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Assignment
Introduction
The approach of strength-based nursing is pivotal to the healthcare of a discharged patient from the hospital, is also going through mental health issues and not willing to take solely external help from healthcare providers and community workers, or either the immediate family. Likewise, in the case study of Joseph Russo, he is unwilling to take any respite care option or reside in any residential aged care for himself or his wife, Sophia. The planning of values of strength-based care which emphasise greatly on the self-determination and autonomy of the patient is considered for Joseph Russo and his wife. The focal point of the case study is self-determination and autonomy on which Joseph relies totally because of the age factor maybe. The ethical consideration regarding this issue is that Joseph should be well informed and educated on his condition and a proper plan of action must be provided to him and explained well according to his condition. The report of Russos case will analyse the strength-based approach to nursing care and the values of this approach provided to the patient along with the legal and ethical principles of decision making concerning the patient, and further, it will develop an action plan for culturally safe-care.
Description
Shared Transfer of Care
The principle regarding the shared care transfer within the healthcare providers and older patients involves the standard setting for the clinical handover of the responsibility by engaging the older person or their family/carer, such that the patient either himself is included in the decision making regarding his health or his provider (Eggins, and Slade, 2015). This occurs through clear and proper patterns of communication through either electronic communication or verbal communication (Sonntag et al., 2016). The share of care transfer also includes the reconciliation of medicinal record and list, which is to be provided in an updated form with proper instructions to the patient or his caregiver at the time of discharge. Thus Emma, daughter of Mr Russo, should be provided with a detailed account of the medication and ongoing plan of management which is to be followed in post-discharge period for the patients suffering through delirium, till some specific time. The follow-ups and maintenance of communication with the GP, the specialist and counsellor or community care team for aged people come under this transfer of care.
Strength-Based Care Approach
According to this approach, the innate capacity of a person for improving his life depends on the strength of the patient and his ability to decide on his own. The treatment concerning this approach is solely reliant and focused on the patient and his healthy aspects towards the maintenance of healthcare on his own (McCormack, and McCance, 2016). The role of nursing staff is to provide support, courage, assistance and stimulation to the patients like Mr Russo. Encouraging his strengths and identifying the specific areas for the providence of help and care to Sophia as well as to Joseph himself. The trained staff in this situation would be more appropriate in handling the situation as well as medication management (MacDonald et al., 2018). While applying the approach of strength-based care, the external support like community or social workers should also be determined in this plan for the maintenance and providence of healthcare (Zhang et al., 2018). As in the case of Joseph, he is reluctant to reside in any nursing home or nursing centre, the help should be provided to the family at their own home and every now, and then a healthcare counsellor should visit them to see the management of healthcare facility by the nursing staff at their home.
The focal point of the case study is self-determination and autonomy on which Joseph relies totally because of the age factor maybe. The ageing process makes a person more self-reliant especially in the individualistic communities like Australia (Swartz, 2017). Though the origin of Joseph is from Italy where people were more family-oriented and community oriented. After spending an entire year of his life in Australia with Sophia Joseph learned to love him exclusively after the betrayal of their son and distance by which their daughter is separated due to her marital life. All these factors made him independent and autonomous in his decisions, so he is not willing to have imposed decision by other people or healthcare providers. The treatment provided to Joseph by the nursing staff should be collaborative according to the strength-based approach he should be given the power to take control of his needs and Sophias (Toccafondi et al., 2018). Whereas, some areas could be specified in providing the help and support needed by him through community workers and paramedic staff (Tse et al., 2016). The helping and nursing staff should provide services appropriate with the cultural and ethnic consideration for Joseph and Sophia.
The Development of a Plan of Action in Culturally Safe Care
The effectiveness in the practice of nursing is determined through the cultural safety of the patient (Kringos et al., 2015). The culturally safe and protected care is to be provided to the patient so that they are not reluctant and resistant towards receiving healthcare by nursing staff (Pauly eta l., 2015). The healthcare providers and professionals are required to provide the care and support to the patents through mutual sharing of thoughts and beliefs and giving respect to the culture of the patient antagonistic to their culture. In the case of Joseph, he is culturally immune to the Australian culture as he lived there for a long period, so the healthcare professionals and the staff is not allowed to make decisions without his consent and his familys (Richardson, Yarwood, and Richardson, 2017). The information regarding ethics and considerations is to be provided to the family and the patient under cultural appropriateness and norms (DiCuccio, 2015). Joseph wanted autonomy and self-reliance so he should be dealt in a way according to his will, he is not willing to leave his home so he must be provided with the health and community care in his home and also the freedom of living with his wife and taking care of her.
Ethical and Legal Considerations
The concerns related to ethical and lawful aspects of nursing care and patients wellbeing are generalised. The considerations related to laws and ethics come in every step of healthcare providence, from keeping the record of the patient and sharing or transference of care till the confidentiality of the data collected (Atkins et al., 2017). As a generalised law, the information regarding josephs and his case is to be shared only under specific circumstances with other healthcare professionals and community workers. His diagnosis, inferences and treatment all should be kept confidential and private along with the history of the disease.
