Comprehenssive Nur601 week 4,discussion of primary care of maturing and Aged family Practicum

NR601 Week 4 Discussion Identify at least TWO assessments that can be used to determine whether a client is safe in their current living environment. Cao et al. (2021) state that an increased number of older adults choose to stay home as they age. However, home safety for older people is becoming more challenging globally. Elderly people are at higher risk of any safety-related events than younger populations because of the natural aging process and health status with various chronic medical conditions (Cao et al., 2020). The two assessments that determine whether the patient is safe in the current living environment are the Home Falls and Accidents Screening Tool (HOME FAST) and the Home Safety Self-Assessment tool (HSSAT). Ahmad Ainuddin et al. (2022) state that HOME FAST is an appropriate tool to use in fall prevention for the older population, aiming to identify the environment and the risk factors related to falls. Davis & Davis (2022) state that HSSAT is a self assessment tool for patients and caregivers to self-identify and modify potential environmental fall hazards (David & Davis, 2022). Discuss results that indicate the client may require additional assistance or a transition in the care environment. Lee et al. (2022) state that the American Housing Survey suggests that if a patient lives alone at home can put the patient at high risk of falling. Factors that can prevent older adults from living at home safely include any age-related chronic diseases, frailty, and disability that can prevent them from functioning independently. Therefore, it is recommended that the patient have a home safety assessment to determine the patient's capabilities and the home environment to identify any problems that could affect the individual’s quality of life (Lee et al., 2022). Describe the NP’s role in working with the client and family to assist with care transitions. The nurse practitioner plays a significant role in working with the patient and the family in assisting with care transitions. Earl et al. (2020) state that healthcare provider involvement can contribute to safe and efficient care transitions. It is the health care provider's responsibility to establish a care plan that includes patient and family education, effective communication, and transfer of information to other facilities or providers about all appropriate information regarding the patient's health status, considerations, and medications and to facilitate the continuity of care by establishing follow-up appointments (Earl et al., 2020). Identify at least TWO appropriate referrals for a client who requires a transition in the care environment. How does the NP ensure coordination of care during transitions? The appropriate referrals for a patient who requires a transition in the care environment are a social worker referral and a referral to a home health agency or skilled nursing facility. The social worker can determine the patient's need, provide necessary resources, and help in the care transition. The nurse practitioner’s role in the care transition to a facility is to ensure all Downloaded by Morris Muthii () lOMoARcPSD| appropriate clinical information is available to support the patient's health status and to educate the patient and their families about the care transition. Identify at least TWO public or private resources that are available for clients with limited resources in your intended practice area. In Connecticut, I have found various resources under the Department of Social Services and Department of Developmental Services that help eligible individuals who need support to reside at home or in the community. These include the Connecticut Home Care Program for Elders and The Personal Care Attendant Program, which helps the older population stay at home and provides needed assistance like completing activities of daily living, including personal care, cooking, and cleaning or care management services. In addition, the state offers various programs that can help patients with limited resources (CT.gov., n.d.). References