Anh Chu, Nam's aunt, is scheduled for outpatient cataract surgery later this week at the local hospital.

Published on: August 19, 2024


Anh Chu, Nam's aunt, is scheduled for outpatient cataract surgery later this week at the local hospital.  Nam reports to the clinic wishing to discuss the pan for his aunt's surgery ""with whoever is the boss.""  Nam is concerned that his aunt will not be staying at the hospital.  ""She's having surgery.  I don't understand this! She's 78 years old.  She's going to need help.  This doesn't make sense.  You have to change things.  It won't be safe. Nam tells you he has discussed his concerns with the ophthalmologist.  He tells you that the ophthalmologist told him he was ""overreacting.  We always do it this way.  You just don't understand.""  Nam is visibly upset.  He believes that his aunt is receiving inadequate care.  He appeals to you to help him take care of his aunt. ""This is where Aunt Chu gets her care.  You know her.  You have to change this.""  Anh Chu has been seen at the family clinic several times over the past few years.  She takes a medication for osteoporosis and has been counseled about the need for exercise and weight loss.  She has also begun to experience problems with ""accidents.""  She has never had surgery in the past and her only hospitalizations have been for childbirth.  Mr. Chu's husband recently passed away, and she has been living alone since then.

Devise a plan to resolve this conflict with Nam."

In this case, Nam is asking quite reasonable questions about the dangers of outpatient cataract surgery for the wife of his elder uncle, Mrs. He cares about her life, and perhaps even more that there is no clear care protocol after the surgical operation. Here’s how you can approach resolving this conflict:

 Nam’s concerns squarely fit within the validity concerns that are commonly discussed in qualitative research; thus the first action that the authors would have to take would be to admit to them.

 Active Listening: First of all, listen to Nam’s words even if there is no necessity to interject him. Carry on talking and insist that he is quite normal to worry, especially because the aunt is much older and in not very good condition anyway.

 Empathy: In order to be a protective nephew and demand that Jacky and the hosts of the show recognize his feelings toward Nam, those feelings have to be involved. For example: “I am able to understand that you have being concerned with your aunt after some surgery she has been through through your received emails.

 Sub-step 2: Provide ‘lay’ interpretation

 Education about Outpatient Cataract Surgery: That is why, you ought to provide information as to why cataract surgery is predominantly carried out on outpatient service. Emphasize that it is a quite expected operation with a considerable efficacy rate and most of the patients are allowed to go home and recuperate with an adequate treatment.

 Post-Operative Care Plan: Describing in detail what will be told to Mrs. Chu about next visits, instillations, activities limitation and signs to look for in case of complications.

 Getting the Support Plan of the new candidate is the third strategic step in the hiring process.

 Assessing Mrs.  Chu’s Support System: Helps Nam in finding out who can visit Mrs. Chu after her surgery. Discuss the prospects of any of them having a family member, neighbor, or caregiver drop them off, cook for them or help them with some chores sometime after the operation.

 Consider Home Health Services: If Nam continues to worry, recommended looking for perhaps home health care perhaps a nurse coming to the house to see how Mrs. Chu is doing, for a few days at most to help out.

 The fourth step is the aspect known as Array Communication Trouble:

 Interprofessional Communication: Express your desire to act as a go-between between Nam the ophthalmologist and the other other health care personnel that he/she may be interacting with. Advise Nam to discuss with the ophthalmologist, which she has not done as she was never given an opportunity to speak.

 Patient Advocacy: If Nam still possess such an attitude that nobody is listening to him then you represent Nam to arrange with the healthcare team so as to Nam can fully ventilate all the grievances better in this approach.

 Nam organise the following people and their spouses: Nam and Mrs Chu, Nguyen and Mrs Mai Anh, Dang and Mrs Ngoc Tra.

 Encourage Participation: Nam and Mrs. Chu needs to be involved in the decision making. Ensure that the procedure is understood by Mrs. Chu Then tell Nam to pursue the other concerns that might be remaining.

 Respect Autonomy: Nam is quite pushy, though, one has understand that Mrs. Chu has her right to decision making for her treatment. Be especially careful that she feels empowered when in this process.

 The last step is the Reassuring and Closing of the Communication is the final step where the sender of the message or communication ensures that his/her message has been understood and the intended action has been taken [].

 Reassurance: It is important to reassure that the members of the healthcare team will try to do everything in order to safeguard Mrs.  Chu.

 Follow-Up Plan: Follow up later through a call or meeting to know how Mrs.  Chu maybe feeling after the surgery to probably offer her more support .

 If participants in this conflict act as follows, one can solve it in favor of Mrs.  Chu and help her receive proper care: Nam’s concerns are considered; Nam receives the information needed to understand the process, which is going on; the plan of post-operation care is created in cooperation with Nam; the barriers which could hinder proper communication are eliminated.

 


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