Case Study: Liam - Patient Care Team, Nursing Practices, and Strategies

This case study focuses on Liam, a 15-year-old male patient with JIA and asthma. It discusses the patient care team, nursing practices, and strategies for better treatment and care.

Case study: Liam

TABLE OF CONTENTS
INTRODUCTION...........................................................................................................................3
PART 1............................................................................................................................................3
1. Patient care Team....................................................................................................................3
2 Patient barriers to care goals.....................................................................................................4
PART 2............................................................................................................................................5
1. Nursing practices.....................................................................................................................5
2. Identify strategies.....................................................................................................................6
CONCLUSION................................................................................................................................7
REFERENCES................................................................................................................................7

INTRODUCTION
Care coordinator is person that responsible for taking care of various patients so that it
can enjoy health and better lifestyles in future circumstances. The report is based on case study
of Liam that is 15 year old male patient which have recently joined healthcare homes program. I
have been appointed as RN to review patent notes and shared care plan before surgery but the
information given in shared care plan are incomplete. Therefore report is to find relevant
information that will helps in better treatment of Liam.
PART 1
1. Patient care Team
There are various facilities, professional Liam and his parents are allowed to access for
effective treatments of goals. Liam is a patient that is suffering from JIA (Polyarticular) since age
of 8 year. It has been seemed form report that level of pain has been increased in joint and wrist
that was fractured in an accident. There should be open communication between care team or use
of electronic health records so that patient can be delivered qualitative services. Elements of
primary health care is firstly all care taker need to be provided education and training on several
health problem that are faced by patients and the way they can be treated or provide facilities for
better health. Liam and its family member need to provide more nutrition and better food so that
it can gain strength to fight with diseases (Chung, Juang and Li (2019)). At the same time it
should provide healthy environment where patient and its family member can live that have safe
water supply. Essential medication knowledge needs to be given by professional to patients and
its family member so that they can make use of them in treatment of problem faced by Liam.
There should be proper treatment of diseases that is availability of technology and medical
facilities so that Liam can have healthy lifestyles (Health Management, Ethics and Research,
2019). On the other hand secondary health care is more focused, specialised and usually support
individual that are suffering from complex health condition. So, Liam is one such patient that is
suffering from sever diseases such as JIA and Asthma which require specialist to treat its
problem in better manner. Therefore experienced, highly skilled, qualified and knowledgeable
healthcare is required for treatment of Liam. It also requires innovative or more advanced
technologies that can used to treat Liam from several injuries or fracture in right hand, asthma
and JIA (Verma & Sood (2018)). Specialised monitoring need to be provided to patient in
secondary care which helps in understanding reason behind problem or sever condition of patient
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has been created so that effective solution can be found. Therefore both secondary and primary
healthcare facilities, technologies and professionals can contributed in get better outcome or
health of Liam (FAQ: What is the difference between primary nursing care and acute nursing
care?, 2020).
2 Patient barriers to care goals
It can be illustrated from case study that patient care goal of Liam is that he had been
irritated to feel different from other due to various health problem so one of the major goal of
patient is to be look, feel like other normal individual in society. Another major goal of patient is
that it want to play sport at weekend but it could not play due to odd one out so it need to be
provided proper care and support by its family. On the other hand Erica goals is that she is very
concerned about psychological healthy of Liams so want to find better strategy that can issued
problem quickly so that Liam can live better lifestyles (Duggal, Brindle, & Bagenal (2018)).
Secondly she want some specialist to get deep information about reason that have caused Liam
problem worst form few months such as Asthma and JIA. Thus, it want a better care plan or
strategies that can contributed Liam to live health and better lifestyles. Therefore are few barriers
in effective implementation and achievements of patient barrier such as parents of Liam that is
Michael and Erica are not able to balance their respective responsibilities that have adversely
impacted on health and well-being of patients. They are unable to transport Liam to various
therapy session and medical appointments such as Paedtrician appointment quarterly, local
fortnightly physiotherapy and monthly medical appointment in Sydney that have created most
significant barrier in effective achievements of patient care goals. Another point is that his father
and mother both does not have enough time to have spend or play with him which created a
feeling of being isolated or differentiated from other people. For examples: When every time he
visit his father it feel that he is burden on them as Michael does not have enough time because of
two main responsibilities that is care of children and farm (Wang, & Hajli (2017)). So, lack of
time devoted by her father and mother has lead to create a feeling of isolation among patient.
