Introduction

Home base care practice has achieved a great mile in helping to achieve cost-effective medical care plans for patients with chronic illnesses. Chronic COPD is a progressive affecting the airway with reduced air entry into the lungs. The commonest COPD conditions are chronic bronchitis and emphysema. Chronic COPD often does have a defined medication. However, most patients benefit from proper medical care to improve airway conditions and lung compliance (Alhammadi & Ogale, 2020). Prolonged holding of COPD patients in inpatient care programs often offers little benefit compared to practicing home-based care through follow-up by trained community-based nurses. Discharging COPD patients for remote care is a big idea in helping the patient from hospital stays and nosocomial infections, and huge hospital bills. Home-based care is thus a primary consideration in promoting good health for COPD patients over prolonged hospital-based care with minimal benefits.

Similarly, chronic wounds and femur fractures have been a major challenge in promoting faster and more efficient healing. Sacral wounds have been challenging in promoting good healing (Bowles et al., 2019). Most patients with the femur and chronic sacral wounds often have prolonged hospital stays and increased wound infection with pseudomonas bacteria. Secondly, prolonged wound healing often limits complications such as cancerous cell formation at the wound site. Patients with femur fractures and sacral wounds often improve and benefit from cost-effective care when referred to home-based care under trained community-based nurses. Providing proper care to patients with sacral wounds would help improve limb mobility and reduce wound infection compared to hospital-based care. This article will discuss the assessment need for a home-based care plan for Lee Hok Keung, a patient with exacerbating COPD and sacral wound, and the benefits of each assessment and interventional approach for each assessed approach in providing positive care support.

Healthcare Assessment and Interventional Approach

Physical health care has been regarded as the most basic assessment plan that should guide one on the care plan approach that a patient should receive. For instance, a full physical health status assessment of Mr. Lee helps determine his physical appearance (objective) and subjective health conditions. For example, Lee is discharged with known dry and fragile skin, edematous foot, purulent wound, and tenderness of the lower limb originating from the gluteal regions. The need for physical is to help ensure the patient is stable before being deferred to home-based care. (Shi, Boudouh & Grunder, 2019).

Additionally, a physical assessment conducted to establish the status of Mr. Lee’s respiratory function, including a Chest X-ray, is one of the most routine investigation procedures conducted on COPD patients (Lu et al., 2019). Mr. Lee is diagnosed with a wheezing sound on respiration. To ensure Mr. Lee is stable to survive from home-based care, he uses pharmacological remedies such as Augmentin tablet orally BD for seven days to prevent pneumonitis. He is also administered with salbutamol sulfate inhaler with a recommendation of 2puffs for two weeks to help open the airway and reduce severe risks of airway obstruction presenting with wheezing.

In most cases, the role of the psycho-social and mental condition has been neglected when providing a patient-based care approach. The patient’s mental health and psycho-social history often play a major role when providing medical care to patients (Alhammadi & Ogale, 2020). The need for psycho-social evaluation when discharging Mr. Lee for home-based care is important since it helps to evaluate Mr. Lee’s family and other social organizations before he is discharged. Living in a hostile social environment is often associated with the poor patient recovery and exacerbates the patient’s illness when released to go home for home-based care. Conversely, patients in receptive families often enjoy good medical care from their relatives through social or physical support. Before releasing Mr. Lee for home-based care, a psycho-social assessment is conducted by evaluating his relationship with his wife. Mr. Lee reported a receptive family, thus making him able for discharge for home-based care. The primary interventions for a stable social environment include counseling and explaining to the family members the illness condition of Mr. Lee.

When evaluating the patient’s stability before discharge, it is important to ensure that the patient does not abandon any previous medication. The need to ensure that all medication programs are considered is to ensure that preexisting medical conditions are managed despite current medication (Shi, Boudouh & Grunder, 2019). For ex