Prompt:

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?].  Choose one patient from this week’s scenario to 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). Include at least 2 current references.

PATIENT:

You are working 7PM-7AM on an oncology service of a university medical center with a pediatric/adolescent/adult population.  The staff working with you includes an experienced oncology RN, an experienced RN who has completed orientation to oncology, 3 PCTs (Patient Care Technicians) and a nursing student.  Interns and residents (oncology) are on call.  The patient assignment is as follow:

X.M.          54 yr old     male

Adm. Dx:        Acute Myelocytic Leukemia (AML) Hosp day 10
PMH:              Placement of venous device 1 week ago, anxiety
Soc. Hx:          Lives with wife and two children (18 & 20), financially supports family, physician in a single practice

Report:            Induction chemotherapy completed 3 days ago
NS w/20 mEq KCL & 50mEq NAHCO3 @ 100 mL/hr
Low microbial diet
    Wife at bedside
    WBC 1.6, Hgb 7.2, Plt 52
    BP 90/50, HR 112, R24, 100.8 F