Promoting a Collaborative Approach in Treating the Complex Issues of a Homeless Veteran
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Overview of Teaching Strategy
Homelessness evokes many feelings from the non-homeless ranging from pity to disgust to empathy. The notion of preference to homelessness is foreign to most who have an inclination to "fix" the situation, without fully understanding the implications of both the underlying causes or the solutions. While the physiological aspects of health may be very obvious, it is often the psychosocial aspects of one's life that predicts outcomes. Social determinants of health in part include factors such as education, environment, resources and economic stability. Many of the issues around homelessness and health care encompass a complicated trajectory for outcomes.
This teaching strategy helps students better understand the evaluation of the risks and benefits of homelessness and collaboratively optimize a client's expectations. Through the utilization of a motivational interview approach, reflection on feelings of homelessness and assessment of underlying mental health co-morbidities, the student explores how to maintain a client's independence and develop a plan of care for a homeless Vietnam War Veteran. Communication techniques are greatly emphasized.
- Explore myths related to homelessness Explore their own feelings regarding homelessness
- Assess identified expectations of both the client and health care team in the context of client functioning.
- Reflect on their own feelings about their own right to independence
- Utilize a motivational interviewing approach to collaboratively plan care based on the client's needs
- Assess and understand co-morbid mental health concerns
ACES Essential Nursing Actions
- Assess Function and Expectations
- Coordination and Management of Care
- Make Situational Decisions
ACES Essential Knowledge Domains
- Individualized Aging
- Vulnerability During Transitions
- Complexity of Care
NLN Education Competencies
- Nursing Judgment
- Human Flourishing
- Spirit of Inquiry
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