Nursing Care Essay: Strength-Based and Culturally Safe Approach

Running head: NURSING CARE ESSAY
Nursing care essay
Name of the student:
Name of the university:
Author note:

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NURSING CARE ESSAY
Introduction:
The impact of illness or disease can not only affect the lifestyle of the patient but it
also has the potential to cause long lasting or permanent impact on the social and persona life
of the patient as well. Although, there are various tools and practice frameworks that can be
employed in the care scenario which can help the issues of the patients can be addressed and
the patients can develop better coping strategies (Backman et al. 2018). This essay will
provide a patient centred and specific care plan, strength based and culturally sensitive
approach with referral services and transferring or discharge planning in mind.
Transfer of care from hospital to home:
A crucial aspect of transition from hospital to home care is the change in the nature of
the care activities so that the care planned and being implemented can match with the home
environment as well. It has to be mentioned in this context that the care quality and
effectiveness is extremely high for the hospice stay, due to the infrastructure, continuous
monitoring and the uninterrupted attention and assistance by skilled staff (Lea et al. 2016).
Although, in the home environment, the lack of infrastructure and continuous monitoring is a
grave concern undoubtedly, however, the lack of skilled clinical assistance is extremely
important. In this case, care is required to ensure a thorough assessment and specific planning
for after discharge so that the individualized care needs can be adequately met. In this case,
Joseph Russo had many considerations including his foot ulcer, mobility restriction and his
sick wife.
Goals and course of actions for the transfer of care:
Discharge planning plays a fundamental role in the aged care perspective, not only it
is based on thorough and comprehensive assessment of the present health adversities that the
patient may be suffering from, the distance planning also lays out the possible physical,

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NURSING CARE ESSAY
social, and psychological needs that the patient might have after being discharged and
strategies to address those needs correctly (Ellis et al. 2018).
Discharge Planning is a multidisciplinary approach which involves setting for our
goals and designing intervention strategies which can help the patient achieve the goals that
has been set. The discharge planning involvesinput from a variety of different healthcare
professionals, including a discharge nurse, the physician in charge, a case manager, a
dietician, a nutritionist, and an occupational therapist. this multidisciplinary team is also
known as the aged care assessment team which in turn will assess the variety of needs that
the patient, Joseph Russo in this case is representing. According to Brown (2018), the
discharge team can be easily customized or personalized as per the specific needs of the
patient. In this case, the personalized multidisciplinary discharge planning team will have a
discharge nurse, a physician, a physiotherapist, an occupational therapist, a podiatrist, and a
social worker. The entire responsibility of conducting the assessments and addressing the
care needs that the patient might have. The social worker will be in charge of helping Joseph
handle his financial strain, provide living support to both him and his ailing wife. The
podiatrist will help assessing and healing the ulcer and the physiotherapist or occupational
therapist will help him enhance mobility. The physician will supervise the medical issues and
nscessary medications that he will need to take (Hegarty et al. 2016).
Joseph would require a extensive and thorough health assessment prior to the
discharge, and most of which will need to be followed up effectively even after the discharge.
First and foremost, he had exhibited signs of central line associated bloodstream infection,
which is very difficult to be completely eradicated completely. Hence, the CLABSI infection
will need to be assessed completely and effectively. Similarly, he also had a fully developed
fluid filled blister on his left leg which is red swollen and considerably big in size. As a
result, the assessment and care planning will also need to focus extensively on his ulcer. He