Assignment Task
Task
Review the attached case study of Liam and his shared care plan then answer the following questions:
Part one
Complete the missing information on Liam’s care plan and provide the relevant information;
- Patient Care Team: Identify all of the facilities, organisations and professionals Liam and his parents will have to access/interact with to achieve his treatment goals. Separate these into primary secondary or other (if relevant) and document the referral process and their role in Liams' care.
- Patient’s barriers to care goals: Review the patient care goals identified on the care plan. Identify barriers for achieving the care goals (note: may be: medical, situational system. Consider self-management strategies, health literacy and the team goals, this is not exhaustive).
Part two
Role of the RN as the complex care coordinator to deliver the shared Care Plan
- Nursing practice: Outline the relevant care coordination skills you as the Registered Nurses require to effectively manage Liam’s’ shared care plan.
- Identify Strategies: As the complex care coordinator you have to effectively implement Liam's’ shared care plan. Identify any/all projects, programs, technology, organisations, innovations etc. that would assist with delivering the goals identified in Liams’ shared care plan.
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