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[Answered]: You are a nurse readying your patient, who is 3…

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You are a nurse readying your patient, who is 3 days postsurgical hip repair, to transfer to a rehabilitation facility for continued therapy. As your patient’s history includes dementia and her postoperative status increases her risk for infection and alterations in respiratory or circulatory status, thorough communication is in order to ensure optimum continuity of care. The patient’s family members are supportive but somewhat divided as to her living arrangements after she has completed her physical rehabilitation. a. What are the main health issues that would concern you with this family? What sort of nonphysical health care needs are this patient experiencing? Who is most likely to identify and respond to these needs? b. Describe the process of and information which should be provided, when giving a handoff report to the rehabilitation facility nurse c. After the patient completes her physical rehabilitation, what steps are necessary to provide effective discharge planning? d. Think about how your patient’s care might differ if they were members of a vulnerable population, for example, experiencing poverty in an urban area, recent immigrants, non-English-speaking, rural, etc. What things would change? e. Who, if anyone, is best qualified to coordinate the care this patient is receiving? How likely are they to experience satisfactory care coordination and continuity?

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