Case Management Assignment 2: Case Study Mr. P is an 88-year-old man who was admitted to hospital after falling outside his home on an uneven sidewalk. He underwent a successful hip replacement surgery and has begun his rehabilitation on an acute care surgical unit. Mr. P’s 61-year-old son and daughter-in-law visit him frequently while he has been hospitalized, but they are unable to care for him after his discharge from the hospital. The physical therapist feels that Mr. P cannot adequately care for himself at home. (Fero, Herrick, & Hu, 2011, p. 113) Three of the basic goals to achieve in the initial interview with Mr. P should be to first always act in the role of patient advocate in order to coordinate his care in order to facilitate the delivery of healthcare services and to ensure he receives quality healthcare. Second to coordinate his care in a way that it reduces his length of stay thereby reducing costs and hopefully returning him home sooner. Third to act as a facilitator to ensure access to care across the healthcare continuum. (Fero, Herrick, & Hu, 2011, p. 91) …show more content…
94) Negotiation skills that could be used if Mr. P is uncomfortable with the discharge plan would be first to have all the information available about all services and requirements for those services available so this can be made available to him and his family during the interview process.“ Be assertive not aggressive, be persuasive not imposing, negotiate on a case-by-case basis, stay focused, and most importantly is not to let your feelings get in the way” (Fero, Herrick, & Hu, 2011, p. 95) are just a few negotiation skills that could be
The person I interviewed is Raegan. Raegan is a patient advocate in a nursing home. Raegan received her Bachelor’s Degree in psychology at Western Michigan University. She received a Graduate Certificate in patient advocacy from the University of Toledo. Raegan has been a patient advocate for 5 years. She became a patient advocate because she likes helping patients with their direct care needs, and enjoys helping patients navigate through the complex health care system. As a patient advocate, she helps patients in numerous ways. Raegan ensures that patients see the correct doctors, coordinates care between doctors, ensures the patient has access to all available treatment options, and that the treatment plans are being followed. She also educates the family on how to
This case study is about a patient, T.C., who I treated while a physical therapy assistant at an acute rehabilitation hospital. T.C. had terminal spinal cancer and at the time of admission had a fair prognosis to maintain function and strength enough to be discharged to his daughter’s home with home health care and family support, and he wanted to eventually go back to his own apartment. He was using a wheelchair as he was partially paralyzed from the waist down, and was able to use a transfer board to transfer from his wheelchair to bed and back.
S has quite a strong baseline of strengths. Firstly, Mrs. S is a very kind man, never lashing out during interviews, always receptive of health provider interventions even when he might not agree. In addition, he has completed his high school diploma. Mr. S is also good at maintaining and looking after his room at the booth, as evidenced by the recounts of the case manager’s room visit. In addition, Mr. S always attends his medical appointments, and IM injection appointments, and has good insight on their importance. The patient is also has insight to find help from the institute or ER if warning signs, or symptoms creep up. Mr. S is also responsible enough to call if he cannot make an appointment. In addition, he has good personal hygiene during his visits. Mr. S also has a number of deficits he has to combat. First of the deficits, include his ¬¬lack of social support; like previously mentioned about his parents, half-sister or half-brother. This can put Mr. S at risk for redevelopment of avolition and negative symptoms that have previously hindered his success, and will become deficits. Another deficit is his inability to manage his own finances and money, as he gets his welfare allowance every week from his case manager, and social worker, who also manages his finances. A third deficit might be his inability to get food. The final deficit, would be his situation with the Booth Center, as he might find himself to be homeless. Mr. S’ only resources are the case manager, the writer, social worker, and the FEPP
The interview will be with Dr. John Zerwas, he is a local legislative representative, Doctor, and co-author of a palliative care bill. Dr. John Zerwas has a career in medicine as an anesthesiologist, which gives him an advantage when writing and supporting health care bills (Zerwas, n.d.). Dr. John Zerwas is the best candidate for an interview for a three reasons. First, he has a wealth of information due to the fact that he been a state representative since 2006. Second, he has served as chairman on the committee for higher education and
P- CM will continue to provide emotional support to client and monitor him for any increase in depression or anxiety. CM will address the sleep apnea machine dilemma to his supervisors, and look into getting dental assistance through the VA for the client. Client has agreed to continue participating in art group and Monday Night Football to help him cope with depression and anxiety. Client also agreed to return to the Bob Hop Patriotic Hall to start his application for getting “Veteran” status on his driver’s license, within the following week. Client has agreed to return LA Family Housing to schedule his CES assessment
