NURS3003 - A Comprehensive Analysis of Mr. Chen's Care and Transition

This essay provides a comprehensive analysis of the care needs and transition plan for Mr. Martin Chen, a 79-year-old widower with a complex medical history. It identifies two primary care needs: medical (balanced diet and nutritional support) and psychological (mental and emotional wellbeing, addressing aggressiveness). The essay explores the benefits of Mr. Chen remaining at home, emphasizing family support, personalized care, and psychological comfort, alongside the advantages of transitioning to an aged care facility, such as specialized medical attention, structured environment, and social engagement opportunities. Furthermore, it acknowledges potential barriers to patient care in both settings, including cultural and language differences. The conclusion summarizes the identified care needs and the importance of considering both home-based and facility-based care options for Mr. Chen's well-being.

NURS3003, ASSIGNMENT 3: Essay- Transitioning
Home/RACF

INTRODUCTION
The given assignment will focus upon a case study of Mr. Martin Chen. He is 79 years of old
widower who currently lives with his youngest daughter and her husband after his wife’s death.
Recently he was admitted to hospital for colonoscopy due to PR bleeding. When complete check
was done it was identified that Mr. Chen showed some haemorrhoids that were banned to be
used during procedure. So as a result, instead of being discharged after hospitalization he was
admitted for further five days. Due to his extremely high BP, high blood glucose level. Due to
this uncontrolled BGL he was required to be provided with insulin. Mr. hen was getting slowly
aggressive and as a result a code black emergency was declared by nurse this is because he was
trying to go home by leaving ward. He had past medical history of Hypercholesterolaemia,
Hypertension, Trans ischaemic attack 2018, and T2 diabetes mellitus. He is allergic to NSAIDs,
Sulphonamides and Onion. This paper will focus upon care need of Mr. Chen, along with this,
the benefits of clients remaining at home will also be analyzed. Further, the benefits of client
transitioning to aged care facility will also be analyzed and identified. Moreover, barriers to
patient care will be known for the factors which will be within the home care facility and the
aged care facility.
MAIN BODY
Two care needs identified
The two care needs which Mr. Chen needs are medical needs and psychological needs.
Balanced diet and nutritional needs: This is the first thing which is to be taken concern of. It is
one of the most important need to be fulfilled by Mr. Chen as his blood pressure and diabetes
were increasing in uncontrolled manner. As he was suffering from diabetes so it was important to
provide balanced diet so that all the main nutritional requirement can be fulfilled and further his
diabetes can be controlled. Focusing upon fulfilment of nutritional needs through balanced diet
can help in controlling excessively increasing hypertension and blood pressure by reducing salt
intake in diet.
Psychological needs: mental and emotional wellbeing of Me Chen is one of the most important
need to be focused upon. This need can be identified by observing his aggressive behavior while
he was at the hospital. As he is a strong Buddhist believer, so when care is provided it is

extremely important to ensure that his social, psychological and emotional needs are fulfilled so
that his aggressive behaviour can be controlled. Along with this, special care from the family
members should be taken into consideration so that he gets well easily, and this improves his
health, and he is also able to live his life in the manner which he wishes for.
Benefits of Client Remaining at Home
There are various benefits of Mr. Chen remaining at home as the family will be able to take care
of him in his tough times. The family, when in this period of life, will be able to take care of him
and will help in fulfilling his requirements and needs and will be able to help him in doing the
work of their own choice that is Mr. Chen will have his own independent life apart from being
the patient within hospitall. This is because Mr Chen is scared of leaving his loved ones and was
not at all ready to atay at hospital. Providing all kinds of care, balanced diet at home would
direclty help in fulfilment of his psychological needs in an approprite manner (Kruger & et.al.,
2018). The major thing which is being observed is that at home there is special care taken off by
the patient such as Mr. Chen will also be taken care of during his health and during this problem
which he is facing at the age of 79. Remaining at home would further benefit Mr Chen in
remaining healthy and bring improvement within their overall health because by living near
family members can help in fulfilment of psychological needs. The level of safety is also
increased at home as the family takes care of the person and in this case Mr. Chen if provided the
care facility at home by the family members will be in safe hands and being the parent of Chua,
she knows how to take care of her father therefore Mr. Chen will be in safe hands. Not only this
as she is well aware of his nature and guidelines in terms of diet provided by nutritionist she will
be able to fulfil nutritionist requirement of Mr Chen in much better manner. Provision of care at
home can further help in effectively fulfilment of requirement of nutritional needs and balanced
diet needs. This will also help Mr. Chen to recover fast from the problem and the health issue
which he is facing from. Further remaining at home can further help in ensuring that he is being
provided with appropriate diet and all the main nutritional requirements are being fulfilled in an
appropriate manner.
The other benefits of remaining at home are that Mr. Chen will also be comfortable in making
conversations with the people and his family members of what his requirements are (Lee & et.al.,
2017). Also, staying and taking care of the patient at home will also help Mr. Chen in

