PLEASE NOTE I DO NOT KNOW HOW MANY MORE PAGES THIS ORDER WILL BE, NOT SPECIFIED ON THE ASSIGNMENT SINCE YOU WILL BE ANSWERING QUESTIONS, PRICE WILL BE ADJUSTED ACCORDINGLY IF YOU HAVE MORE THAT 7 PAGES !! Chronic and Palliative Care Case Study You are receiving the case study assignment this week to provide you with plenty of time to read and thoroughly research the questions related to the case study. Your answers should include an in-depth response to each question. After reading the following case study, using your course textbook and other resources, on a separate word document answer the questions that follow. Joe is a 68-year-old married male who retired from military service and from his job as a construction foreman. He and his wife, Leona, have enjoyed two years of retired life taking camping trips across the country. Joe’s lifestyle has included smoking two packs of cigarettes per day, consuming fast food meals, and handling contentious family issues. He has a history of hypertension and hyperlipidemia, and he experiences anxiety as a result of the constant fighting between himself and his two sons. Three weeks ago, Joe had an ischemic stroke that has left him with speech impairment, aphasia, and left-sided weakness. Leona and Joe are devastated by their experience and realize that they will now “live with a chronic condition” – certainly one that they had not envisioned in their world. Joe has made some recovery progress during hospital rehab. However, the family has decisions to make about long-term care for Joe. The hospital team recommends individualized residential care with an interdisciplinary team that will assess the situation and develops a comprehensive plan of care. Leona prefers to try home care and enlist family members and friends to assist with Joe’s care – then maybe consider a community-based living facility later. A. Given the current situation, during a discharge planning meeting, what are the possible range and type of care organizations that the hospital rehab team might discuss with the family? B. What long-term care problems and issues do you expect the team and the family to discuss? C. If the family decides to place Joe in a nursing home, about what standards of care will you need to educate them? What nursing care do you expect Joe will need? D. What potential autonomy, adjustment, advocacy, financial, physical, emotional, and ethical issues do you expect Joe and his family to encounter during his continued recovery and long-term care decisions and experiences? E. What are at least three outcomes of long-term care for Joe and his family? What is your rationale? Additional Resources • This website offers extensive information about Joint Commission accreditation of nursing care centers. https://www.jointcommission.org/accreditation/nursing_care_centers.aspx (Links to an external site.) • The Medicare website offers quality, planning, and comparison tools. It also assists in finding nursing homes and home health services and provides detailed information about every Medicare and Medicaid-certified nursing home in the country. http://www.medicare.gov/default.aspx (Links to an external site.) • The Robert Wood Johnson Foundation (RWJF) offers numerous resources and research reports about long-term care. http://rwjf.org/pr/topic.jsp?topicid=1198 (Links to an external site.) • The National Association Directors of Nursing Administration in Long Term Care (NADONA/LTC) is a professional nurses’ association that is dedicated exclusively to nurse executives and nurse administrators within the long-term care continuum. http://www.nadona.org/ (Links to an external site.) • The Centers for Disease Control and Prevention provides a wide variety of information on long-term care facilities (LTCFs), including clinical and staff information; resident information; prevention tools; guidelines for infection prevention and control in healthcare settings; tracking infections in LTCFs using the National Healthcare Safety Network (NHSN); and states engaged in long-term care healthcare-associated infection prevention collaboratives.http://www.cdc.gov/longtermcare/ (Links to an external site.) • The Long Term Care Nurses Association unites all levels of nursing staff to advance excellence in the specialty of long term care nursing. This organization provides services and advocates for all nursing staff, administrators, LPNs, RNs, staff development directors, nursing assistants, assessment coordinators, and nurse practitioners.http://www.ltcna.org/ (Links to an external site.)
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