Michaels situation warrant collaboration

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Reference no: EM133873203

Module V Case Study

Elfin Michaels is a 45-year-old single parent of two children, a boy 8 years of age and a girl 5 years of age. She has recently been diagnosed with breast cancer and is scheduled to have a lumpectomy and reconstruction of her right breast in 2 weeks. Ms. Michaels is divorced and is responsible for the care of her 79-year-old father who has mild Alzheimer's disease. Her father can take care of himself during the day but cannot be left alone at night. Her father tries to support his daughter in caring of the children.

She has a sister that lives 50 miles away and indicates she has a close relationship with her. At this time, she has not disclosed her new cancer diagnosis to her sister. Ms. Michaels works two part time jobs without benefits and therefore does not have health insurance. Ms. Michaels' ex-husband, who lives close by, does pay child support, and provides insurance for the children. She tells the population health nurse "I do not know how I will pay for my surgery and chemotherapy". Besides the lack of health insurance, Ms. Michaels is also worried about who will care for her children and her father during her hospitalized and post-discharge care.

1. After reading the case study, what are 6 factors influencing this situation being faced by Ms. Michaels? (Address the following factors which include biological, psychological, environmental, sociocultural, behavioral, and health system) Make sure you label the example(s) with the appropriate social determinants of health factor.

2. Does Ms. Michaels' situation warrant collaboration with other members of the patient health care team? Why or why not?

3. What three referrals or resources would be appropriate for Ms. Michaels' situation? (Provide a rationale for the three referrals or resources you selected.)

4. What three (3) nursing interventions might the population health nurse use to help this family?

5. What three desired health outcomes would you establish for Ms. Michaels? Provide rationale for each.

6. Case Study continued: As a population health nurse, what resource could this mother use to help support an individualized plan to help her care for her children, father and herself?

a. Clinic Case Manager

b. Home Health Agency

c. Director of Nursing

d. Pharmacist

7. Case Study continued: During a meeting held at the county health department the population health nurse learns there is a need to change the culture of health care from one of disease treatment to health promotion. The health department will use the Triple Aims approach. What actions should the nurse take to help achieve the Triple Aim approach? (Select all the apply)

a. Teach the population ways to improve health.

b. Structure care delivery so that the patient experience is enhanced.

c. Critically analyze the utilization of resources when providing care.

d. Negotiate with voluntary agencies for grant moneys to help provide care.

Reference no: EM133873203

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