Joan White of Maxcis Insurance Company referred this file for medical case management. Instructions were given to meet with Todd McClellan and assist with coordination of appropriate and related medical care, and identify needs to facilitate recovery. INTERVIEW SETTING On 11/28/16 I met Mr. McClellan, his step father, mother, wife and wife’s mother at the office of Dr. Nzoma. Mr. McClellan is developmental delay so Mr. Payson coordinates appointments.…
The ADN nurse will find it difficult to secure a position in desired roles in the hospital and clinical setting without the completion of a BSN and the advanced knowledge it provides. The modern RN is facing advanced requirements that the ADN curriculum is no longer sufficiently meet workplace standards of knowledge and practice. Regulating bodies are establishing core competency criteria that ensure the educational establishments maintain standards to keep patient-centered care a priority. Thus, redefining the role of the ADN versus the BSN.…
Bianca was referred for counseling by her son’s insistence due to her visible tremor, slow thinking, slurred speech, and sleep problems. She came to the office with her twenty-eight-year-old son, Angel. The client is currently taking various types prescribed medications which might be life threatening. This assessment was requested to identify possible sources of Bianca’s problems and make recommendations for treatment. Section Two Background Information M.Q is a forty-seven-years-old, middle class, heterosexual, Mexican American female who works as a legal assistant.…
In this current case a range of different elements are present that contribute to the treatment that Marion may or may not receive. The team that is treating Marion need to be very carful to ensure that they follow correct procedure and seek information on Marion’s alleged Advance Care Directive. This directive has enabled Marion to, ‘make clear legal arrangements for your future health care, end of life, preferred living arrangements and other personal matters’ (Appointing Substitute Decision-Makers. 2016). Marion’s parents have stated that she has this directive in place, however the treatment team will have to confirm this by obtaining a copy and not going off her word. If this set in place by Marion it will supply the treatment team with…
Case Management High-risk pregnant women should receive case management services. Case managers are expected to closely monitor the pregnancy through regular contact with the physician and patient to promote a healthy birth outcome also ensuring that no elective deliveries are performed before 39 weeks of gestation by agreement with all professional providers, and Decreasing the cesarean section rate among multi women, Case manager in ob., can review a client's progress, consider successes and barriers, and evaluate the previous period of case management activities, follow up apt, fetal count sheel, NST on time, Prepare for NST, medications used during maternity, in case of emergency what to do, cases need high risk obstetrician .monitor diabetes,…
I anticipate working in the same organization, as a family nurse practitioner (FNP), that I am working currently. I am a case manager nurse, and as a nurse practitioner I think to put in practice my knowledge at Simply Healthcare Plans (HMO health plan) located in Miami-Florida. Simply health care plans provide an adequate and easy to get to variety of preventive, primary care, and specialty service area to meet health needs of all Medicaid/Medicare members, and also preserve an enough number, mix and geographic dispersal of providers. Members that suffer from heart failure are heavy clients of the health care system and consequently needs to close medical supervision and reinforcement to be able to and recognize their warning sign. Family Nurse Practitioner is in a best position to do this, like FNP has the skill to attention on the medical necessities of the member and also the learning and caring needs of the member and their family (Dahl & Penque 2000).…
the state of Texas have designed for nurse practitioners to follow so I can practice according to the state requirements. I will follow evidence based practice, so I can give efficient care to my patient. In the first, second and third month, I will make notes and think of ways to improve my practice and be an accent for the organization. During the first few months I will try to know and work with other professionals in the organization to create a good working relationship which will help me to create a good working environment.…
Care Plan 1: Labor Pain: As labor was progressing and the mother was pushing it was apparent she felt a small amount of discomfort, mostly while she was pushing. As the baby began it’s descent farther down the birth canal, the mother was feeling pressure and became more uncomfortable. She was grimacing between contractions. Intervention 1: Providing the use of nonpharmacologic comfort measures, such as a cool, moist wash cloth, to bring some measure of relief to the mother during labor (Doenges, Moorhouse, & Murr, 2016, p. 616).…
As this class comes to an end, I have learned about various processes and techniques to enhance my practice. The one objective that I learned the most from was how the master’s prepared nurse influences policy and economic issues through policy development and advocacy. The skills required to develop, implement, and evaluate a policy are imperative as health care evolves. I wish I had taken this class at the beginning of my nursing career. It would have been extremely helpful in the numerous projects I have taken part in.…
6. Alternative and Resolution I think that the hospital could benefit from this research study based on my observational analysis with few recommendation as follow: Perform a staff assessment to evaluate their knowledge Discuss with the patient/family members, make them aware about the hospital policy/ procedure and assist with instructions on how to fill a form. Nurses are to read and document every patient belongings from the time they get admitted through ED department, during their stay period, transfer and discharge home or other facilities.…
Case Study #1 One problem facing patients in hospitals today is that personnel hired to do a job are incompetent or even physically unable to do the job. Surprisingly this is not that uncommon. This seems to be a widespread problem, not just in nursing homes or assisted living places. In the hospital there are so many nurses and other faculty members who lack even a basic understanding of the job they are providing. They merely follow doctor orders and fail to provide the most basic level of care.…
The following is a case study of a female patient; she is 50 years old, married with 2 older children that no longer live at home. She has a 2 bedroom home, a car, her husband works at night and she always had a smile on her face. I had the pleasure of meeting her in February 2016. She was referred to the program because of multiple emergency room visits. According to her chart she had 13 emergency room visits the 6 months prior to joining the Outpatient Care Management program.…
History of Present Problem: The patient is a 40-year-old Caucasian female who presents to clinic accompanied by her husband for evaluation and treatment of left ankle pain. The patient was involved in a motor vehicle accident at age 19 and sustained an open fracture and dislocation of left bi-malleolar ankle fracture as well as a torn right anterior cruciate (ACL). She underwent an open reduction internal fixation (ORIF) of the left ankle fracture emergently. After the left ankle healed, a right ACL reconstruction was completed. Both injuries healed without problems…
One aspect of Joan’s nursing care plan that will be discussed in more detail is her pressure area management. Joan has left sided weakness and is unable to reposition by herself requiring assistance. Joan has two small superficial ulcers on her lower right and left legs, these occurred prior to her transfer to the ward. There is a wound care plan in place for the ulcers. Skin is the largest organ in the body and the integrity is a frequent problem for older adults and people with limited mobility (pg.1008 vol2funda).…
The support or referral that could be offered to Mr. Smith’s family is a patient support group that would not only provide support to the patient but also encourage and advice the family in relation to the patient’s pain management. 8. Outline the pathophysiology of the following conditions ensuring you relate back to Mr. Smith and his clinical presentation. Include within your answer the possible management strategies and rationale for these symptoms: a. Anorexia: The body processes that contribute to this condition include personality disorders, eating disorders, anxiety disorders, and mood disorders. These conditions are evident in Mr. Smith’s condition because of his addiction to alcohol and heavy smoking, troubled relationships with…