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Dorothy as the Prototype in Looking at Client Expectations; Quality of Life and Functioning


Dorothy as the Prototype in Looking at Client Expectations; Quality of Life and Functioning

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Overview of Teaching Strategy

The nursing process focuses on the prioritization of care based on the assessment of the problem followed by the formulation of a nursing diagnosis, then planning and implementing care, and finally evaluating the process. When nursing students think of the priorities of care they generally focus on a medical model. While prioritizing such important issues as the ABCs (airway, breathing, and circulation) is inarguably vital and often the catalyst for interface with the health care system, these issues are often not the priorities identified by the client. Many times client priorities are more closely linked to quality of life issues than to life sustaining issues, especially in the case of older adults. Can a marriage of addressing the client’s expectations and the priorities of the health care teach better influence outcomes in care of the older adult?   It is sometimes difficult for the nurse to take into account the complexity of issues surrounding the older adult. This teaching strategy looks at raising the awareness client expectations and at how the nurse can work with the client in addressing these expectations to ultimately maintain the best possible quality of life.

Learning Objectives
Students will:

  • Communicate effectively and consistently in asking older adults about their expectations of the health care experience and their priority outcomes.
  • Develop an understanding of the need to consider the expectations of the older adult on the same level as the priorities of the health care team.
  • Assess identified expectations of both the client and health care team in the context of client functioning.
  • Discuss tactics for advocacy for the client’s expectations.
  • Reflect on their own expectations in controlling events in their lives.
  • Discuss beliefs about making reconciliation between priorities of care.
  • Develop an understanding of increased vulnerability during transitions when expectations are not addressed.

 ACE.S Knowledge Domains

  • Individualized Aging
  • Vulnerability During Transitions

 ACE.S Essential Nursing Actions 

  • Assess Function and Expectations
  • Coordinate and Manage Care
  • Make Situational Decisions

NLN Competencies for Graduates of Nursing Programs 

  • Human Flourishing
  • Nursing Judgment
  • Spirit of Inquiry

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