Wednesday, May 6, 2020

A Workable Plan Of Care - 1302 Words

In order to create a workable plan of care for J.M., the patient’s wishes, knowledge and abilities must be assessed (Mertig, 2012). Healthcare providers should recognize that a patient’s autonomy must also be assessed and maintained when creating this plan of care (Mertig, 2012). First, the provider should determine what the major concerns are for the individual, and then collaborate with the patient in setting goals that bring them to her desired outcome (Mensing, 2014). By setting these goals, the patient and provider can formulate the interventions and objectives that will assist the patient in reaching her goals (Mensing, 2014). Another aspect that is critical to implementing and achieving the plan of care is the assessment of any†¦show more content†¦A specific behavioral objective will be to decrease her serving size at meals and eat only 100 calories each for a morning and afternoon snack. Because the patient has not attended any formal education cl asses since her diagnosis, it would be beneficial for J.M. to be referred to a nutritionist in order to reinforce the information that she has as well as enlighten her on proper portion size and healthy snacks (AACE, 2011). If she is not able to go to a nutritionist due to cost or the inability to get time off work, there are many calorie counting resources such as www.livestrong.com/myplate/ or smartphone applications that can be utilized at her convenience (Budd Peterson, 2015). Risk of Stroke: Hypertension, Type 2 diabetes and Hyperlipidemia J.M. is not managing her disease processes as evidenced by her increased blood glucose levels, HbA1C level and triglyceride level. Her glucose was only taken at home 33 times in 40 days, and 85% were above her target of 70-140 mg/dL. Her HbA1C level is 9.3% and her triglycerides are up considerably at 264 mg/dL. Her blood pressure when taken is 145/89 even though lisinopril is indicated on her medication list. These factors as well as her obesity, lack of physical activity and stress level each increase her risk of having a stroke (Clare, 2017). Hypertension is the biggest risk factor for having a stroke (Clare,Show MoreRelatedAchieving and Maintaining Individual Excellence Paper 11414 Words   |  6 PagesWhen planning a budget for a company it is essential is outline the future surpluses, and review potential contribution gain to develop financial stability. In the CareSafe Foster Systems Budget the management team has to review the importance of a workable budget to make changes for financial gain. In order to increase the size of the CareSafe’s surplus is provide four methods and reviewing the pros, and cons of each discussed method. 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