A Care Plan for Joseph Case Study

Running head : JOSEPH CASE STUDY
Joseph case study
Name of the student:
Name of the university
Author note:

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Executive summary:
The purpose of the paper is to provide a care plan for Joseph and his family members in order
to enhance faster healing. First part of the paper has discussed the established goal and process of
transfer of care as well as strength base care of nursing. The second part of the paper discussed
the ethics of nursing for decision making of Joseph for appropriate care. The third part of the
paper elaborates the cultural factors that might impact the provision of care and process of
culturally competent care. Lastly, paper provided a concise conclusion which would further
enhance the interest of readers.

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Table of Contents
Introduction:....................................................................................................................................3
Establishment of goals and selected course of care:........................................................................3
1. Engagement of older person and their family members:.........................................................4
2. Medication reconviction:........................................................................................................4
Legal and ethical principles to decision making :...........................................................................7
Culturally safe care:.........................................................................................................................8
Conclusion:......................................................................................................................................9

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Introduction:
Despite the recent attention paid to prevent the diseases, considerate number of patients
unable to achieve the desired outcome. A study Bohun et al. (2016), suggested that the majority
of the nurses trained to focus on the clinical problem exclusively and therefore, the lack in the
care process has observed. Therefore, strength base nursing care brings new balance to the
deficit based care. Strength-based practice is defined as a collaborative practice where a person
supported by services and the supporting individuals assist patient to work together in order to
determine an outcome for drawing strength and assists (Hall et al. 2017). The case study
represents a health condition of Joseph for where he was admitted to the hospital because of
unresponsiveness. He was administrated with CVAD and it gives rise to CLABSI which further
occluded. His daughter was handing all of the responsibility such as the responsibility of her
parents and son. The purpose of the paper is to develop a strength base care plan to share
responsibility with Emma. Therefore, this paper will illustrate established gaol and selected care
course of care, legal and ethical principles to decision making and culturally safe care in the
following paragraphs.
Establishment of goals and selected course of care:
The current context, Emma requires taking care of her family where she can share her
responsibility with support workers. Joseph was discharged from hospital but he refused to
participate in any residential care for Sophia and himself. Therefore,
GOAL1: faster healing of delirium as well as health conditions of Joseph with the assistance of
other support workers who will help him in self care.

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GOAL 2: For the Sophia, the goal is to improve functionality and prevent secondary
complications of COPD for improving quality of life.
The care of individuals is not depend on only hospital experience but also depends on the
care the patient is getting in the residential setting. The key principle for the transfer of care for
improving the clinical handover is the following:
1. Engagement of older person and their family members:
According to the principle of transfer care family should be involved in the decision
making of transfer of care (Gill et al. 2017). Therefore, verbal communication between health
care and providers should occur for all of the transfer from the hospital to residential care. The
follow up should be taken within 48 hours for better healing of the patient. According to
Festekjian et al .( 2018),t he communication would be done for the discharge and taking follow
up for the blood stress infection management as well as psychological distress. The
communication also should be with the Joseph and Sophia for understanding their needs.
2. Medication reconviction:
The transfer of care principle also involves the medical reconciliation where the patient
and care should always receive the update of the medication list (Potter et al. 2016). A discharge
plan when leaving the hospital is also part of the medical reconciliation where every family
member should have a copy of discharge communication. If the person is suffering from the
delirium as observed in this case study a follow-up referral with their GP and specialized
services, community aged care should be connected to the patient (Butcher et al. 2018). In the
current context, for the discharge plan of Joseph, his previous medication list such as
anticoagulants for reduction of occlusion and Chlorhexidine for bloodstream infection.

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Figure: Transfer of care process
Source: (Butcher et al. 2018).
The strength-based nursing core principle is applied also in this case which defined that the
healing of a person depends on the community strength, family strength. There are six principles
of strength-based care which are the following:
• Goal orientation
• Uniqueness
• Subjective reality and create meaning.
• Self-determination
• Learning, timing, and readiness.