The protection of Josephs wellbeing is in the hands of the healthcare givers, so their ignorance or any loophole can cause long-lasting damage to the vulnerable mind of Joseph, which is already under the pressure of his recovery (Dekker, 2016). The ethical consideration regarding this issue is that Joseph should be well informed and educated on his condition and a proper plan of action must be provided to him and explained well according to his condition. There is a various code of nursing professions devised for the implementation of rules and regulations for the safety and wellbeing of the patient. The conduct of nursing staff is underpinned according to the ethical principles which emphasise non-malicious, truthful, benefitting, autonomous and fair behaviour. The critical thinking skills and decisions based on laws and regulations are to apply by the healthcare professionals so that the patient is safe and taken care of by every means.
The principles related to ethical considerations concerning the mental health of a person should be acted according to the emotional needs of the patient. As in the case of Joseph, a mental health professional should give him therapies and risk management training so that he is self-sufficient in this regard and any mental breakdown could be prevented. The decision related to his mental health can be made against his will if there are chances of any danger to his mental wellbeing.
Conclusion
This report concludes on certain facts. Firstly in the case of Joseph Russo, he is unwilling to take any relief care option or reside in any residential aged care for himself or his wife, Sophia. He is autonomous and self-determined in his decision-making ability, and he wants to take care of himself and Sophia. Whereas, Emma is very much concerned about his wellbeing as she is not available for longer times to take care of her parents. The action plan for the transfer of care and strength-based aspect of care is to be implemented, keeping in view the ultimate cultural care safety. This report analysed the strength-based approach to nursing care and the values of this approach provided to the patient along with the legal and ethical principles of decision making concerning the patient, and further, it will develop an action plan for culturally safe-care. Joseph is culturally immune to the culture of Australia, due to the reason that he lived here for a long period of time. Thus the healthcare professionals and staff have to take care of his cultural ethics and consent and respect his decision making regarding his treatment and support facilities.
References
Atkins, K., De Lacey, S., Britton, B. and Ripperger, R., 2017.Ethics and law for Australian nurses. Cambridge University Press.
Dekker, S., 2016.Patient safety a human factors approach. CRC Press.
DiCuccio, M.H., 2015. The relationship between patient safety culture and patient outcomes a systematic review.Journal of patient safety,11(3), pp.135-142.
Eggins, S. and Slade, D., 2015. Communication in clinical handover improving the safety and quality of the patient experience.Journal of public health research,4(3).
Holland, K., 2017.Cultural awareness in nursing and health care an introductory text. Routledge.
Kringos, D.S., Sunol, R., Wagner, C., Mannion, R., Michel, P., Klazinga, N.S. and Groene, O., 2015. The influence of context on the effectiveness of hospital quality improvement strategies a review of systematic reviews.BMC health services research,15(1), p.277.
MacDonald, C., Blanc, R., Buono, A.T., Champagne, L., Chartier, G., Cooke, A., Drummond, N., Gartshore, K., Ehrler, A. and Gottlieb, L., 2018. Strength-based nursing caring for the whole person. International Journal of Whole Person Care,5(1).
McCormack, B. and McCance, T. eds., 2016.Person-centred practice in nursing and health care Theory and practice. John Wiley Sons.
Pauly, B.B., McCall, J., Browne, A.J., Parker, J. and Mollison, A., 2015. Toward cultural safety.Advances in Nursing Science,38(2), pp.121-135.
Richardson, A., Yarwood, J. and Richardson, S., 2017. Expressions of cultural safety in public health nursing practice.Nursing Inquiry,24(1), p.e12171.
Sonntag, O., Plebani, M., Della, P., Jones, D., Steward-Wynne, E., Walsh, J., Cominos, N., Jureidini, J., Pirone, C., McGregor, J. and Lee, M., 2016.Effective communication in clinical handover from research to practice(Vol. 15). Walter de Gruyter GmbH Co KG.
Swartz, M.K., 2017. A strength-based approach to care.Journal of Pediatric Health Care,31(1), p.1.
Toccafondi, G., Albolino, S., Bellandi, T., Savelli, A., Frangioni, G., Elisei, O., Baroni, M. and Molisso, A., 2018, August. Safe Transitions of Care A Participatory Human Factors Approach for Improving Safety in the Communication of Healthcare Organizations. InCongress of the International Ergonomics Association(pp. 774-780). Springer, Cham.
Tse, S., Tsoi, E.W., Hamilton, B., OHagan, M., Shepherd, G., Slade, M., Whitley, R. and Petrakis, M., 2016. Uses of strength-based interventions for people with serious mental illness A critical review.International Journal of Social Psychiatry,62(3), pp.281-291.
Zhang, A., Franklin, C., Currin-McCulloch, J., Park, S. and Kim, J., 2018. The effectiveness of strength-based, solution-focused brief therapy in medical settings a systematic review and meta-analysis of randomised controlled trials. Journal of behavioural medicine,41(2), pp.139-151.
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