Introduction
This paper aims to create a comprehensive care plan using the SBAR model for a client who has experienced multiple health, poverty, and social challenges. It assesses the client’s situation and also develops a plan and recommendations on how to move forward in caring for the patient. In addition, the method of patient-centered therapy is discussed, where the focus is on the client’s interests and problems.
Description and Reference Information
The client contacted the NGO for advice after receiving an eviction notice due to a $10,000 rent arrears. He has no sources of income since he lost his job during the pandemic. The man had COVID three times; after a recent car accident, he had a spinal fracture and was immobilized. The client experiences intense negative experiences, such as shame, guilt, and fear of homelessness.
For the client, English is the second language. He is a single father and has two minor children. The client directs most of his efforts to the children’s well-being; he has friends in his area but feels isolated due to illness.
Assessment
An integrated treatment model was applied to determine the client’s needs, goals, and expected outcomes. This model is usually used for multi-problem families who face diverse challenges. The healthcare coordinator looks for a balance between meeting current needs and supporting the client to create an emotionally positive basis for his sustainable development (Doenges et al., 2019). This approach makes communication with employment, social support specialists, and the financial department crucial.
The client experiences several factors that increase the risk of suicide. To evaluate the risk, the client answered several questions about the idea, plans, access, and intent to kill himself or others. As a preventive measure, the client asked what steps he intends to take to overcome the crisis. It is vital that the client, not the therapist, say what actions would improve the current situation. A non-directive approach allows the client to take control of the conversation and, ultimately, his life. The second approach used to benefit the client was empathy. This approach shows the client that the therapist not only listens to him but also understands his feelings.
Shared decision-making is the next step in the care plan; it includes a discussion of choices, options, and solutions. Patterns of shared decision-making are patient preferences, deliberate, and create choice awareness. Shared decision-making gives a positive outcome, as the client feels more confident in his choice. The assessment of the patient’s needs was based on evidence-based practice. The research confirms that person-centered care can positively influence rehabilitation outcomes and improve functional performance, but the clinical practice is still insufficient to draw firm conclusions (Kittelson et al., 2020). The evidence-based assessment allowed the introduction of person-centered therapy into the care plan, which ensured an individualized and patient-friendly approach for a better outcome.
Recommendations
The care plan recommendation includes referrals to community social service agencies such as food pantries, temporary housing, and employment services. Access to community social services positively affects the client’s psycho-emotional state. The fear of stigma or discrimination has become a barrier to accessing resources. At this stage, it was essential to check the relevance of the resources and discuss the participation of all team members.
According to the person-centered method, the therapy begins after solving problems with housing and employment. After that, it is necessary to strengthen the client’s resources to overcome difficulties. The treatment plan proposes a biopsychosocial method focusing on psychological, biological, and sociocultural influences. Therapy may be provided at home, in a temporary shelter, or in a medical facility. The client is also suitable for palliative care, as he suffers from a severe illness and needs professional care to reduce the risk of complications.
Reflection of the Care Plan
The client care plan is patient-centered, focusing on the client’s problems and desires, not on his diagnosis. The patient is more concerned about his family’s well-being than treating his disease. He experienced intense shame, which became a communication barrier. Applying the strategy of respect to the client’s values helps minimize this barrier. An additional method became emotional support to relieve the client’s fear and anxiety.
During the development of the care plan, the client changed the original request and realized that he needed to learn a new profession to overcome it. This client’s conclusion influenced the outcome of the care plan.
The development and implementation of the care plan include ethical, legal, and regulatory requirements. Privacy, security, choice awareness, and honesty became the main requirements for ethical issues. The legal block includes consultations on the client’s and his family members’ rights. Regulatory requirements included compliance with federal and state laws, which have health insurance and various support programs. Implementing all three compliance components was satisfactory, as management practices such as monitoring, auditing, and response were incorporated.
Personal values such as social justice and human dignity strongly influenced the plan’s design and considered the client’s social difficulties as fundamental. These core values influenced the communication model based on respect, goodwill, and empathy for the client. A positive result was achieved through the use of an information technology strategy. Technical tools such as email and Zoom conferences were used for conversations and discussions with the client. This strategy reduces costs and saves all information about the client in electronic format for other specialists.
Conclusion
The patient-centered approach differs from the traditional concept of healthcare. Health professionals are increasingly forced to screen patients for social problems such as poverty or abuse. Attention to the non-medical aspects of a patient’s life could be essential. Thus, healthcare providers should be proficient in person-centered therapy practices for a favorable outcome of the disease.
References
Doenges, M. E., Moorhouse, M. F., & Murr, A. C. (2019). Nursing care plans: Guidelines for individualizing client care across the life span. FA Davis.
Kittelson, A. J., Hoogeboom, T. J., Schenkman, M., Stevens-Lapsley, J. E., & van Meeteren, N. L. (2020). Person-centered care and physical therapy: a “people-like-me” approach. Physical Therapy, 100(1), 99-106. Web.