Question

Discharge Plan Assignment Case:

Cindy, 13, with poor nutritional intake, Bulimia Nervosa. Recently lost his father to alcoholism. lives with her mother in a private home. Has insurance coverage through mother. Resides in New York, Brooklyn, Zip code 11205

A client scheduled for discharge back to their community New York, Brooklyn, Zip code 11205 from the acute care setting. As the Community Health Nurse assigned to be the Case Manager for this client, you will be required to prepare a discharge plan of care for the client (template provided). Plan of care must focus on Primary, Secondary and Tertiary levels of prevention for management of the client while in the community, resources and knowledge of the resources available within the community. Students provided with a discharge plan template.

Points allotted as follows:

• Identification of 3 Priority Nursing Diagnoses for care in the community – 12%
• Identification of Primary, Secondary and Tertiary levels of prevention appropriate for age, gender and diagnosis – 6%
• Setting S.M.A.R.T objectives for continuity of care in the community setting – 2.0%
• identify the health care agencies within the community (11205) that you would most likely collaborate with to ensure that your client receives optimal care in the community setting – 5.0%

Priority Nursing Diagnoses	Primary Prevention needs	Secondary Prevention needs	Tertiary Prevention needs	S.M.A.R.T Objectives for each Diagnosis	Based on the diagnoses, list the resources needed to care for this client in their Community (11205)
Nursing Diagnosis 1
Nursing Diagnosis 2
Nursing Diagnosis 3

As the Community Health Nurse for this client, use the Functional Health Status Approach method for Community Assessment list the agencies available in the zip-code area to facilitate partnering for care of the individual in their community:

Answer 1

Bulimia Nervousa is an eating disorder which includes binge eating followed by humiliation,guilt and self-depression.

SMART OBJECTIVE: To assess the health condition of the client andplan care specfically on her health, with measurable actions tha is achievable , and help the patient having a feeling of self esteem within a partucular time.

Nursing diagnosis:1.Imbalanced nutrition less than body requirements

Primary prevention needs:Assess the health status of the client and teach the family members to about the importance of her health maintenance.

Secondary prevention needs: 1.Set a meal time for each meal.

2. Develop a healthy meal plan consulting with dietitian.

3. plan a structured 3-5 meals a day to reduce binge eating.

4. prepare a healthy meal plan as per the wish of the client and

5. Note in a diary regarding thetype of food they consumed.

Territiary prevention needs:Ineffective coping with the environment and family members

1. develop a trust with the patient.

2.begin to explore with the client the feeling of gaining weight.

3.help the client to understand about her role contributions in the family

4. give positive reinforecment to increase self-esteem

5. explore the cleint ways in which he or she may feel relaxed in the environment.

RESOURCES NEEDED FOR THE CARE: proper support from faily memebers and make client feel that they are are with her.Provide a positive feelng to the client.