Prompt:
Consider the importance of patient and family centered care as it relates to care coordination (think of engaging the patient and family in developing and understanding the plan of care [i.e who will deliver care? When? What is their role?]. Choose one patient from this week’s scenario to discuss various evidence-based patient engagement strategies and select a specific strategy you can utilize to assess and activate patient and family involvement in care. (Be sure to consider cultural competence and sensitivity). Include at least 2 current references.
PATIENT:
You are working 7PM-7AM on an oncology service of a university medical center with a pediatric/adolescent/adult population. The staff working with you includes an experienced oncology RN, an experienced RN who has completed orientation to oncology, 3 PCTs (Patient Care Technicians) and a nursing student. Interns and residents (oncology) are on call. The patient assignment is as follow:
X.M. 54 yr old male
Adm. Dx: Acute Myelocytic Leukemia (AML) Hosp day 10
PMH: Placement of venous device 1 week ago, anxiety
Soc. Hx: Lives with wife and two children (18 & 20), financially supports family, physician in a single practice
Report: Induction chemotherapy completed 3 days ago
NS w/20 mEq KCL & 50mEq NAHCO3 @ 100 mL/hr
Low microbial diet
Wife at bedside
WBC 1.6, Hgb 7.2, Plt 52
BP 90/50, HR 112, R24, 100.8 F
