CNA345 Assignment 2: A Case Study on Transfer of Care for Mr. Russo

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CNA345 ASSIGNMENT 2
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Table of Contents
Introduction......................................................................................................................................3
Conclusion.......................................................................................................................................7
References........................................................................................................................................8
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Introduction
The report will consider the case study of Joseph a young and healthy man starting off his family
and business in an effective manner. Joseph grew up in good surroundings and always a healthy
family atmosphere. Joseph married her then friend and started his family with an aim to develop
a prefect family like the one he had. Joseph and his wife moved to Australia a culturally different
country and origin with a different culture, norms, and habits. The report will discuss concepts
like strengths based approaches, culturally safe care, transfer of care with ethical and legal
considerations in order to provide with effective decision making systems.
Transfer of Care
Transfer of care is a condition where the patient no longer requires the medical assistance in the
hospital environment and can be safely transferred to the home care settings and systems. There
are various options and alternatives available with the Russo family to provide with home care
for Mr. Russo. The discharge planning and all the procedures are required to be discussed and
planned with Mr. Russo and his family in the first place (Kessler, et. al., 2012). The strength base
approach and patient centred movements are essential aspects of this health care practice. The
options available for transfer of services are as below:
Home Care Packages
There are various organisation private and social working in Australia to provide with effective
home care services for the patients. These organisations provide with home care packages which
are customised and can be assessed as per the personal needs and requirements. These home care
packages are a combination of various medical services that can be tailored as per the medical
needs and requirements of the consumers (Lyons, et. al., 2014). These home care packages are
discussed with the patient and the family in order to educate and familiarise them with the
services and attributes available. When approved by the service receivers appropriate mix of
services can be combined to facilitate the delivery of services.
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Personal Care and Domestic Support
Another option available with the family is to appoint personal care and domestic support
services. These short term services can be acquired by Independence Australia for Joseph. These
domestic care support workers provide with domestic assistance to the family members engaged
in care taking services and facilities (Kessler, et. al., 2012). These workers come under different
rates and packages based on the basic and medical needs or requirements of the patients. The
domestic support workers also come along with meal preparation services, domestic chores
services, and personal both medical and physical care services.
Culturally safe home support programs
The option to avail culturally safe home support services and programs is also available with the
family of Mr. Russo. These culturally safe in house programs and services are socially funded
and provided with health care services to the service users. These services include daily chores
like cooking, bathing, washing, home cleaning services, and medical services etc. (Lyons, et. al.,
2014). These programs provide with short term medical assistance to the users in the daily
activities who are recovering from acute diseases and physical disabilities.
Strength Based Approach
Strength based approach is a nursing approach where the nurses and the care providers not only
focus on the physical and medical needs of the patients but also focus towards the inner and
outer requirements of the families. These services are based on eight core values to provide with
guidance for the nursing staff to promote empowerment, self-efficiency, and hope in the service
receivers. The nurses are required to focus towards the inner and outer strengths which simplify
the process of healing and aids in accomplishing the healthy objectives (DiCenso, et. al., 2014).
The nursing practice focuses on achieving better enactment and understanding of the problems in
order to increase the solutions and reduce the defects. Strength based nursing approaches towards
a person and family centric care routine where empowerment, health promotion, and healing are
achieved with collaborative partnerships.
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As per the case study, this nursing approach can be applied to Mr. Russo in order to create a
healthy and effective living environment. The elderly are in the aspiration to inculcate value and
usefulness of them towards others as a psychological factor. The approach can also be applied
towards his family members in order to strengthen the possibilities and opportunities each of
them already possesses in order to achieve a healthy living environment (LoBiondo-Wood, et.
al., 2013). The strength based nursing approach in the given case study will integrate the values
and strengths of Emma (Joseph’s daughter) as a strong and independent individual who is willing
to support the family and overcome the barriers of past. This way the internal strengths and
advantages can be used to simplify the healing process and undertake affirmative directions.
The approach of strength based nursing also applies external resources such as community
members, friends, and neighbours in order to fasten the process of healing and health promotion
(Townsend and Morgan, 2017). The services also approach towards including external resources
like medical experts and community members. All of these aspects enable to create a better and
effective understanding of these services.
Culturally Safe Care
Culturally safe care is a healing environment where the patients and the service users work in a
collaborative manner with mutually respecting each other. It is an environment where spiritual,
social and emotional stability is provided to the service receivers. This approach of nursing
provides with an opportunity to establish mutual collaboration where there is no assault,
challenge and denial practiced towards the service receiver (Almutairi and Rondney, 2013). As
per the Australian norms and practices family is considered an essential element of the society
and the culture. The Australian family and culture values for respecting the elderly and fulfil
their needs and requirements in an effective manner. It is essential for the nursing staff to
consider discussing care taking opportunities and alternatives with Mr. Russo and his family. It is
necessary for a culturally appropriate manner to integrate the family and the needs of Mr. Russo.