Liam since at age of 8 has diagnosed of Juvenile Idiopathic Arthritis and again it was found that
it had asthma at age of 10 year. Since last two years Westtown region was suffering from
drought that have lead to dust storm which have made condition of Liam more serious. Recently
3 years ago Liam have fractured its right hand due to fell of his bike so all such circumstances
have made situation of Liam worst and badly affected on health and well-being. Nor it was
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provide environment where it can feel like other normal people is society thus all such situation
have created in achievements of patient care goals. Lack of self management tool such as regular
consultancy of paediatric rheumatologist and paediatrician ASAP nor Laim was provided
independent environment at home and school for medication and trigger identification so that
appropriate action can be taken. Therefore it can be stated that lack of all system, medical
treatment and care of patient have act an effective barrier in patient care goals.
PART 2
1. Nursing practices
There are various care coordinator skills that are required by registered nurse to provide
better treatment and care to patient so that its problem can be resolved. Four quality needs to be
presented in every care coordinator to accomplished its particular task and render best services to
customers. It is not an easy job to be nurse so the care coordinators need to be specified
knowledge, capabilities and qualities or experienced to manage better health and well-being of
individual (Improta & et.al., (2019)). Therefore there need to be few basic qualities present in
nurse as care coordinators to avoid consequence ongoing stress. Such as:
Empathy: It can be stated that all health care provider needs to be empathetic which means it
should be able to understand several problem, feeling that are faced by patients such as Liam.
Therefore it is one of the most crucial traits that need to be presented in care coordinator and
need to have full detailed about medical history of patient. All such knowledge about patient
helps care coordinator to find appropriate action or strategies that can used for better treatment of
individual (Farahani & et.al., (2018)). It also helps care coordinator to understand feeling of
family member that they face while taking care or delivering high quality services to patients.
Thus, empathy skills help care coordinator to remove various obstacle that act as barrier in
effective treatments of patient.
Communication skills: It is another skill that needs to be presented in care coordinators as
merely understanding feeling of patient is not enough which means care taken needs to have
better knowledge about the way important information are communicated to patient.
Communication skills is also required to give various instruction or exchange information to
caregivers or health care practitioners in order to ensure smooth delivery of care to patients. It
should also know that effective listening is one of the great ways of communication so it needs to
take feedback from patient and subordinate to know about their respective opinions (Hughes &
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et.al., (2016)). Therefore, communication skills are one of the greatest strength of care
coordinator that helps it to easily complete its task and get better outcome or results.
Resilience: Nurse are the front line car taker in terms of psychologically, emotionally and
physically so that there is no secret that nurse need to be resilient while taking care of patient.
There are lot of stress that have to be faced by care coordinators while performing its task so they
need to have capacity of resistance to avoid stress and lot of tension for delivering better quality
of services to patients (O’Brien & Mattison (2016)). In order to manage different types of
patient care coordinator need to be more patient or resilience so that harm can caused to its
health. Thus, as care coordinator individual must have balance of empathy and big picture
thinking that can contribute in getting quality of life and better health outcome.
Time management skills: It is another skill that needs to be necessary presented in care
coordinator which stated that is should have ability to manage time so that services can be render
to patient within limited time frame. The first step that is effective to reduce amount of stress is
prioritising activities and task that need to be performed by each individuals. Care coordinators
by performing various activities on time is able to get better results and treat patients such as
Liam in effective manner (Freeman & et.al., (2016)). Time management contributed in
delivering best services to patient as each task has been performed smoothly and effective. Thus,
effective management of time lead to save of life of individual specially in health care sectors so
this skills must be present in care coordinator for treatment of patients.
