Hospital Discharge Planning

Question Description

Prior to engaging in this discussion, read Chapters 10 and 11 in your text as well as the “Steps for Effective Discharge Planning” article, and review any relevant Instructor Guidance.

For this discussion, refer to the information in the “Introduction to the Miller Family” document. 


Select one of the family members below whose medical condition has the potential to have worsened to the point that they would need to be hospitalized. Once you have chosen your subject, create a discharge scenario. Each of these family members has been introduced in an earlier assignment. Be sure to review your materials for that assignment including any relevant instructor feedback.

Option 1: Elías - leukemia
Option 2: Lila - diabetes (IDDM)
Option 3: Sam - liver disease caused by heavy drinking
Option 4: Lucy - bipolar disorder and serious substance abuse (dual diagnosis)

In your initial post, create and present a possible scenario in order to respond to the subject’s discharge from the hospital. See earlier assignments for samples of how to begin crafting the scenario for your subject. Remember to be creative, refer to the “Introduction to the Miller Family” document, and include as much detailed information as appropriate. Be sure to address the following points in your initial post.

  • Describe the specific issues that need to be addressed when discharging this patient.
  • Briefly identify who (individuals, professionals, agencies, or organizations) might be identified in the plan, what needs to be done, and when it should happen.
  • Identify community resources (e.g., doctors, counselors, and agencies) that will be needed, what their roles are in the plan, and assess how they might meet the needs of your patient. Integrate the biological theory of intellect and cognition with your subject’s sociocultural experiences in order to better ascertain his or her needs.
  • Identify and discuss at least one barrier for success based on the individual’s intellect and his or her sociocultural experiences and perspectives. Critique the contributions of community-based programs and how they might alleviate issues related to this barrier.

Unformatted Attachment Preview

SOC313 Introduction to the Miller Family Sarah (40 yrs) and Joe Miller (43 yrs) are at the center of this family. [See the geneology maps (family trees) for both Sarah and Joe below.] They are a middle aged couple, married 21 years with three children. Their children are Lucy (20 yrs), Josh (17 yrs), and Abe (12 yrs). Lucy has had struggles with substance abuse, along with having been diagnosed with bipolar disorder. Josh has been sneaking away with friends and smoking pot. Abe is a good student but has started to act out recently. Sarah’s parents are Donna and Manny Maldonado. Manny is third generation Hispanic American from Mexico. Donna has long suffered from her “moods” which is mostly frustrating to Manny. He says it’s “brujeria” (related to witches and magic). He worries that someone puts spells on her. They both are fluent in Spanish, Donna having learned as a result of being with Manny and around his family. Sarah is their oldest daughter followed by her brother, Mike (36) and then sister Becky (33). Becky, divorced, has one child, Elías (10 yrs old) who was recently diagnosed with Leukemia. Mike is alone, having recently suffered the loss of his companion of many years to AIDS. He is secretly also concerned that he might be HIV+. Joe’s parents are Ella and John Miller. Ella is at the center of our story as she has been trying to heal herself from breast cancer through the use of a variety of natural means. She was raised on a farm and is not very trusting of “modern medicine.” Her husband, (Joe’s father) John is of American Indian origin. He uses a variety of traditional methods for health and well being and as a means of banishing bad spirits from their home. Ella’s mother passed away over ten years ago but her father is still alive. He is often referred to as the “shakey grandpa” by the grandchildren and great grandchildren due to the manifestation of some symptoms of his Parkinson’s disease. Joe has a sister, Lila (45 yrs), who has diabetes and who has always struggled with her weight. She and her husband have one child, Alisha (20), who’s currently in college. Joe’s older brother Sam (50 yrs), was married and then divorced years ago, has one son from whom he is estranged. He is an alcoholic who hasn’t been able to keep a job for years. The family and extended family get along well for the most part though the many cultural traditions and backgrounds do clash from time to time. Manny, for example, has been known to say, “They’re crazy!” when the family discusses some of the health issues that are going on and how they are being handled. At one time, for example, Ella’s skin turned orange due to the amount of carrot and other juices she was consuming in order to get rid of her cancer. Sarah has been married to Joe long enough to know her well and when her sister Becky’s son Elias was recently diagnosed with Leukemia, Ella was hopeful that Sarah would encourage Becky to use natural means for treating him. Sarah isn’t really too sure about how she feels about it. Sara Miller’s family tree Joe Miller’s family tree ...
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Final Answer

Jesca (13553)
Rice University

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