Case Study;

Am a support worker in a homeless service that values person-centered care and harm minimization strategies. The service provides short-term (up to two weeks) accommodation and, in addition, provides direct case management services to people experiencing homelessness. My primary job is to support people to locate stable and long-term accommodation.

Casey is 17 years old and has lived on the streets for the past 12 months. She was thrown out of the home when she told her parents that she was gay.

Casey suffers from anxiety, regularly uses marijuana, tobacco, and alcohol, and occasionally smokes ‘crystal’ (methamphetamine). She has come to your service to seek assistance.

 

1. Explain what harm reduction strategies you would use with Casey.

2. Describe the category/categories of the drug/drugs Casey is using (e.g. depressant).

3. Describe your values that are relevant to this case study, and how they could influence your work with Casey.

4. Identify a service you could refer Casey to and write a referral for her (up to 300 words).

5. Identify how you would document and store Casey’s assessment and referral information according to confidentiality requirements.

Would like assistance in thoroughly answering these questions. My instructor told me I did not answer the question correctly or detailed. Please if you have read the book (I’m Here, Compassionate Communication in Patient Care by Marcus Engel) and know the nursing theories I would like help. My initial response to each question is below.

1. Marcus Engel described his experience as a patient in  I’m Here, Compassionate Communication in Patient Care. Consider how Patricia Benner’s From Novice to Expert Theory applies to Mr. Engel’s experiences.

2. Describe how Benner’s theory related to Mr. Engel’s experience.

3. How would the care received by Mr. Engel have been improved by applying Benner’s theory?

 My initial response: 1. Marcus Engel described his experience as a patient in  I’m Here, Compassionate Communication in Patient Care. Consider how Patricia Benner’s From Novice to Expert theory applies to Mr. Engel’s experiences.

Patricia Benner’s From Novice to Expert theory is about understanding nursing knowledge and taking care of patients. Benner’s theory applies to Marcus Engel’s experiences because he was a patient. His nurse was able to show him compassion. The nurse had his physical, spiritual, and emotional needs in mind.

2. Describe how Benner’s nursing theory related to Mr. Engel’s experience.

Engel was initially treated as a novice patient by all the medical professionals he interacted with. Still, as his situation became more complicated, the treatment shifted to reflect his expertise.

3. How would the care received by Mr. Engel have been improved by applying Benner’s nursing  theory?

First, it would have helped the nurses caring for Mr. Engel make better decisions and be more effective in their practice. Nurses who are more experienced and knowledgeable would provide a higher quality of care to the patient. In addition, they would also be able to provide a higher level of support and guidance to nurses who are less skilled and knowledgeable, allowing them to develop their skills faster that would otherwise be possible.

Describe two historical events that have influenced the development of ethical codes and regulations for nursing and healthcare research. Explain how each event has impacted ethical codes and regulations.

Identify the risk assessment instrument for a 35-year-old white male with a history of morbid obesity with disabilities in a rural setting and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient. Please cite and include references to the articles used.