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• Collaborative partnership.
McKinney et al. (2017), For health and healing, the value six would be effective strength based
approach, in this case, is following the value six such as proving an environment where the
person should be healthy. The first step would be providing therapeutic environment involving
reduction of light to remove environmental stimuli and promoting rest, promoting hydration and
reducing the noise of surroundings and promote sleeping for Joseph, encouraging consuming
medicines for the infections (Adam et al. 2017). Furthermore, teaching patient and family
members to manage symptoms. For management of Sophia, it should be recommended to ensure
to manage the symptoms and restoring the mobility functioning. Engaging Sophia in the self care
management skills for her taking care of herself is crucial.
Figure: six values of strength base approach of nursing
Source: (Adam et al. 2017).

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Legal and ethical principles to decision making :
In order to develop a care plan for the patient, it is crucial to acknowledge the needs of
the patient as well as the prioritizing the decision of the patient (Townsend et al. 2015).
According to Johnson and West (2015), there are seven principles of the nursing standard which
allow nurses to provide care by guiding the therapeutic relationship with the patients at the same
time meaning the professional barriers. According to Vryonides et al. (2017), seven principles
are following beneficence for good health and welfare of the patient, nonmaleficence,
autonomy, social justice, veracity, and fidelity. In the current context, Joseph refuses to
participate in residential care. The decision making of Joseph should be given the priority
without breaching the principles of nursing and providing patient-centric care where it would
threaten the dignity of Joseph (Ewer 2017).
Therefore, strength-based care approach would effective where Joseph would make
choice of his care plan whether he will participate in the residential care plan or not. strength
based nursing approach is widely accepted approach since it enhances well being and social
network by focusing on the strength of the individual's and ignoring the challenges of achieving
The value five would be appropriate for this context of decision making of Joseph. According to
Schwarz et al. (2016), the value five of strength-based approach is Self-determination, where
support worker respect’s a person’s self-knowledge and values of choice and self-determination
even though there are the limits of choices, are available. The self-determination also allows the
nurses to empower patient and making the centre of decision making in order to reduce the
disease and faster healing. In the current context, where Joseph was refuse to participate in the
residential care and Emma require to share her responsibility with someone for better care of her
family, This strength-based nursing care is effective. The nurses would assess the strength of
Joseph and decision making of Joseph care would be obtained through informed consent. It

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would empower him, boost his self-confidence and help him to identify his strength and make
the decision accordingly to obtain appropriate nursing care.
Culturally safe care:
Throughout the centuries, nursing has been dynamics, continuously evolving entity, and
caring and adaptation in the response to wide range of stimuli. The ability to provide culturally
competent care is critical nursing care who will give nursing a care process for health care. In the
current context, the josh was suffering from severe health issues such as suffering from delirium.
His wife was suffering from health issues due to COPD. Joseph was born in Manarola, Italy and
due to work he moved to Australia. His wife also moved with him but it was difficult for her to
learn the language. The cultural factors that impacted the provision of care are different cultural
values and beliefs. The support workers are from Australia and their cultural beliefs are different
from the Joseph and her wife Sophia and providing care without considering personal and
cultural values would threaten the dignity of them (Adam et al. 2017). Therefore, in order to
provide culturally sensitive care, the participation of family members in the care is crucial and
care should be without any assumptions. Explaining every detail of the care process should be
explained to Joseph and his wife as well as Emma (Townsend et al. 2015). The culturally
competent care should be considered cultural value of them and incorporate it in the practice is
crucial where Joseph would be given a choice of alternative approaches of healing (Potter et al.
2016). Some of the cultural place high values of extended family members and therefore, other
family members can participate in the care process (Vryonides et al. 2017). Educate family
members about the health issues and self-care management process is also part of the culturally
competent care. It will boost confidence, empower them and enhance faster healing.

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Figure: culturally competent care
Source: (Adam et al. 2017).
Conclusion:
Thus it can be concluded that strength-based care is crucial for managing the health
issues of the patients where patients are able to identify their strength and ignoring the challenges
of achieving a positive outcome. in the current context, due to health issues of Joseph and his
wife, Emma requires support to share the responsibility. Transferred of care can be applied in
this case where communication would be required before discharge and a discharge plan would
be required for faster healing. Strength based nursing care also applied in this case where Joseph
would be able to take the decisions for his treatment which is fundamental rights of every human
being. Culturally sensitive care would give to them in order to enhance their faster healing.

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