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Jean Claude Care Map Screenshot 2025-02-02 at 1.01.11 PM - Coggle Diagram
Jean Claude Care Map
Care Concerns
Mental Health Concerns
New, unfamiliar surroundings
Reactive/harsh interactions with his daughter
Distance from family/not seeing his daughter often enough
Risk for developing loneliness/depression
Social isolation
Nutritional Concerns
Weight loss
Dysphagia risk
Appetite changes
Food pocketing
Risk for aspiration pneumonia
Is the pt able to effectively feed himself?
Does the pt have sufficient cultural food choices?
Cognitive Concerns
Speech = "mumbo jumbo"
Changes in cognition
Delirium vs. dementia symptoms
Medical Concerns
Risk for polypharmacy
Medication side effects and/or interactions
Risk for hypotension from antihypertensives
May contribute to dizziness or confusion
Rivastigmine and dry mouth
Undiagnosed medical conditions or undetected infections
UTI, CAP
Electrolyte imbalances
Metabolic changes/disturbances
Safety Concerns
Aspiration risk
Fall Risk
Missed care needs
Cultural Concerns
Cultural expressions may be misinterpreted
Spiritual beliefs may be misunderstood or mocked
Pt may be experiencing spiritual distress that is contributing to symptoms
Unmet spiritual needs
Need for further cultural support and/or understanding
Family Concerns
Caregiver burnout
Strained relationship with daughter
Limited emotional support from family
Social Determinants
Financial impact
Cost of SNF
Medicare coverage and insurance
Care impact on daughter's ability to maintain employment
Education and Health Literacy
May be lacking with employees at SNF or JC's daughter
Health Access and Quality of Care
SNF
Lack of cultural competence amongst employees
Medication management
Socialization and Community
Strained family dynamics with daughter
Limited social interaction
Consider living conditions of cultural background and how they contrast to current conditions
Cultural Factors
Jean Claude's cultural identity and Haitian cultural practices
Risk for spiritual distress
Members and Roles of the Care Team
Nurse Practitioner
Neurologist
Social Worker
Dietician
Nurses
Dental Hygienist
Speech Pathologist
Translator
Spiritual Care
Nursing Assistants
Physical & Occupational Therapists
Professional Values and
Code of Ethics
Code of Ethics for Social Workers
Commitment to client well-being
Focus on cultural, spiritual, and mental competence
Education on social diversity in regards to a person's ethnicity, color, religion, and national origin
Code of Ethics for Nurses
Respect each individual for who they are
Protect the rights of each client
Right to autonomy
Right to privacy
Right to informed consent
Right to respect
Collaborate with other professionals
Promote client rights
Promote overall health
Fight against healthcare disparities
Code of Ethics for Dental Hygienists
Education on high-quality oral care
Recognition of client's cultural beliefs and their cultural impact on decision
Advocate for the welfare of all clients and provide environment that minimizes risks for harm
