Complete Journaling Activity 7-1 on pg. 222. Answer all 5 questions using the assessment tools found in the chapter and document your findings to be handed in to the instructor at the end of the Community class.

1 In your clinical journal, describe a situation you observed or were told about in which a client or family experienced difficulty because of lack continuity. If you have the opportunity, ask the client or family to identify what they think would have avoided these difficulties. If you were the nurse in charge, what would you have done differently to avoid these problem,

2 In your clinical Journal, relate a situation in which you observed a client who received effective continuity of care discharge planning, what made the care effective?

3 In your clinical Journal, describe a situation you have observed in clinical setting where a client received effective case management. What made the care effective?

4 In your clinical Journal describe a situation where you observed or initiated two of the following intervention strategies. Discuss what happened

A ) health teaching

B) Screening

C) Counselling

D) Referral and followup

E) Consultation

F) Collaboration

G) Advocacy

5 List any barrier you have noticed that have interrupted continuity for client you have cared for in a clinical setting. Discuss what happened and what you would do differently. Identify any system issue that created or did not address the barriers (eg Chart forms such as discharge forms, admission forms unit policies)


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