| One of the care team members that I would need to collaborate with to ensure effective care coordination for Mr. Smith is a home health nurse. A home health nurse will be required to provide the necessary care for Mr. Smith and assist him in undertaking activities of daily living. The home health nurse will provide information about how Mr. Smith is coping with his health needs. The nurse will also coordinate with other members of the care team to ensure the delivery of safe and high-quality care to Mr. Smith. The other member of the interprofessional team that would be needed for effective care coordination is a psychiatric nurse specialist. The psychiatric nurse will provide psychiatric care for Mr. Smith. The nurse will assess, plan, implement, monitor, and evaluate the effectiveness of different treatments adopted for Mr. Smith’s mental health problems. The nurse will also provide information about Smith’s mental health and needs, that will inform his treatment decisions. | |
Community Resources and Support NetworkAppropriate resources and a support network are important for Mr. Smith and will be imperative in promoting optimal outcomes. |
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| Discuss the options that are still available to assist Mr. Smith. Your response should be a minimum of 150 words. | Several options that can assist Mr. Smith exist. One of them is religious institutions. Religious institutions in Mr. Smith’s locality can provide different forms of support such as financial, emotional, and spiritual support. Mr. Smith can also still benefit from the hospital’s counseling services. He can still access counseling services for his psychosocial needs should he need them after his hospital discharge. Mr. Smith can also benefit from social support groups. Specifically, he can be linked to social support groups and programs for patients with chronic illnesses. The social support groups and programs will impart him with the knowledge and skills he needs to overcome his challenges. Non-governmental organizations can also provide the support that Mr. Smith needs (Rousseau et al., 2021). For example, these institutions can provide food supplies and transport to the hospital for follow-up visits and assessments should Mr. Smith need them. Therefore, these options should be explored to address Mr. Smith’s health needs. |
| Suppose this patient was a part of your community. What community resources are offered to enhance his quality of life? Your response should be a minimum of 150 words. | My community has resources that could have benefited Mr. Smith. Firstly, Mr. Smith could have accessed community support groups for people with chronic illnesses or disabilities. The support groups provide a platform for interaction among people with chronic conditions and disabilities. Mr. Smith would have learned of effective coping strategies and community resources to facilitate recovery. Mr. Smith could have also benefited from local religious institutions supporting those in need. Religious institutions provide different forms of support such as spiritual and religious support, food, and financial assistance to the vulnerable. A not-for-profit organization was also recently started in the community. The organization offers support to the vulnerable through housing, food, transportation, and financial assistance to those with terminal illnesses. It also has an online platform where patients and healthcare providers connect to ensure access to healthcare services. Therefore, linking Mr. Smith with these services would have improved his health outcomes significantly. |
ReferencesAfriyie, D. (2020). Effective communication between nurses and patients: An evolutionary concept analysis. British Journal of Community Nursing, 25(9), 438–445. https://doi.org/10.12968/bjcn.2020.25.9.438 |
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