A culturally safe environment establishes for mutual respect and admiration for each other
cultures. The nursing staffs include practices where actions and programs are planned in
consideration with the personal requirements of different cultures. The Australian communities
and families are identified as extremely traditional families where the family members are
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closely knit together to hold the roots and values of the family strong (Purnell, 2014). The care
taking plan for Mr. Russo, therefore, is required to ascertain these aspects and develop a strategic
program to facilitate an increased level of family integration. With an increased level of cultural
integration, the service providers and receivers are required to speak with each other in the
cultural acknowledged language. There are various applications available in order to
communicate in an effective manner with each other (Durey, et. al., 2012). Such technological
advancements and developments must be sued in order to integrate the level of coordination and
mutual understanding with each other.
Legal and Ethical Considerations
There are various principles of transfer of care that must be followed in order to provide with
effective nursing care services and facilities. The principles of shred transfer of care are as
follows:
 The care must be centred towards the person and the family.
 Service must be based on clinical expertise and evidence based research
 Equity and supportive access must be provided to the service users in order to provide
with effective care services (Durey, et. al., 2012).
 It is also necessary to provide with strength base nursing approach and services
 The nursing staff and care providers are required to develop a strong inter sector links
and coordination with the family and the patients.
 A holistic care approach must be provided to implement interdisciplinary approaches.
Transfer of care is a movement of patients from their current level of medical care and service to
the required level of medical service. The shared transfer of care is an integrative program
where care is transferred in an effective manner (Fang, et. al., 2015). It supports for programed
transfer of care in order to support the patient, their family, and the care providers. As pert the
wishes and requirements of Mr. Russo his transfer diagnosis and admission details must not be
shared, therefore it is extremely necessary to maintain a non-disclosure of the details.
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Conclusion
From the above discussion and observations, it is evident that significant research and enclosures
are required in order to support effective medical care for the required individual. It is evident
that a culturally safe environment with the attributes of legal and ethical considerations must be
adopted in order to develop strategic care taking plans and programs.
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References
 Almutairi, A.F. and Rondney, P., 2013. Critical cultural competence for culturally diverse
workforces: Toward equitable and peaceful health care. Advances in Nursing
Science, 36(3), pp.200-212.
 DiCenso, A., Guyatt, G. and Ciliska, D., 2014. Evidence-Based Nursing-E-Book: A
Guide to Clinical Practice. Elsevier Health Sciences.
 Durey, A., Thompson, S.C. and Wood, M., 2012. Time to bring down the twin towers in
poor Aboriginal hospital care: addressing institutional racism and misunderstandings in
communication. Internal Medicine Journal, 42(1), pp.17-22.
 Durey, A., Wynaden, D., Thompson, S.C., Davidson, P.M., Bessarab, D. and
Katzenellenbogen, J.M., 2012. Owning solutions: a collaborative model to improve
quality in hospital care for Aboriginal Australians. Nursing inquiry, 19(2), pp.144-152.
 Fang, M.L., Malcoe, L.H., Sixsmith, J., Wong, L.Y.M. and Callender, M., 2015.
Exploring traditional end-of-life beliefs, values, expectations, and practices among
Chinese women living in England: Informing culturally safe care. Palliative & supportive
care, 13(5), pp.1261-1274.
 Kessler, C.S., Afshar, Y., Sardar, G., Yudkowsky, R., Ankel, F. and Schwartz, A., 2012.
A prospective, randomized, controlled study demonstrating a novel, effective model of
transfer of care between physicians: the 5 Cs of consultation. Academic Emergency
Medicine, 19(8), pp.968-974.
 LoBiondo-Wood, G., Haber, J., Berry, C. and Yost, J., 2013. Study Guide for Nursing
Research-E-Book: Methods and Critical Appraisal for Evidence-Based Practice. Elsevier
Health Sciences.
 Lyons, S.K., Becker, D.J. and Helgeson, V.S., 2014. Transfer from pediatric to adult
health care: effects on diabetes outcomes. Pediatric diabetes, 15(1), pp.10-17.
 Purnell, L.D., 2014. Guide to culturally competent health care. FA Davis.
 Townsend, M.C. and Morgan, K.I., 2017. Psychiatric mental health nursing: Concepts of
care in evidence-based practice. FA Davis.
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