Stakeholders are essential in establishing the patient’s quality of care and well-being (Lianov et al., 2020). It is the responsibility of stakeholders to check if their patient is cooperative and not under the excessive burden. In the case of Mrs. Snyder, healthcare professionals have to focus on transferring her from one organization to another without giving any trouble to her. It is another fact that Mrs. Snyder is Jewish, so healthcare providers participating in the transfer process from both facilities need to focus on providing the patient with complete care by respecting her religious and cultural beliefs. Mrs. Snyder’s needs and wants must be fulfilled according to her religious and cultural values. Kosher food must be provided to accommodate Mrs. Snyder’s dietary needs (Lianov et al., 2020).

Elements of Continous Care

The first and foremost component of continuous care is to identify the medical records of the patient and her family, as it will help to detect the exact root cause of the problem, as various studies confirmed that diabetes could transfer from generation to generation (Pervjakova et al., 2022). A person with a family history of diabetes has a high risk of getting diabetes than others. Secondly, accurate patient evaluation is another component of continuous care, as it will work as a cornerstone for treating patients. Thirdly, as medical documents are considered the main sources of data transmission, healthcare organizations must focus on collecting accurate medical health records of patients (Asmirajanti et al., 2019). 

Patient Assessment

Mrs. Snyder has a number of health issues that can become dangerous for her health. Knowing the patient’s medical background is essential for determining effective transitional treatment. Villa Hospital’s medical personnel ensured that the patient’s evaluation was accurate. The specifics of Mrs. Snyder’s evaluation are as follows:

Mrs. Snyder has ovarian cancer, a chronic disease that can cause mortality among individuals (Khanlarkhani et al., 2021). Her condition is extremely critical, as doctors said she has little time to live. Along with this, she also suffers from diabetes and hyperglycemia, which always remains a risk of high blood sugar levels, which can also cause death (Demir et al., 2021). Also, her weight increases due to improper healthcare management and family stress. Due to the stress, her blood pressure also fluctuates from time to time. 

Mrs. Snyder was on chemotherapy which negatively affected her health as she felt physical pain (Khanlarkhani et al., 2021). Due to all these issues, she is under so much stress and depression. She is also a housewife and always cares for her family and does not want to burden the family. As Mrs. Snyder has strong cultural and religious beliefs, she wants to move to another institution that respects cultural differences and gives her the freedom to practice her beliefs.

Interprofessional Care Team

Every medical procedure involves excellent coordination and communication with which the audience’s needs can be evaluated and controlled easily. The interprofessional team that will treat Mrs. Snyder is made up of thyroid doctors, heart specialists, cancer specialists, and nurses because she has several medical issues. With this, it will be ensured that all treatment guidelines are followed precisely and correctly. The nurse’s duty in Mrs. Snyder’s case analysis involved referring patients to other healthcare sectors for discussion and treatment from specialists. Nurses can assist the patient by modifying her vital signs’ therapy and medication doses. For example, the medical expert advised Mrs. Snyder to transfer to a health institution rather than stay in her home because she would receive greater care and treatment there (Ansa et al., 2020).


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