Chronic Illness Family Care Plan

The following are an assessment tools I am talking about. Thanks

the following is a selection of tools for assessing pain and assessing and tracking the level of symptoms (some are patient reported).

Brief Pain Inventory (long form)
A pain assessment tool for use with cancer patients. Provides information on the intensity of pain (the sensory dimension) as well as the degree to which pain interferes with function (the reactive dimension).

Brief Pain Inventory (short form)

Brief Fatigue Inventory
A tool to rapidly assess the severity and impact of cancer-related fatigue.

Edmonton Symptom Assessment Scale (ESAS)
This tool is a nine-item patient-rated symptom visual analogue scale developed for use in assessing the symptoms of patients receiving palliative care.

McGill Pain Inventory- Short Form
A questionnaire incorporating a series of adjectives to describe the characteristics and intensity of pain.

Memorial Symptom Assessment Scale (MSAS)
A scale used to assess 32 physical and psychological symptoms in three different dimensions: intensity, frequency, and distress.

Memorial Symptom Assessment Scale – Short Form (MSAS-SF)
The MSAS-SF is an abbreviated version of the Memorial Symptom Assessment Scale, measuring 32 symptoms with one dimension.

Condensed Memorial Symptom Assessment Scale (CMSAS)
The CMSAS is a condensed verison of the Memorial Symptom Assessment Scale, measuring 14 symptoms with one dimension.

Needs at the End-of-life Screening Tool (NEST)
NEST is a comprehensive assessment and outcome measures instrument.

Palliative Care Outcome Scale (POS)
A 10-item scale (plus an open question) that was specifically developed and validated for palliative care and covers physical symptoms, patient and family or caregiver anxiety/fears and well being. Please register to access this tool.

Wong-Baker FACES Pain Rating Scale
A visual analog scale to assess pain in pediatric patients. For permission to use the rating scale, please complete the author’s online request form.

CAPC LogoThe NPCRC has collaborated with the Center to Advance Palliative Care (CAPC) in order to rapidly and directly translate its research findings into improved clinical care. Visit CAPC »

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22 days ago

There also others assessment tools.

MEASUREMENT AND EVALUATION TOOLS

PAIN AND SYMPTOM MANAGEMENT

Under each of the sections below is a selection of measurement and evaluation tools for conducting palliative care research. Many of these tools are copyrighted and professionals should site sources and register, if applicable, when using the material.

The following is a selection of tools for assessing pain and assessing and tracking the level of symptoms (some are patient reported).

Brief Pain Inventory (long form)
A pain assessment tool for use with cancer patients. Provides information on the intensity of pain (the sensory dimension) as well as the degree to which pain interferes with function (the reactive dimension).

Brief Pain Inventory (short form)

Brief Fatigue Inventory
A tool to rapidly assess the severity and impact of cancer-related fatigue.

Edmonton Symptom Assessment Scale (ESAS)
This tool is a nine-item patient-rated symptom visual analogue scale developed for use in assessing the symptoms of patients receiving palliative care.

McGill Pain Inventory- Short Form
A questionnaire incorporating a series of adjectives to describe the characteristics and intensity of pain.

Memorial Symptom Assessment Scale (MSAS)
A scale used to assess 32 physical and psychological symptoms in three different dimensions: intensity, frequency, and distress.

Memorial Symptom Assessment Scale – Short Form (MSAS-SF)
The MSAS-SF is an abbreviated version of the Memorial Symptom Assessment Scale, measuring 32 symptoms with one dimension.

Condensed Memorial Symptom Assessment Scale (CMSAS)
The CMSAS is a condensed verison of the Memorial Symptom Assessment Scale, measuring 14 symptoms with one dimension.

Needs at the End-of-life Screening Tool (NEST)
NEST is a comprehensive assessment and outcome measures instrument.

Palliative Care Outcome Scale (POS)
A 10-item scale (plus an open question) that was specifically developed and validated for palliative care and covers physical symptoms, patient and family or caregiver anxiety/fears and well being. Please register to access this tool.

Wong-Baker FACES Pain Rating Scale
A visual analog scale to assess pain in pediatric patients. For permission to use the rating scale, please complete the author’s online request form.

CAPC LogoThe NPCRC has collaborated with the Center to Advance Palliative Care (CAPC) in order to rapidly and directly translate its research findings into improved clinical care. Visit CAPC »

Chronic Illness Family Care Plan Draft

Chronic Illness Family Care Plan

Chronic Illness Family Care Plan

Quality health care is the priority for every individual, and people need to embrace a care plan that evaluates their health. Typically, a family care plan is essential in guiding caregivers on the crucial information about children and adult members of a family (Johnson, 2016). Once a family plan is designed, it is paramount to ensure it is kept up to date. In this assessment, the primary objective is to present a chronic illness family care plan covering a case study involving Mabel, an 84-year-old female.

Overview of the situation from     

In the case study, the patient is called Mabel. She is an 84-year-old female who lives in a community comprising at least 500 people. The patient is suffering from blood pressure and type 2 diabetes. Her husband is also sick and has been isolated from his family. Mabel has been suffering from blood pressure and has been taking a water pill to control her blood pressure. Another relevant assessment from the case study is that Mabel has type 2 diabetes and has been taking Actos to control her blood sugar.

Mabel also states how visiting her husband in a memory care unit drains her emotions. Therefore, it is difficult for Mabel to control her emotions because her husband is sick. Thus, Mabel’s concerns about her husband negatively impact her emotional health.

  1. Relevant assessment data gathered/included

A memorial system assessment scale

Nurses can evaluate Mabel’s anxiety through a memorial system assessment scale that measures the level of distress caused by stress. It is also essential to do a physical exam to evaluate the concern.

