HCA 240 Assignment 5 Home Care Scenario Application

HCA 240 Assignment 5 Home Care Scenario Application


Assignment 5: Home Care Scenario Application

You are a home care nurse in a local hospital. You have been hired to provide 24-hour care to an 80-year old woman who has recently undergone surgery for cancer. Her family lives out of state and cannot visit her often, so they have asked you to keep them updated on her progress.

Write an email that you send to the patient’s family members giving them an update on her condition and any new information you have learned about her since your last email. Include any changes in her status that may require a change in treatment or medications, as well as any new symptoms or concerns that may arise from this change.

Home Care Scenario Application

In the following section, you will have an opportunity to apply your knowledge of the nursing process and holistic care to a real-life situation. You will be asked to respond to a home care scenario that outlines the situation and asks questions related to the assessment, diagnosis, intervention, evaluation/planning/discharge planning, and education/prevention. The client is a male in his late 40s who has been diagnosed with cancer of the pancreas. The nurse in charge of his care is unable to take care of him because she is on vacation. You are assigned to take over his care while she is away.

1. Describe what you would do first upon arriving at the client’s home.

2. What are some of your concerns about this client?

3. How might you address these issues?

4. What additional assessment data would you gather?

5. Based on your assessment findings, what do you think should be included in your plan of care for this client?

6. Do you think this plan will meet the client’s needs adequately? Why or why not?

Home Care Scenario Application

Home care is a growing sector of the health care industry. Home care providers have the opportunity to provide quality, cost-effective services to patients and their families in their own homes. The following scenario describes a family that is seeking home care for their mother, who has recently been diagnosed with Alzheimer’s disease. This scenario will be used to illustrate how you might plan, implement and evaluate your own home care services.

The following questions will guide your application:

1. What are the goals of this home care program?

2. What are the specific objectives of the program?

3. How would you organize your service delivery team?

4. What guidelines would you use to select staff members for this program?

5. How would you apply evidence-based practice principles to this program?

6. What safety precautions would need to be taken when implementing this program?

7. How would you determine whether or not this program was successful?

This assignment is about the application of a home care scenario.

The patient’s name is Mrs. Jones, who is a 77 year old woman with chronic obstructive pulmonary disease (COPD). She has been struggling with this condition for many years and has recently started to develop dementia as well. Her daughter and son-in-law have been caring for her at home but feel that it might be time to seek professional help.

Mrs. Jones’ family physician has referred her to you, the nurse practitioner, for an assessment of her needs and assistance in planning an appropriate care plan. The nurse practitioner has been asked to assess Mrs. Jones’ current condition, provide recommendations regarding her care plan, and assist with arranging appropriate services if needed.

In your report, please include:

* A brief summary of your assessment findings

* A recommendation for an appropriate care plan based on your assessment findings

* Your rationale for any recommendations made

Home Care Scenario

Case Study:

Mr. Williams is a 67 year old African American male who has been diagnosed with end-stage renal disease and is currently on hemodialysis. He lives independently and is able to manage most of his own care needs. However, he has difficulty with mobility and finds it very difficult to be active outside of his home. He also has difficulty with dressing himself, cooking meals and cleaning his house. Mr. Williams was referred to the home health agency by his primary care physician due to his inability to perform these activities independently after recently being discharged from the hospital where he was treated for a heart attack.

Assessment: Mr. William’s priority need is having assistance with activities of daily living (ADLs) such as dressing, bathing, grooming, toileting and feeding himself. He also has difficulty getting around inside the house because he is unable to walk up or down stairs without assistance due to recent surgery on his leg that resulted in an amputation above the knee which makes it difficult for him if someone does not accompany him when going outdoors or upstairs into another area of the house where he would have access to bathrooms or bedrooms etc…

Case Study: Mrs. Smith

Mrs. Smith is a 78-year-old Caucasian female who lives alone in a rural area in the Southern United States. She has been living alone since her husband died 15 years ago, and she has been experiencing memory loss and difficulty with her balance for the past year. She has begun to fall frequently and has had two falls that resulted in broken ribs as well as a concussion. Her daughter, who lives in another state, is concerned about her mother’s health and wants to get her into a home care situation as soon as possible.

The first step in this case study will be to evaluate Mrs. Smith’s current health status and identify any potential risks that may be present in her home environment (i.e., safety hazards). The second step will be to assess what type of intervention would be appropriate for this particular situation based on the assessment findings from Step 1.

A risk assessment should be conducted prior to beginning any intervention or treatment plan so that potential hazards can be identified during this evaluation process before they become potentially dangerous outcomes within the environment itself (Kozier & Erb 2008). If there are no risks present within one’s own personal environment then there would be no need for intervention at all

Patient Name: [Name]


Date of Birth: [Date of birth]


Age at time of admission: [Age at time of admission]

Patient’s Reason for Admission: [Reason for admission]

Number of LTC days per week: [Number of LTC days per week]

Home Health Service Provider: [Home health service provider]


HCA 240 Assignment 5 Home Care Scenario Application

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