ATI Remediation RN Leadership

Summary:

The note covers various aspects of the management of care advocacy. The first section discusses professional responsibilities related to caring for an older adult client who might be abused and provides tips for assessing abuse. The second section discusses the assignment, delegation, and supervision of client care tasks, including examples of tasks that can be assigned to licensed practical nurses. The third section focuses on feeding a client who has dysphagia, and the fourth section covers nursing assessments that should be performed before delegating care. The fifth section discusses coordinating client care, including tips for problem-solving and conflict resolution during case management.

Excerpt:

Management of Care Advocacy
1. Professional Responsibilities: Caring for an Older Adult Client Who Might Be Abused (RM Leadership 8.0 Chp 3 Professional Responsibilities) ActiveLearningTemplate: Basic Concept

Reasons for not reporting:

– maybe embarrassed or ashamed of the abuse
– worry about how their report may affect the lives of loved ones
– feel guilty and have come to believe they’re the cause of abuse
– afraid no one will believe them
– afraid of the unknown future if they’re removed from the care of the abuser
– their worst nightmare is to end up in a nursing home

Assessment for abuse:
– examine the client alone
– don’t rush during an interview
– don’t be judgmental or allow personal feelings to interfere
– don’t diagnose prematurely

Subjective data:

– ask the client to describe a typical day to determine the degree of independence
– ask about the client’s role and expectations for self and caregiver
– inquire about any recent family crisis
– ask if there is any alcohol, drug use, or mental illnesses in home

Objective Data:
– assess if the patient senses being ignored or is made to feel like a burden
– assess the degree of dependence on the caregiver (financial, physical, and/or emotional support)
– observe and document any new lesions