Final answer:
To initiate the transition of an elderly patient with chronic kidney disease to long-term care, a coordinator should assess the patient's needs, involve family in planning, review medical history, discuss care plans with the facility, and address intergenerational family dynamics.
Step-by-step explanation:
When addressing the concerns of an adult son about the transition of an elderly parent with chronic kidney disease from home care to long-term care, the coordinator should take a proactive approach to facilitate this change smoothly. The first action should be to assess the personalized needs of the patient and involve both the patient and family members in the planning process. This includes discussing the level of care required, which may range from basic assistance to direct supervision of a registered nurse for frequent dialysis treatments. It's crucial to review the patient's medical history and current condition, understand their preferences, and ensure that the necessary medical powers such as a living will are in place.
Next, the coordinator should connect with the long-term care facility to discuss the specific care plan, ensuring it aligns with the patient's needs and obeys any legal documents such as living wills or medical power of attorney. Reviewing aloud the key concerns for the patient's recovery and ongoing care with the medical team, including the surgeon, nurse, and anesthesia professional, is an essential step in this process.
Lastly, the coordinator should facilitate conversations about the challenges of working with different generations within the family, understanding that these dynamics can impact the patient's experience during the transition.