Nursing Case Management Paper

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.

R.O. is a 43-year-old female Latino patient who has been living at home alone since she got divorced three months ago. She does not have any living or available family in the United States. She is the oldest of three children. Her parents died of an accident when she was little. Two of her sisters live in Mexico. She has lost contact with her family in Mexico when she got married and move to the United States. She also has stopped communicating with her ex husband since they got divorced. Although she does not have any support from her family, she states that her church member has been very supportive. Moreover, R.O. states she was a homemaker until the divorce. Currently, she has been working as a dishwasher near her house.

Mrs. Wilson is seen in her room at Glenbridge Nursing Home on 02/28/2018. She had an episode last night of chest pain. She is so ebullient and distracted that it is hard to get a straight history, it came on when she was asleep but she may been sitting up. She was seen by a nurse, a sat was taken. I am not sure if there were other orders taken, but there is none on the chart. She says that she spent most of this morning in the bed and still feels tired, but she does not think she broke out in a sweat. She was more short of breath. She is calling it is a "stroke." I had tried to begin tapering her diazepam by discontinuing the morning dose and apparently all daytime clorazepate was discontinued by error and she gets it only at night.

The purpose of this paper is to conduct an in depth exploration of the nursing care considerations of patients in a specific clinical area. Through the synthesis of prior knowledge, clinical experiences and skills, evidence based best practices, and care of patients a comprehensive care and teaching plan will be composed. Integration of critical thinking and clinical reasoning skills, combined with evidence-based research will provide confirmation of nursing process comprehension. The inclusion of reviewed literature will further support knowledge and understanding.

Discharge counseling was done with Mrs. Esperanza, she understood all instructions provided, as follows: physical signs and symptoms that may indicate a problem, post partum home care, resumption of sexual intercourse, the importance of follow-up visits for mother-baby checkups and contraception. After counseling was performed the identification for both mother and child were verified. Mrs. Esperanza was escorted to her car by her spouse and hospital staff nurse. A car seat was brought in by Mrs. Esperanza’s husband and the baby was transported off the hospital premises safely secured in a rear-facing infant car seat. --------------------------------------I.Sanchez, RN 007

This process paper will evaluate the complex relationship between disease pathophysiology and how it has progressed to the patient’s current state of health. It will include a comprehensive discussion of chronic and acute problems leading to the patient’s hospital admission, a complete description of interrelationships and pathophysiology for all medical diagnoses, a comprehensive discussion of the client’s signs and symptoms and results of all diagnostic studies to the underlying pathophysiology, and a comprehensive listing of all medications ordered at the time of admission with explanations of why each was ordered and identification of the most common side effects which may

Analyze the impact of nurse advocacy for a specific health issue in your state where the advocacy actions by nurses made a difference. Be sure to clearly identify the health issue in your discussion.

Rosa exhibits personality traits such as neuroticism, carelessness and introversion. Throughout her treatment, Rosa expressed that she experienced poor care from the health staff and became hostile and aggressive towards staff. Rosa also communicated that she had anxiousness towards the pain caused by her hip surgery and further aggravations of her injury that may have occurred due to movement or rehabilitation. From these instances Rosa displayed neurotic tendencies. Additionally, these tendencies may have caused Rosa to have lowered conscientiousness and openness to experiences in regards to health outcomes and rehabilitation. Throughout the case it is documented that Rosa was reluctant to engage with suggested health recommendations

Patient met her milestones as expected. She was considered a “gifted student” and performed outstanding in school. After the divorce of her parents she experienced a lot of instability and lived in a shelter for a short period of time. She moved to California at age 18 to attend USC where she received her Bachelor’s degree in Nursing. She moved to NYC about two years ago and works as a registered nurse part time and attends school full time as she is getting her Master’s in nursing. Her family remains in Kansas and most of her friends live in California. She has two good friends in NYC but has not seen them or talk to them after the recent romantic break up.

A Registered Nurse is a person who has graduated from a nursing program and met

One the most important issues facing nursing these days is the changing healthcare insurance industry. I saw how these changes affected staff firsthand. I worked at Quincy Medical Center for three years until it closed in December of 2014. The Affordable Care Act led to cuts to Medicaid supplemental payments for the uninsured and has forced many hospitals to reduce staff or close like Quincy Medical Center. This is a concern for nurses because under current federal regulations there are no specific requirements for nurse to patient ratios. Multiple research studies demonstrate that lower nurse-patient ratios save both lives and money long term. For example, hospitals that routinely staff with 1-to-8 nurse-to-patient ratios experience five additional deaths per 1,000 patients than those staffing with 1-to-4 ratios, according to the Journal of the American Medical Association. Higher nurse to patient traditions lead to higher burnout

There are many expecting mothers in our society that are very unware of what steps to take to ensure that they maintain a healthy environment for the developing fetus. In the case of Tano and Lonita, they are a couple of struggling immigrants who are working hard to get by. Unfortunately for them are some resources that are not made available to them due to socioeconomic status. However, there are many steps they can talk in order to eliminate the risks of a low birth weight, or preterm labor. One step would be to attend a comprehensive prenatal care program that are known to improve birth outcomes in situations such as Lonita’s. Another way would be for Tano to become more involved with Lonita and keep a strong bonded and caring relationship between them. The last solution would be to apply for government aid programs to improve financial situations.

Giving birth to a baby is the most amazing and miraculous experiences for parents and their loved ones. Every woman’s birth story is different and full of joy. Furthermore, the process from the moment a woman knows that she’s pregnant to being in the delivering room is very critical to both her and the newborn baby. Prenatal care is extremely important and it can impact greatly the quality of life of the baby. In this paper, the topic of giving birth will be discussed thoroughly by describing the stories of two mothers who gave birth in different decades and see how their prenatal cares are different from each other with correlation of the advancement of modern medicine between four decades.

Mr. W is a seventy-three-year-old man with history of a heart attack which was followed by a severe stroke that left him with right sided paralyses. He needs assistance with activities of daily living. Mr. W’s wife has multiple medical problems of her own. One is of which she is a diabetic and has difficulty walking due to multiple toe amputations. She can only provide a limited amount of care and gets tired easily and quickly. He has a daughter that lives in close proximity, but works full-time and has a family of her own to take care of. She has exhausted her vacation time and does not want to lose her job. She loves her father and is not ready to lose him.

Prenatal care is widely accepted as an important element in improving pregnancy outcome. (Gorrie, McKinney, Murray, 1998). Prenatal care is defined as care of a pregnant woman during the time in the maternity cycle that begins with conception and ends with the onset of labor. A medical, surgical, gynecologic, obstretic, social and family history is taken (Mosby's Medical, Nursing, and Allied Health Dictionary, 1998). It is important for a pregnant woman as well as our society to know that everything that you do has an effect on your baby. Because so many women opt not to receive the benefits of prenatal care, our society sees the ramification, which include a variety of complications primarily