Caregiver stress index

The caregiver stress index in the case study used how to respond to healthcare questions about how Mabel can be treated for the stress associated with her husband’s health (Eriksen & Frandsen, 2018).

Depression scale tool

The Depression scale tool is an evidence-based practice that can, in Mabel’s case, assess depressive symptoms. For example, the depression scale tool is used to determine why Mabel is emotionally stained. Thus, the assessment can help to determine the best possible treatment options for her. The Depression scale tool is used to perform a periodic evaluation to establish a family care plan to guide treatment and gauge progress. Mabel is 84 years old. Thus, the most suitable depression scale tool for her is Geriatric Depression Scale that can be used to ask her some questions regarding her emotions. Also, Zung Depression Rating Scale can be used in this case to predict clinical diagnoses of depression or anxiety affecting Mabel.

  1. Priority Nursing Concerns

Physical Concern: Physical Exercises 

Justification:This concern is essential for Mabel because it can help manage her Comorbidities such as blood pressure and type 2 diabetes. Exercise will help Mabel to remain active.

Goal: The goal of this concern is to ensure her insulin is more effective through exercises. Thus, the practice handles insulin resistance and allows the body to use glucose more effectively.

Intervention: The intervention to control blood pressure and type 2 diabetes through exercise is essential. Thus, Mabel should have regular exercise to avoid long-term complications such as heart failure caused by type 2 diabetes and blood pressure.

Evaluation: The nurse can evaluate whether Mabel performs physical activities and exercises via a pedometer to detect her motions.

Psychosocial Concern: Stress 

Justification:  Mabel is having stress become a concern because her emotions are affected due to the health condition of her husband.

Goal: Stress is not suitable for a patient having blood pressure and type 2 diabetes. Therefore, a nurse’s goal is to help Mabel maintain stable emotional health to ensure her health is negatively affected.

Intervention: A nurse needs to provide interventions that can help Mabel reduce stress caused by emotional breakdown. For example, she should use relaxation techniques such as yoga, biofeedback, and meditation (Lee et al., 2017).

Evaluation: The nurse can evaluate stress affecting Mabel through emotional assessment. The nurse can also assess stress affecting Mabel through the occupational stressor scale or nursing stress scale.

Psychosocial Concern: Anxiety

Justification:  Mabel faces anxiety whenever the idea to visit her husband in a memory care unit comes up. She is anxious about how her husband copes with her health problem.

Goal: The goal of addressing anxiety disorder is to reduce emotional breakdown. Mabel needs to avoid the anxiety that may affect her blood sugar and blood pressure at her age.

Intervention: The nursing interventions to control anxiety include relaxation techniques. Mabel should become assertive and build positive self-esteem. She should also use exposure therapy and cognitive therapy to control her pressure whenever she visits her husband.

Evaluation: Nurses can evaluate Mabel’s anxiety through a memorial system assessment scale that measures the level of distress caused by stress. It is also essential to do a physical exam to evaluate the concern.

  1. Goals

The goal of the family car plan is to ensure Mabel’s health is not affected by her husband’s health. Apart from controlling her blood pressure and blood sugar, the goal also includes helping her maintain stable mental health.

  1. Evidence-based nursing interventions

Evidence-based nursing interventions handle Mabel’s case. First, she needs to embrace physical exercises to prevent future complications (Sinclair et al., 2019). She can also reduce emotional problems such as stress and anxiety to avoid other complications.

  1. Promoting Patient and Family-Centered Care

As a healthcare provider, it is essential to promote centered care for Mabel and her family. First, I would demonstrate respect and dignity when handling Madel as the patient. I should express satisfaction about her husband’s health to avoid affecting her health. I would also share information with her, especially how emotional breakdown can affect her health. I would allow Madel and her family to participate in the treatment plan. Lastly, it is essential to ensure Mabel and her family are involves in developing goals and intervention by working collaboratively with them and other healthcare providers.

  1. Consideration of rural residence

The two concepts of rural nursing theory relevant in this case are isolation and outsider (Oosterbroek et al., 2017). Mabel’s husband has been isolated from his family. Thus, a family care plan can help prevent isolation and distance associated with the rural nursing theory that would affect Mabel’s health. Also, Mabel is affected by stress and anxiety. Therefore, she might seek medical help from new healthcare providers. The outsider concept may affect her because she does not trust other healthcare providers.

  1. Conclusion

Mabel is a rural resident who has been separated from her husband by a disease affecting his memory. It is common for family members such as Mabel to develop emotions about their loved ones’ health conditions. In most cases, people like Mabel forget about their health and focus on family members’ health. As a healthcare provider, it is essential to understand how to handle the situation through dignity and respect.

References

Eriksen, M. B., & Frandsen, T. F. (2018). The impact of patient, intervention, comparison, outcome (PICO) as a search strategy tool on literature search quality: a systematic review. Journal of the Medical Library Association: JMLA, 106(4), 420.

Johnson, B. H. (2016). Promoting patient-and family-centered care through personal stories. Academic Medicine, 91(3), 297-300.

Lee, A. A., Piette, J. D., Heisler, M., Janevic, M. R., Langa, K. M., & Rosland, A. M. (2017). Family members’ experiences supporting adults with chronic illness: A national survey. Families, Systems, & Health, 35(4), 463.

Oosterbroek, T. A., Yonge, O., & Myrick, F. (2017). Rural nursing preceptorship: An integrative review. Online Journal of Rural Nursing and Health Care, 17(1), 23-51.

Sinclair, A. J., Abdelhafiz, A. H., Forbes, A., & Munshi, M. (2019). Evidence‐based diabetes care for older people with Type 2 diabetes: a critical review. Diabetic Medicine, 36(4), 399-413.

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