I would rate the preparation handoff with nurse practitioner (NP) Edyta Pedlowska as successful. NP Pedlowska was knowledgeable about Mr. Sands’ situation and answered many of the questions I had prepared before I had the chance to ask. Within the first minutes of the meeting NP Pedlowska had explained that Mr. Sands was following up for his COPD, explained that he has chronic pain related to a fractured vertebrae injury five years prior and was experiencing a significant increase in pain in the past three weeks, he has a new caregiver as of three weeks ago, mentioned that he
Michael, a 76 year old gentleman had a hip replacement after he was out with his dog and another dog put him on the floor, causing the right hip fracture; and on rehabilitation ward, looking forward to go home as he missed his dog. However, his daughter is concerned about his safety after leaving the rehab ward as he lives independently in a two levels house and at the moment he is using a walking frame and his mobility may be impaired as well his ability to cope, therefore she thinks that he may need to move into a residential home. He has an increased level of anxiety and delirium and he displays a
Ronald X is a self-sufficient man who values his liberty. After he broke his leg, everything changed. The free and autonomous life that he was enjoying was now going to change. His medical comorbidity of artheriosclerosis causes him to be confused at times. The doctor and his children did not want him to be discharged home until they found an appropriate nursing home. Ronald X is aware of his problems and
During his initial check-in Mr. Williamson discussed his charges, substance use, education/employment history and relevant medical background with DOC case management staff. Mr. Williamson arrives to his weekly check-in appointments on time. He indicated that he has custody of three (3) of his five (5) children and would like to seek and obtain employment to be able to support them. Mr. Williamson is collaborating with DOC case management staff to develop an individualized service plan.
This theory encompasses concepts of client singularity, dynamic variables, client-professional interaction, and health outcome (Mathews, Secrest, & Muirhead, 2008). Client singularity focuses on the uniqueness of the patient (Mathews, Secrest, & Muirhead, 2008). For TP, this includes his medical history of meningitis with VP shunt placements, his status of being disabled living in a nursing home, and his status of family and financial support. Special consideration needs to be taken into planning care for TP due to his extensive medical history and disabilities. Also, it needs to be known the amount of family support he has. It is known that he is divorced and has children, but unknown how involved they are in his care. Another consideration is his financial status due to his current and past medical
901193578, I found your interview with an NP to be thought-provoking. I was considering the challenges your friend discussed myself the other day, particularly the challenges of care transitions. As a med/surg nurse I am often in charge of facilitating patients' discharges, whether it is for home, for a long-term care facility, or a rehabilitation stay. I generally do not give report to home health agencies. I feel the challenges of those transitions because it is very difficult to adequately convey everything that has been done for and discussed with the patient by me, and impossible to know how my information will be translated to the next person who will care for the patient. Toles, Young, and Ouslander note that transition between care
DP is a registered nurse whom is very aware of health practices, disease processes and need for medical treatment. Although she is very educated she first relies on home remedies before seeking medical attention. Teas with a variety of different herbs and roots placed in them or ointments that were made from roots and barks are the first line of defense. In Guyana, usually only the rich has a primary care doctor and everyone else just goes to a clinic, which often is poor in terms quality and availability. Women typically have herb gardens by their homes and the grandmothers are whom knows the secrets from their homelands. They will treat any illness from asthma, cuts, pregnancy, impotence, heart problems, hypertension, and even cancer
Leo is thirty- seven- years- old (he is in the life stage adulthood), he has not long slipped on some ice and has broken his leg. He has had his leg into a cast for two months now. Is now allowed to have it off. So he went to his appointment at the hospital to get his cast removed. Due to the reason that hasn’t been able to walk for two months, he had been on crutches and in a wheelchair, he isn’t used to walking anymore due to his accident. So the doctor at the hospital has told him to stay on the crutches until he has got used to in again. The doctor has also told him to stay on the crutches also so that Leo doesn’t cause any fever injury to himself. To help Leo walk again the doctor has referred him to a physiologist. This is someone that
Dan presents with numerous conditions that are cause for continued monitoring. In fact, the hospital would like to admit him. Despite pleas from his caregiver and a visit from the social worker, Dan is adamant about leaving against medical advice. There are a number of consequences to consider if Dan goes home. Since there are numerous sequela from his current condition(s), it is possible that his medical state could worsen and adequate help may not be available in time. In addition, he is at risk for another fall and additional injury. Once home, he may not return for any follow up appointments. On the other hand, rest is an important component to healing and Dan may fare better in familiar surroundings.
Discharge planning and management with an elderly person can become very complicated and should be approached with an open mind and the willingness