Question

Alex, 2-years old and the first child for parents Michael and Kim, was diagnosed with Cystic Fibrosis one year ago. The pediatric nurse practitioner recommended testing for Cystic Fibrosis after seeing Alex for his 9-month well-child check-up and discovering that he measured very low on growth and weight charts in comparison to other 9-month-old babies. Alex has had three respiratory infections in the last 6 months that have required hospitalization. You are the home care nurse that is assigned to develop a home care strategy for Alex and his family following discharge from his most recent hospitalization.

1. Thoroughly discuss community resources that are needed to promote health and minimize hospitalizations for Alex.

2. What Community resources are appropriate to the provided scenario above?

3. Thoroughly describe how members of the interprofessional team contribute to the management of chronic illness as well as Cystic Fibrosis

4.  Clearly and thoroughly describes therapeutic communication strategies for all members of the interprofessional team

5. What Communication strategies are developmentally and age appropriate?

Answer 1

Q1

Answer: The community resources that are needed for the promotion of health and minimize the hospitalization are information and referral services, nutrition, transportation, health awareness program, environmental cleanliness, availability of emergency services or first aid care in the community level.

proper information about the disease condition and health awareness programs helps to get adequate knowledge leads to prevent self from the diseases. Referral services, availability of emergency services, first aids care helps to provide the referral to the bigger hospital on time and treat on time. Nutrition that is cheap, high nutitious and locally available food should be used to boost immunity. Environmental cleanliness also play a important role in the decrease hospitalization and promote health among the community.

Q2

Answer: According to the scenario, the appropriate community resources are health awareness programmes, nutrition and environmental cleanliness and proper transportation. There is need for proper awareness programme on control of respiratory infection, good nutrition will helps to maintain immunity of the child, cleanliness environment helps to reduce the infection rate and proper transportation will helps to get the treatment on time.

Q3

Answer: For the management of patients with cystic fibrosis, there is need for the interpersonal health workers to collaborate and work together. There is need of nurse, physiotherapist, respiratory therapist, laboratory technician, doctor,radiologist and pharmacist. Nurse provide the holistic care, physitherapist and respiratory therapist contribute to maintain the breathing anf removal of the sputum or secretion present inside the lungs. Laboratory technician helps in the investigation of any blood test or sputum test. Radiologist helps to perform the non invesiive test like x rays. Doctors help to treat the patient by giving proper medication. The distribution of the medication is done by the pharmacist.

Q4

Answer: The therapeutic communication techniques that can be used by the interpersonal helath worker includes asking the relevant questions, clarification, focusing, summarizing, self disclosing. Relevant questions should be asked if any doubt regarding any topic and clarify it properly. All the members should focus on one topic at a time during the conversation. Summarization of the discussion should be done at the end to understand any miss out points. Self-disclosing should be done during the conservation that it will show that the members are understood about the information that is discussed or explained.

Q5

Answer: The communication strategies to use for communicating the 9 months old baby are

- response to their gesture like pick the baby up, hold the baby when ever needed. this will increase the trust of the baby toward the caregiver.

-Start talking in the simple language that the baby will understand.

-Teach about the non verbal language also for communication.

- Respect and understand the feeling of the baby.