Primary Character: Home health nurse
Scenario: The home health nurse is making a visit to a 72-year-old client with dementia who is being cared for at home by a 75-year-old spouse/family member. They live independently in a two-story home in a small suburban neighborhood. The home health nurse is doing an initial home health assessment.
Instructions: Create a history of the problem that could lead to this scenario, including the experiences and actions of the primary character involved; a list of other persons/characters (nurses, staff, patients, etc.) involved, including their roles and previous actions that led to the scenario outcome(s); and future actions the primary character may take to address the situation, as well as evaluation criteria for determining the effectiveness of these actions. This information may be presented in a concept map or narrative form, or in any form of the student’s or group’s choosing. A concept map template has been provided below. A narrative template begins on the next page.
Concept Map Template
Narrative Template
Primary Character: Home health nurse
Primary Character Actions:
Secondary Character(s):
Client with dementia
Spouse/family member
Secondary Character(s) Actions:
Scenario: The home health nurse is making a visit to a 72-year-old client with dementia who is being cared for at home by a 75-year-old spouse/family member. They live independently in a two-story home in a small suburban neighborhood. The home health nurse is doing an initial home health assessment.
Additional Assessment or Other Data:
Primary Character Interventions:
Evaluation Criteria and Expected Outcomes:
Expert Solution Preview
In this scenario, the primary character is a home health nurse conducting an initial home health assessment for a 72-year-old client with dementia who is being cared for at home by a 75-year-old spouse/family member. They live independently in a two-story home in a small suburban neighborhood.
History of the problem that led to this scenario:
The history of the problem may include the gradual onset of dementia in the client, resulting in increased dependency and the need for home care. The spouse/family member may have taken on the role of primary caregiver due to their commitment and love for the client. They may have chosen to keep the client at home to provide a familiar and comfortable environment. The decision to live independently in a two-story home could be influenced by the preference for maintaining their usual lifestyle.
Other persons/characters involved and their roles:
1. Client with dementia: The client’s cognitive decline and increased care needs are central to the scenario.
2. Spouse/family member: The spouse/family member is the primary caregiver, responsible for the day-to-day care of the client. Their actions and decisions directly impact the client’s well-being and safety.
Future actions the primary character may take to address the situation:
To address the situation, the home health nurse may take the following actions:
1. Conduct a thorough assessment of the client’s physical and cognitive capabilities.
2. Evaluate the safety of the home environment, particularly for a client with dementia.
3. Educate the spouse/family member on dementia care techniques, including strategies for managing challenging behaviors and promoting a safe living environment.
4. Collaborate with other healthcare professionals, such as a geriatrician or social worker, to develop a comprehensive care plan.
Evaluation criteria for determining the effectiveness of these actions:
The effectiveness of the primary character’s actions can be evaluated based on:
1. Improvement in the client’s overall well-being and quality of life.
2. Reduction in the risk of falls, accidents, and other safety hazards at home.
3. Enhanced understanding and implementation of dementia care techniques by the spouse/family member.
4. Collaboration and coordination with other healthcare professionals leading to a comprehensive care plan.
By evaluating these outcomes, the effectiveness of the primary character’s interventions can be assessed and further actions can be taken as necessary to address the situation.
