Question

1. two SMART goals for Mrs. Glazer

2. What was your purpose for forming a care conference?
3. What other resources can the nurse use to help resolve this
conflict?
4. Who has decision-making authority
Glazer, who's an 85-year-old woman. She was admitted three days ago with heart failure exacerbation. Her other co-morbidities include Type-2 diabetes with peripheral neuropathy, anemia, and macular de

Answer 1

SMART goals for Mrs. Glazer could focus on improving symptoms of heart failure and achieving better blood sugar control. A care conference would aim to resolve care approach conflicts and optimize patient care. Nurses can use resources like ethicists and mediation to resolve conflicts, and decision-making authority lies with the patient or appointed proxy.

Step-by-step explanation:

When setting SMART goals for Mrs. Glazer, who is an 85-year-old woman with heart failure exacerbation and other co-morbidities, the goals should be Specific, Measurable, Achievable, Relevant, and Time-bound. For example:

1. Within the next two weeks, Mrs. Glazer will demonstrate an improvement in heart failure symptoms by adhering to a low-sodium diet and correctly taking prescribed medications, as evidenced by a reduction in weight and ankle swelling.
2. Over the next month, Mrs. Glazer will achieve better blood sugar control with a target HbA1c less than 7%, through tailored dietary advice and medication management.

The purpose for forming a care conference might be to address a conflict in care approaches among the healthcare team, to define roles and responsibilities, ensure Mrs. Glazer's comprehensive needs are met, and optimize her treatment plan.

To resolve conflict in the healthcare setting, nurses and other staff may utilize additional resources such as seeking the guidance of a clinical ethicist, initiating mediation with a professional familiar with healthcare conflicts, or engaging in team-building and communication training. It is crucial to apply conflict resolution strategies that align with evidence-based practices.

Decision-making authority in a healthcare setting often resides with the patient if they have decision-making capacity. In the case where a patient like Mrs. Glazer lacks this capacity, a designated health care proxy or power of attorney would have the authority to make decisions on her behalf. If neither is available, the healthcare team, in consultation with the closest family members, would make decisions that are in the best interest of the patient.