contributing to reducing feeling of depression, aggressiveness. The facilities which are provided
at home will help Mr. Chen in bringing changes improvement within dementia condition of Mr
Chen as psychological needs fulfilment was one of the most important need identified to be
fulfilled of Mr. Chen (Martens & et.al., (2018). The regular habits and routines are also made
comfortable at home, which will help Mr. Chen to know what the daily activities are to be done
to make the body and health pattern work fast. This will also help in making and creating the
value through which the health and the social care system will initiate the major changes in the
health. There is also freedom of the other family members and friends to meet Mr. Chen. This is
the major benefit which is being known when patient Mr. Chen in this case lives at home and
this helped him in taking care of him on his own at some point and then his daughter Chu took
care of him. Staying at home and the patient being taken care of will also help Mr. Chen in
remaining calm which and effectiveness of treatment of dementia would enhance which would
further help him in fulfilment of social and emotional wellbeing of Mr. Chen. One of the main
benefit of providing care at home is that it would directly help in fulfilment of spiritual as all
family members share common belief. Due to this, fulfilment of psychological needs stress level
of family members can be reduced drastically.
Therefore, staying at home is the best way patients can be taken care of and this will also engage
the family in concerning and leaving them satisfied that they are taking care of the patient on
their own. This will also help patients recover from health problems which they are facing on a
large scale, and which is hampering their mental and physical illness both. Thus, staying at home
to be taken care of is the best way the patients are satisfied with the care. It would be extremely
safe for him as all the family members would selflessly engage in providing care for him and
would ensure that he does not hurt himself or others. Another reason because of which it is safe
for him is that family members would ensure that none of the harmful food items are being
provided to him and balanced diet requirement is being fulfilled.
Benefits of Client Transitioning to an Aged Care Facility
There are various benefits of an aged care facility which helps in making and framing care
facility effective and efficient. The aged care facility helps in providing and ensuring that diet
given by nutritional expert is only provided to MR. Chen for maintenance of required nutritional
level so that it would be easy to reduce high blood glucose level with the enabling of balanced

and nutritional diet. Also with the enabling of balanced diet and good nutrition in diet it would be
easy for Mr. Chen to control its blood pressure so that chances of reducing getting admitted to
hospital would be prevented (Tate & et.al., (2021). The main aspect of this whole process is that
the aged care facilities provide the best of the services in which patients like Mr. Chen. Aged
care home would further help in providing large grounds of free space to Mr Chen so that his
environmental needs (main aspect of psychological needs) can be fulfilled and he would not
think that he cannot perform any physical activity by himself.
The aged care facilities also help in fulfilment of psychological needs by providing
regular check - ups and appointments of the patients which help them to take care of themselves
and take medicines at regular and prescribed intervals or timings. This will further help in
ensuing that psychological and mental wellbeing of patient is enhanced as he would be satisfied
that he is being taken care of in best possible manner, There is a regular visit onsite of any of
senior or care specialists which helps in making the way through which all aspects are taken care
of regarding health of Mr. Chen if he is shifted to the care facility.
Moving into the care facility helps the patients in taking care of patients as they are more stress
free, and they believe that their health is being taken care of by the care facilitators. In addition
of this as Mr Chen is a strong follower of Buddhism and it need to regular go to the temple
which would be taken care of by the care home that would lead to enable Mr Chen mental peace.
It would also be right to state that with the transfer to care home not only the culture need but at
the same time medical need and requirement of Mr Chen would also be meted (Gilbert & et.al.,
(2021). As the care home would perform their work with specialization that include taking care
of the people with the fulfilment of their need. So with regard to Mr Chen its habit of temple
visist would be meet along with taken care of its health aspect. Therefore, the care facilities for
the aged ones help them to know more about their health in a precise manner
Barriers to Patient Care
The barriers to patient care in both aspects which are within home care facility and the care
facility are –
There are majorly two barriers that may occur while enabling treatment by Mr Chen. This
would includes barriers related with culture and language. This is because as Mr Chen belongs to

Hong Kong and when it would shifted to Australia then its disability to speak English would act
as major reason of stress and frustration. This means language would be considered as major
barrier that would have an impact over Mr Chen’s care and treatment because it would not be
able to make adequate communication which would have a direct negative impact over its
treatment. This has also acted as barrier in terms of enabling treatment in the hospital. Likewise,
as Mr Chen is the followers of the Buddhism culture which would not be present in the Australia.
This means due to the existence of different environment and culture within the country of
Australia would be counted as the major reason of its transfer to hospital and its illness.
Likewise, this would also act as barrier in terms of enabling best care and treatment from the
hospital.
CONCLUSION
Thus, it is concluded from the above essay that two care needs were identified including
psychological and nutritional & balanced diet needs regarding the case of Mr. Chen. Along with
this, the benefits of clients remaining at home were also analyzed with this factor in which care
can be taken at home itself. Further, the benefits of client transitioning to aged care facility was
also analyzed and identified. As Mr Chen is suffered from severe illness i.e. hemorrhoids which
would be meet only when proper nutritional and balanced diet needs are fulfilled along with
ensuing that adequate diet in proper quantity is being provided to him. Likewise, with the aspect
of psychological need mental and emotional support from its family would plays an important
role in improving good health. Thus, it would be concluded that as per the situation of Mr Chen
it would be right to get transferred to hospital at the initial stage so that recovery would take
place with adequate medication but at the same time needed to be back to home so that home
care and psychological support would be enabled that would lead to make further recovery.

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