Case Study : Medication And Medical Appointments Essay

The Case Management program is offered by Kaiser Permanente to support members with complex medical, psychosocial, and care management essentials. This specialized service is provided by case managers. The case managers are either Registered Nurses who are certified in case management or qualified Social Workers. Case managers provide necessary information and education to promote understanding, reduce the chance of possible complications, and facilitate effective and proper delivery of care and services.

The Medicines Act 1968:- The Medicines Act controls the manufacture and supply of medicines for human and veterinary use. The act defines three categories of the supply of drugs; Prescription only medicines, Pharmacy Medicine, and General sales list medicines the act controls

This is a complex medication visit. This is a young woman who I have treated for (lipastimea) and depression last seen a year ago. She returns now complaining of increasing depression over the past several months culminating an emergency room visit.

In this setting the case manager would work best using the role-based case management model and with their primary role to function as a generalist, “This role, widely used in human service delivery, focuses primarily on providing the services that can be delivered by a helper with knowledge and skills applicable to a range of clients in various settings” (Woodside, & McClam, 2013. p 75 para 3); following the role of generalist the case manager would likely take on the roles of counselor, care coordinator, problem solver, and record keeper. Under the role of counselor and broker an intervention strategy that could be implemented is for the case manager to meet with the individuals on their caseload and after completing an assessment create a treatment plan that would help to resolve any barriers that the individual may be facing that would hinder their ability to attend their medical appointments and strict regimen of medications, the case manager would then continue to hold regular meetings with their clients to ensure the individual treatment plan is being adhered to (Wohl, et al. 2011). The problem a case manager may see while trying to help provide services to people living with HIV/AIDS under the model of role-based manager is that the case manager may be working for an agency with very limited resources which can then severely restrict the benefit of the program and leave the case manager feeling frustrated and overwhelmed and the though there may be a wide array of services that may be needed, the agency can only afford to focus on the cheapest. If the agency does happen to be well funded then the benefits of role-based case management model mean that the individual will only have the one contact person to reach out to and allows for a better relationship to develop which makes for a more effective case manager (Woodside, & McClam,

Many patients are finding it more difficult to afford their prescription medications. Comparing health care expenditures in the United States, prescription drug costs rank third compared to hospital expenses and physician services (Omojasola, Hernandez, Sansgiry, & Jones, 2012, p. 479). The rising cost of prescription drugs is concerning to many patients. “The high out-of-pocket prescription drug cost is associated with medication non-adherence and adverse health outcomes” Omojasola, et al., 2012, p. 480).

Nearly half of seniors do not take their medications when or how they were prescribed. There are mistakes on dosages, methods of delivery, time of delivery, what they should be taken with, and even if they should still be taken. Compounding the issue, most seniors over the age of 65 are taking between 8 and 13 different medications. Put these numbers together and it is no wonder that problems with medication management are one of the leading reasons seniors end up in the emergency room, and is the number one reason seniors end up back in the hospital after being recently discharged. According to a study published in "Pharmacotherapy", nearly 70 percent of hospitalized seniors suffered from at least one

The purpose of medicine is as contested of a notion as the term patient. While there are certain ends in which it is clear that medicine seeks to achieve, controversy often arises over how medicine chooses to achieve these certain goals. One such controversy is the treatment of patient-symptoms, more specifically, the role of medication in treating patients. The purpose of this essay is not to discuss the general issues of prescribing medication. Rather, the purpose is

This is important for easy administration in case of an emergency so as to prevent any harm on a patient.

A review of the records reveals the member to be an adult female with a birth date of 03/14/1983. The member has a diagnosis of Generalized Anxiety Disorder. The member’s treating provider, Vickki-Ann Samuel, MD recommended the member continue treatment using the prescription medication Pexeva 30 mg.

As have been described above, HIV can have a potential effect on immunological cells, which are important to protect the body from additional infections such as Tuberculosis (TB), Cytomegalovirus (CMV) and other viral or bacterial infections. An effective treatment is needed to reconstruct what HIV has damaged. Antiretroviral therapy (ART) is a common treatment to stop the viral replication and decrease the disease progression, which may lead to a vast decline of the morbidity and mortality. The standard treatment involves a combination of at least three drugs; often known as a highly active antiretroviral therapy (HAART) where the most common types are Nucleoside reverse transcriptase

I worked directly with the HIV/AIDS population as well as individuals whose behaviors place them at high risk for becoming infected. I am currently the Supervisor for the AIDS Institute Linkage and Navigation Program where I am responsible for overseeing the delivery of services. These services encompass but are not limited to entitlements, referral to agencies that assist with identifying appropriate housing, referral to medical, mental health and substance use services. I also, oversee treatment adherence services which support clients in their readiness to begin (ARV) antiretroviral therapy and maintain adherence to their prescribed medication for treatment for HIV/AIDS.

Prescription medications are intended to help individuals not create new problems. When an individual is diagnosed with ADHD they often seek medical attention. Medication will often be prescribed to help this individual manage their ADHD symptoms. However, many of the medications used to treat ADHD are stimulants. These stimulants can have adverse effects on the human body. There are hidden dangers when using ADHD medications such as side effects, addiction, and classification.

Engages and collaborates with patients, families, inpatient multi-disciplinary staff, the primary care provider, and the community in care planning, delivery of care, and discharge target populations during the transition period (normally 30 days post discharge.) Responsible for developing a comprehensive individualized plan of care and targeted interventions. Continually monitors patient/family response to plan of care, and revises the care plan as indicated.

In my experience as a medical case manager, I am the first contact person when a client is scheduled to see a medical provider at the health center or seek other supportive services. As their medical case manager, my responsibility is to do the client’s first initial intake by getting the client’s demographics, medical coverage information, and link the client with healthcare services.

Despite medicinal commodities, a pharmaceutical company delivers a product with the intention to produce profit. As a direct result, often highly infectious diseases with little to no marketable potential will not be developed or available for those who need it most. When you take into consideration that a drug application process takes nearly 10 years to develop, millions of dollars to fund and then is often denied acceptance, it is not surprising that companies are hesitant to spend valuable time and money on a product with absolutely no disposition for revenue. Nonetheless, this still goes to question the morality of a company when medication and health is advertised as a necessity in the western world but neglected in the developing world. This divide is incredibly prevalent as, “the World Health Organization estimates that 15 per cent of the world’s population consumes over 90 per cent of the world’s production of pharmaceuticals” (Forman, 26). The most common examples of these neglected diseases are malaria, tuberculosis, Dengue fever, Buruli ulcers, leishmaniosis, trypanosomiasis, diarrheal diseases and in some cases, HIV/AIDS where resources are inaccessible in Africa and South-East Asia. In fact, HIV is a primary killer in lower income countries and due to the neglect of both society and large pharmaceutical industries. Through multiple resources, this paper