Problem
Consider the importance of patient and family centered care as it relates to care coordination (think of engaging the patient and family in developing and understanding the plan of care [i.e who will deliver care? When? What is their role?]. Using the scenario below, discuss various evidence-based patient engagement strategies and select a specific strategy you can utilize to assess and activate patient and family involvement in care. (Be sure to consider cultural competence and sensitivity). Add citations
Scenario:
66 year old male
Adm. Dx: Colon cancer (Stage 2) - receiving chemotherapy cycle as an outpatient.
Hosp. day 2, admitted for diarrhea and dehydration
PMH: Colon resection 2 months ago
Soc. Hx: Married, lives with wife and 3 children (20 yrs, 18 yrs and 12 yrs);
Wt: 62.7 Kg; Employed, owns home, health insurance, occasional alcohol
intake, non-smoker
Report: Port-a-cath CVC in place - site clean/dry
FOLFOX protocol (5-FU, leucovorin and oxaliplatin) last week
Bland diet, unable to tolerate
Antiemetics and anti-diarrheals PRN
D5W w/20 mEq KCL @ 100 mL/hr
Morning labs: RBCs - 3.8, Hgb 12, Hct 38, WBCs 4, Platelets 99
Stool culture negative for C-diff.