Mr. Jansen has many problems that would likely benefit from case management intervention.

1.  Make a list of five nursing diagnoses for Mr. Jansen that you would use to prioritize your interventions.

2.  Then make a list of at least five goals that you would like to accomplish in planning Mr. Jansen’s care. Make sure that these goals reflect realistic patient outcomes.

3.  What referrals would you make? What interventions would you implement yourself? Would you involve other disciplines in his plan of care?

4.  What is your plan for follow-up and evaluation?

You are a public health nurse in a community health practice, and planning is being undertaken to review the multiple challenges facing the community During a planning session, you and your coleagues discuss a review of key challenges to identity top priorities for the coming veor. a. What are the key challenges that face public health nurses in the 2Ist century b. The community is facing severe health diparties in the basic physical care of The underserved population. Ultimately, the most important changes in healin disparities must occur at the local level, Who role does the public health nune play in dealing with this crucial issue c. During the planning session, It was identified that there are different cultural groups represented in the Underserved communities, What do public healin nunes need to consoer to achieve culture competency for the care of ine patients in these communities d. The discussion during the planning session included a review of ways to ensure a safe and healthy environment, What are ways to examine ins effects of the environment on human health

Althea works as an outpost nurse on a remote aboriginal reserve in

northern Ontario. For the past two months, she has been working hard to serve the numerous needs of the community. Being only one of two healthcare providers in the isolated community of 1300 people, Althea often feels overwhelmed by the responsibility of caring for so many people. To make matters worse, the people living in the reserve seem to be sicker than any other patients Althea has ever cared for. Many of the children are malnourished, as their parents cannot afford to buy the extremely expensive ‘healthy foods’ offered at local stores, and severe illnesses like tuberculosis, which have been eradicated elsewhere in Canada, runs rampant on the reserve. Visiting the homes of her patients, Althea also sees that the living conditions for people on the reserve are less than adequate, as many homes have mold, are damaged, and lack plumbing. Both through her nursing practice and speaking to the people who live on the reserve, Althea feels she has started to begin to understand what the barriers and challenges of living healthy a healthy life on a northern remote reserve are. She wants to do something to help her patients but is not sure where to start.
1. What are possible actions that Althea could carryout to improve the health of her patients from the perspective of health promotion? Answer the question in reference with the community health models

A client is exhibiting signs of physical failure. The family and the client may not understand dying process. the client states ”let me live to see my grandson graduate” what stage does this statement represent? what does this statement represent to the family?