Problem
Henry is a 34-year-old father of three children. He has had difficulty finding and keeping employment because of chronic alcoholism and marijuana use. His substance abuse issues have strained his marriage, and he is currently separated from his wife and children. The bank has foreclosed on his mortgage, and he is now homeless. During the past year, Henry has become despondent and delusional. (Learning Objectives: 3, 5, and 9) a. What resources would be available for a homeless mentally ill client without health insurance or financial resources to meet basic needs? b. What are the barriers to providing care for the homeless individual with mental illness? c. What is the coordinating role of the psychiatric nurse case manager in the discharge planning phase of care for Henry?
Kelly Biermann is 91 years old. She is currently living in a long-term health community. Kelly has lived her life on a farm. She is very particular about eating everything natural and home grown. Her family researched nursing homes because they wanted to make sure that the facility they chose respected and followed Kelly's life plan. Kelly has been declining in her health gradually. (Learning Objectives 1 and 5.)
A. What if...The facility is looking to hire you as a new nurse? The role of the nurse is to provide the best holistic care to each individual person. What does this mean?
B. What if...You are considering accepting a position that requires you to provide holistic care but are unsure of what characteristics you should possess in order to be an effective healer in that environment?
C. What if...Kelly's family wants to make sure Kelly is getting proper holistic care? What types of things can you, as the nurse, tell the family that the facilities provide to ensure the patient is having holistic care?
D. What if...Kelly takes a sudden decline in health and is facing death soon? What steps can you, as the nurse, take to promote her life?