Answer Happy

22. You are providing care for an Indigenous person in their home in an isolated community. There is no physician or nurse available to visit. The health care team supports you through phone calls. The person is experiencing delirium. You know that the family wants to keep their loved one in the community and does not want to transfer them to the hospital, which is a four hours drive away. You need to call the nurse or physician to update them on the changes, and to develop a care plan that will meet the needs and the goals of the person, family, and community members who are caring for the person. You know that you need to gather information by observing and interacting with the person. You also know that you will need to talk with the family and the community members who are involved to understand their needs and their desire to keep the person at home. What tools can you use to help you as you prepare to talk with the health care team and develop a care plan that meets the needs and goals of the person, family and community?