Case Study: Short-Term Care With Patients

Mrs Gale is a 70 year old widow and retired unskilled worker. The patient lives alone and relies on her son to provide basic care, medication and meals. Mrs Gale has a history of weight fluctuation owing to lifestyle but is currently at risk of malnutrition due to Parkinson’s disease. Mrs Gale shows signs of early dementia and suffers from poor mobility and pain caused by arthritis. Mrs Gale also has mild depression triggered by loss and has become socially isolated. All names have been changed as per the Nursing and Midwifery Council confidentiality guidelines (2008).

The diagnosis is not the main concern of emergency department. Their main job is the short term, immediate, acute management to save patient’s lives. Emergency residents first will ask the intern to take focused history and do a proper physical examination after that the intern will explain the case briefly to the resident then they go with the team to see the patient . They will perform electrocardiogram (ECG), Portable X-ray, or ultrasounds, if needed. Many tests can be ordered, such as blood test, body fluid analysis, computed tomography (CT scan) or Magnetic resonance imaging (MRI). Some procedures need to be done like suturing, central line or urethral catheterization. patients usually do not need an admission In the acute care unit,

10:24-10:50 AM SC completed monitoring phone call with Pa on 12/24/2015. SC spoke with Tina Carroll Pa’s dtr and CG/DOC. Tina reported that Pa is getting worse and she is just doing the best she can. No falls, ER visit, hospitalization or medications were reported since last contact. Tina reported that Pa is satisfied with services and her agency and aides. Tina is requesting weekend PAS support. SC informed the Tina that SC will assess Pa’s needs that home visit in January, 2016 Tina agrees. Tina confirmed that Pa is receiving services as indicated in the ISP in the following type, scope, amount, frequency and duration: Pa receives Agency Model PAS 4 hours 5 days a week 10am - 2pm via Independent Home Care. PAS provide assistance with bathing,

The long-term care system is aimed at providing continued care to individuals both in facilities and at home. Many people associate long-term care specifically with nursing and assisted living facilities, but long-term care is so much more. This care can be provided to an individual whether they are home or in a specialized facility (National Institute on Aging, 2017). In essence, the system of long-term care involves the coordination of facilities, providers, and case manager support to provide the best quality of care for individuals.

The National Survey on Drug Use and Health reported in 2010 that approximately 8.88% of North Carolina residents used an illicit drug in the month prior to the survey. At the time the survey was taken the national average was 8.82%. Likewise, the rate of drug-induced deaths in the state was higher than the national average. Meanwhile, drug and alcohol rehab enrollments for cocaine addiction decreased in 2011, while marijuana addiction rehab admittances grew. Statistics from 2011 show marijuana as the leading drug of abuse among North Carolina drug rehab enrollments. This was followed by other opiates (include prescription drugs), cocaine/crack cocaine and heroin.

Following this, the health care system has been attempting to adjust to the decreased funding which has attributed to the rise in health inequalities and challenges with accessing quality care (Hick, 2014). Furthermore, these reductions in the financing have emerged in many long-term care (LTC) facilities that have cut their expenses by employing lower educated staff and decreasing their staffing levels (Walter, Wodchis, Anderson, Anderson, 2007). As a result, research on the cost of implementing good quality care in long-term care facilities revealed that by having well-trained staff, they could save money by preventing risks to seniors health (Walter et al., 2007). For example, skin ulcers, use of physical restraints, incontinence and levels

Presenting Problem: Currently detained at the Youth Service Center since Marc 2016 as a Person In Need of Supervision, due to continued truancy, violating curfew and failing to meet with her social worker. While at YSC she incurred infractions for absconding 4 times, taking and hoarding food, being scantly clad with another resident who was naked at the time and refusing to go to school. Previosly detained at the Princwe William County Detention Center for Arson. Its reported that at the age of 10 she became mre irritable and easily upset. She has an hx of running away resulting in 15 missing person reports being filed by her family. Has a hx of being verbally aggressive and physical aggressive towards family. Her mother reports she belives

Transitional care is a moderate to long term facility that concentrates situations such as wound control, therapy, and management of chronic diseases (Allied Health Community, 2016). In addition, these facilities provide care for individuals transitioning from the hospital who may not be ready to return home yet. In this scenario, provided by Allied Health Community, a patient has developed a hospital acquired infection (HAI) after the original plan of care was for the patient to stay in for five days. The patient now has to stay in for an additional six days of IV antibiotic fluid. The patient’s insurance is only paying 50% of the IV therapy and only 35% of the extension of stay beyond the original authorization (Allied Health Community, 2016).

There were several indicators that Beverly was unfit for duty such as staff reported the smell of alcohol on her breath, the unexcused absences, and increase in medication errors. Management is aware that disciplinary problems generally do not go away, they get worse if ignored. When employees are suspicious of being chemically impaired, management needs to collect and record objective data (Marquis & Huston, 2017). In this scenario, the supervisor took time to investigate the problem by waiting to witness the issue directly. By waiting this prevented a quick response that could be influenced by incomplete information, assumptions or personal emotions. The supervisor did the right thing by sending Beverly home after the confrontation and scheduling

It appears that the treating doctors you constantly echoed in my ear that I am allowed to see under the 504 WORKERS COMPENSATION INSURANCE POLICIAL SUDIVISIONS is now not part of the network or you did not approve the doctor’s visit. I was told by you, Ms. Franco I had two choices to choose from Care Now and Concentra. Care Now was not my choice and I choose Concentra. I had no treating doctor at Care Now and Concentra, I am seeing whoever is on duty that day. I have complied with all asked of me. I have not been given the minimal standard of medical care as of today. My injured happened September 13, 2017, and it was not until October 24, 2017, I had an x-ray taken.

There are several different settings in which children in the care of the local authority can be accommodated: -

For many elderly, the nursing homes are their only primary option. As Americans age with extended life expectancy, more people will become residents of nursing homes. A report cited by the "Baby Boomer generation" shows that aging will require more long-term care services in the future. The number is "expected to increase from 15 million in 2000 to 27 million in 2050" for individuals requiring these services (U.S. Department of Health and Human Services, 2003). The growth of the "Baby Boomer" population has brought concern for their well-being since they are the most at a disadvantage.

The ability to exhibit the key factors required in preparing for the future of long-term healthcare will determine how well the facility will succeed in its community and stand out from its competitors. There are factors required from not only personnel but from the facility also. There are internal and external factors. The internal factors include the ability to self-assess oneself, adaptability to change, and plan management skills. The external factors the individual must be knowledgeable about includes information from customers, the serviced community, and the organization. The facility must be able to collaborate and communicate with individuals within and out. The facility must have an open environment that encourages personnel to interact

The case “CareGroup” prepared by the Harvard Business School recounts an astonishing tale of how the health-care company CareGroup’s leading state-of-the-art information technology (IT) systems had abruptly collapsed for three and a half days, what actions they took to recover, and the invaluable lessons learned through them.

Lastly, by expanding the availability of housing, the community's population will certainly grow. With the increase in population, will the city, state and federal government and private enterprises meet the district's growing needs? For example, will there be additional law enforcement officers to patrol the neighborhood? Will there be new schools, especially a high school for the children in the community (in light of constant budget cuts for education)? Will the existing utility lines (water, gas, electric, and sewer lines) be able to meet the expanding demand of the community? How will the medical community handle the increasing demand for acute medical care? And lastly, is there going to be enough child day care or adult