Healthcare Needs

In this project, you will demonstrate your mastery of the following competencies:

Analyze assessment findings to prioritize healthcare needs into a holistic plan of care
Articulate interprofessional and holistic needs to promote person-centered care
Overview
Ensuring all aspects of an individual’s health needs are met is critical to providing holistic care. In this assignment, you will broaden your knowledge of developing a plan of care. You will learn how to include an individual’s needs surrounding health literacy and social determinants of health (SDOH). Communicating these needs with interprofessional team members is a key component in advocating for the individual. This project provides a space for you to address this.

You will complete an individual’s scenario and develop a plan of care through a reverse case study. A reverse case study allows you to work backward from an individual’s outcome to explore and develop contributing factors and interventions within a plan of care. In this reverse case study, you will be provided with limited information about an individual. You will use critical thinking and your knowledge of holistic care delivery to fill in the gaps to complete the scenario. Use what you learned in the course and the module resources to complete the reverse case study. Review the provided information below and begin by asking yourself the following questions:

Identify key details presented below: Who is involved? What happened? When? What were the results?
What are some examples of what could have occurred to end up with the presented results?
What kinds of problems or decisions might have occurred?
What were possible turning points?
Scenario
Sequoia Rain Song is a 54-year-old Native American woman who presents to the clinic for an annual wellness visit. She states that although she has gained weight this past year, she has been feeling generally well, and she wants to make sure she is on track with her health, as she is expecting the arrival of her first grandchild. She expresses worry about her energy levels and occasional episodes of fatigue, which affect her ability to perform her job responsibilities. She states she earns minimum wage as a guide for a Native American heritage museum.

Nursing Diagnoses

Ineffective health maintenance related to insufficient resources
Ineffective peripheral tissue perfusion related to hypertension
Activity intolerance related to fatigue
Name: Sequoia Rain Song

Age: 54

Cultural Background: Native American

Marital Status: Widowed, with two adult children

Vital Signs

BP: 138/84
HR: 90
RR: 20
Oxygen: 99% RA
Temp 37.7°C
Body mass index (BMI): 28
Diagnostics and Screenings

(Labs taken x1 week prior to wellness visit)

Laboratory Test Results Normal Range
CBC Within normal limits Within normal limits
Glucose 93 mg/dL < 100 mg/dL Blood urea nitrogen (BUN) 15 mg/dL 10–31 mg/dL Creatinine 1.2 mg/dL 0.51–1.11 mg/dL Sodium 135 mEq/L 135–145 mEq/L Potassium 3.8 mEq/L 3.5–5.3 mEq/L Chloride 101 mEq/L 97–107 mEq/L Total Protein 8.0 g/dL 6–8 g/dL Aspartate aminotransferase (AST) 25 units/L 10–35 units/L Alanine aminotransferase (ALT) 48 units/L 7–35 units/L Total cholesterol 202 mg/dL < 200 mg/dL Low-density cholesterol (LDL) 160 mg/dL < 100 mg/dL High density cholesterol (HDL) 40 mg/dL > 60 mg/dL
Mammogram: Normal; last performed at age 50

Pap Smear and HPV Testing: Normal; last performed at age 50

Immunizations: Unknown

Directions
Research the three nursing diagnoses and use the details in the scenario above to complete a reverse case study and develop a plan of care. You need to work backward from the individual’s outcome to explore and develop contributing factors and interventions within a plan of care. You must cite five scholarly, current (within the last five years) references to support your work.

Specifically, you must address the following rubric criteria:

Individual’s Data: Develop relevant background information consistent with the information provided above. Include the following in your response:
Health history (surgeries, hospitalizations, illnesses, diet, etc.)
Medications
Objective data (physical assessment findings, diagnostic results, etc.)
Social determinants of health and culture
Consider one or more of the following: Economic stability, healthcare access, dietary habits, social and recreational activities, support system, living environment, educational background, religious beliefs and practices.
Health Literacy Needs: Explain how health literacy needs impact the case study.
Impact of SDOH: Interpret how the individual’s SDOH impacts the case study.
Consider one or more of the following in your response: Economic stability, healthcare access, dietary habits, social and recreational activities, support system, living environment, educational background, religious beliefs and practices.
Physiologic or Psychological Response: Explain the physiologic or psychological response related to each of the nursing diagnoses.
Assessment Prioritization: Develop three priority assessment findings related to the case, one from each of the following categories:
Medical health history findings
Social health history related to SDOH, cultural beliefs, and health literacy needs
Physical assessment
Note: There will be a total of three priority assessment findings.
Nursing Interventions and Outcomes: Develop a nursing intervention with an outcome for each of the three prioritized assessment findings.
Use a scholarly, current (within the last five years) reference to support your explanation.
Note: There will be a total of three nursing interventions and outcomes, one for each of the priority assessment findings.
Clinical Reasoning: Explain your clinical reasoning for each identified intervention.
Include the following in your response:
Nursing theory
Nursing knowledge of health and science
Clinical guidelines and screening tools
Use a scholarly, current (within the last five years) reference to support your explanation.
Note: There will be a total of three clinical reasoning rationales. There must be one from each identified category for each of the nursing interventions and outcomes.
Incorporating the Individual: Discuss strategies to incorporate the individual into care planning, considering barriers that may be encountered.
Interprofessional Team Members: Identify at least one interprofessional team member beyond the primary care provider based on the individual’s needs.
Provide the rationale for the participation of the team member.
Use a scholarly, current (within the last five years) reference to support your explanation.
What to Submit
Submit your completed reverse case study. Your submission should be a 6- to 8-page Word document that follows APA style standards. The title and reference pages are not included in the page count. Sources should be cited according to APA style.