2. Identify strategies
In order to effectively implement health care plan there are various strategies that can be
used by care coordinators which can lead to be better health and well being of Liam. Such as
care coordinators need to organised a program where patient needs to provide opportunities to
play with other similar individual as its ages so that it goal to feel like other people can be
fulfilled. Healthy and supportive environment that encourages its to play sports can reduce
feeling of depression and contribute towards effective achievements of his mother goals. Regular
therapy and medical treatment needed to be provided to Liam so that it can become healthy
within limited time. New technologies should be used by care coordinator to treat patients as it
will contribute in getting better outcomes (Cady & Belew (2017)). Health care program
organised by firm will lead in reduction in amount of physical and mental stress level faced by
patient. Liam is socially withdrawn that is a major concerned of her mother Erica so need to
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provide proper meditation for resolving health issues. Another strategy which can be used for
better treatment of Liam is used of innovative technology to monitor health condition of patients
so that various steps can be taken to control or prevent diseases for effective health care.
Specialist professional needs to guide proper medical treatment that needs to be provided to
Liam so that it can recover from complex diseases such as asthma and JIA. Cloud centric lot
based techniques can be used for treatments of diagnoses such as Asthma and JIA. Proper plan,
nutrition and facilities provided to patients can contributed in effective management of diseases.
It should be counselled so that it can share its feeling or issue with it so that appropriate
strategies can be find for better treatment (Duggal, Brindle & Bagenal, (2018)). Thus, all such
health care program, technology and innovation or organisation will lead to improve health of
Liam or assist in effective achievement of particular goals.
CONCLUSION
It can be concluded from above report that there are various elements in primary and
secondary health care which can enhance health of person. Liam and its family by providing
such healthcare facilities can live better, healthy lifestyles. It can also be stated from above
analysis that there are numerous skills which must be present in care coordinators so that it can
delivered best services to number of patients. At last it can be stated from above report that pre-
planned strategies helps in coping up with situation that can be worst for patients.
REFERENCES
Books and Journals
Cady, R. G., & Belew, J. L. (2017). Parent perspective on care coordination services for their
child with medical complexity. Children, 4(6). 45.
Chung, M. C., Juang, W. C. and Li, Y. C., (2019). Perceptions of shared decision making among
health care professionals. Journal of Evaluation in Clinical Practice, 25(6). pp.1080-
1087.
Duggal, R., Brindle, I., & Bagenal, J. (2018). Digital healthcare: regulating the revolution.
Farahani, B & et.al., (2018). Towards fog-driven IoT eHealth: Promises and challenges of IoT in
medicine and healthcare. Future Generation Computer Systems, 78. 659-676.
Freeman, M & et.al., (2016). Implementing a Just Culture: Perceptions of Nurse Managers of
Required Knowledge, Skills and Attitudes. Nursing leadership (Toronto, Ont.), 29(4).
35-45.
Hughes, A. M & et.al., (2016). Saving lives: A meta-analysis of team training in
healthcare. Journal of Applied Psychology, 101(9). 1266.
Improta, G & et.al., (2019). Lean Six Sigma in healthcare. The TQM Journal.
O’Brien, A., & Mattison, J. E. (2016). Emerging roles in health and healthcare. In Healthcare
Information Management Systems (pp. 199-217). Springer, Cham.
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Verma, P., & Sood, S. K. (2018). Cloud-centric IoT based disease diagnosis healthcare
framework. Journal of Parallel and Distributed Computing, 116. 27-38.
Wang, Y., & Hajli, N. (2017). Exploring the path to big data analytics success in
healthcare. Journal of Business Research, 70. 287-299.
Online
Health Management, Ethics and Research, 2019, Online Available
Through:<https://www.open.edu/openlearncreate/mod/oucontent/view.php?
id=219&section=1.5.2>.
FAQ: What is the difference between primary nursing care and acute nursing care?, 2020, Online
Available Through: <https://www.onlinefnpprograms.com/faqs/acute-care-versus-
primary-care-nursing/>.
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