diagnosis: ____________________________________________________________
Priority Teaching Topic: _______________________________________________________________

Priority Nursing Diagnoses	Primary Prevention needs	Secondary Prevention needs	Tertiary Prevention needs	S.M.A.R.T Objectives for each Diagnosis	Based on the diagnoses, list the resources needed to care for this client in their Community (Zip Code Area)
Nursing Diagnosis 1
Nursing Diagnosis 2
Nursing Diagnosis 3

As the Community Health Nurse for this client, use the Functional Health Status Approach method for Community Assessment list the agencies available in the zip-code area to facilitate partnering for care of the individual in their community: - ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________

Answer 1

1.ineffective breathing pattern related to diseases condition

2.imblanced nutrition less than body requirement related to insufficient intake of food .

3.impaired gas exchange related to diseases condition.

Primary prevention - avoidance of tobacco exposure ,and toxic fumes are the invaluable importance in primary prevention

Another primary prevention strategy is to decrease occupational dust, vapour, gas

Secondary prevention aim to detect diseases when it is still relatively mild and treatable.

Tertiary prevention aim that at the prevention of permanent COPD. It includes institution of appropriate healthcare .furthermore early detection of disease and early remove from or reduction of exposure make it more likely that patient will avoid permanent copd .