Mr. De Jong Lars | Case Report

Running head: CASE REPORT
Case report
Name of the student:
Name of the University:
Author’s note

1CASE REPORT
Introduction and case overview:
The main purpose of this case report is to analyze the full case history of Mr. De Jong
Lars and his family and facilitate his discharged from hospital to home. Mr. De Jong was
hospitalized for a long period of almost 15 days during which he was in mechanical ventilation
and his clinical symptoms fluctuated significantly for four days. He was also agitated and
withdrawn at times leading to the diagnosis of delirium. On the eighth day of hospitalizations,
Lars was found to sustain a 6cm x 10cm skin tear as he slipped on the floor while going to the
toilet. Lars daughter, Hanna visited her father each day and she was going through a tough time
too because she had to take care of her mother Isa and her son, Charles too back at home. Lar’s
wife Isa was diagnosed with COPD, type 2 diabetes and she had difficulty in walking because of
weight gain. Lars used to take full care of his wife, however after his admission to the hospital,
Hanna had to take care of her mother too. Her nine year old son Charles was diagnosed with
autism and taking care for him was also a responsibility for her. Considering the current situation
of Lars at the time of discharge and the care responsibilities that Hanna had at home, the main
purpose of this report is to apply strength based approach to nursing care to make proper
discharge plan for Lars. The discharge plan will also apply the principles of shared transfer of
care and consider community services available in Western Sydney Local Health District
(WSLHD) to meet care needs of Lars and her family. The discharge plan will ensure that
additional services are provided to help Hanna easily care for the family without feeling any
burden.

2CASE REPORT
Application of strength based approach to care in the discharge plan:
The discharge plan for Lars and his family will be prepared based on strength based
nursing care (SBNC) and applications of the principle of shared transfer of care. SBN is an
approach to care that focuses on interpreting deficits and problems with a broader context to
uncover inner and outer strengths too. Nurses using this approach aim to identify inner and outer
strengths of patient and improve patient’s health through empowerment and self-efficacy. This
approach to care enables creating an environment that alleviates sufferings of patient and
increasing their capacities for healing (Gottlieb 2012). The eight inter-related values that is
integral part of SBNC include health and healing, uniqueness, holism, subjective reality, person
and environment, self-determination, learning, timing and readiness and collaborative
partnership (Gottlieb 2014). For this discharge plan, these values of SBNC will be applied so that
Lars and his family gets optimal environment for health and healing. To promote empowerment
of the family, community strengths will be utilized too by looking at services and options
available in Blacktown area of WSLHD and ensuring that family members are not deprived of
emotional care.
Based on the review of Lars condition currently, some of his important health needs
include full time care and support as he was seriously ill in the hospital and under mechanical
ventilation, support for Lars during the period of delirium and skin care due to injuries to the
elbows. Due his current health condition, he is also at risk of falls and he may require fall related
support and interventions too. As Lars has denied discussions related to residential care, his
decision need to be respected too according to the SBN value of self-determination, it is crucial
to ensure that patient’s choice are respected (More and Phillips 2019). Hence, as Lars has denied
all forms of residential care, a successful discharge plan would be one that identifies all services