Ongoing Care: A Case Study

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).

A clinical assessment is then conducted for treatment needs. Different treatment plans are made for each client. Individualized treatment plans are used to make referrals and they are updated periodically.”

Constructing a treatment and service plan for a client involves various components. Prior to starting a treatment plan the professional should carry out a client evaluation. The evaluation should determine the basis of the difficulty or issues and assess the back ground of the client. After the completion of the evaluation, a professional can start constructing an agreement to fulfill the needs of the client. The treatment plan should include goals that relate to the difficulties and issues the client is experiencing, this assessment will discuss the components of Mr. McCunes personalized treatment program.

The assessment and providing a diagnosis for a client is an active and involved segment in client treatment. Prior to designing a treatment plan for a client, a practitioner must assess and diagnose the client. Practitioners are not limited to standardized assessments alone in making their assessment of a client. The subsequent discussion is regarding the case study of Evelyn C., which will also include discussion on her diagnosis, assessments, and any data that would be necessary for collection in her treatment.

Long term care (LTC) is holistic method of treatment of the person who suffer from physical, mental or emotional chronic problems which impacts their routine independent work (Spruit, M., Vroon, R., & Batenburg, R., 2014). The long-term care helps to improve quality of life and help the patient fulfill various needs (Shi & Singh, 2015).

Because of the child’s pent up anger he started a fight and his behavor became out of control. The staff felt the need to call the police in order to protect the child from himself and the other children at the Shelter. The child was “Baker Act” a means of providing an individual with emergency services and temporary detention for a mental health evaluation and treatment if required. The important thing is that the child is safe and is receiving

Stable, consistent health services greatly increase quality of care and positive treatment outcomes. [1] However, maintaining stable service, or continuity of care, increases in difficulty as the medical field grows more complex, especially for consumers who have received diagnoses that require the services of one or even several specialists. The concept appears simple. Nevertheless, continuity of care affects more stakeholders than one might imagine.

In today’s society, healthcare is constantly evolving and the pressure to provide high quality cost effective healthcare is in our face. In fact, several organizations and physicians are being measured in terms of their outcomes they provide to their patients, as well as, the reduction of acute care hospital admissions. A former employer sought to overcome this challenge by instituting a series of training programs. The following essay will describe the programs strengths and weaknesses as it related to changing behavior, in addition to, suggestion for improvement.

The shift from total quality management program to a combination of quality processes that culminate in measurable outcome of care is occurring rapidly. This paradigm requires the nurse to have a flexible, fluid outlook on quality care that may embrace more than one measurement processes, with outcome as the central focus (Bell, et al., 2012). In the management of patient in the long care facilities, the quality indicators are safety and functional improvement. The expansion in utilization of quality indicators as measurement feature of the Nursing Home Standards is a reflective of positive patient outcome (Bergman-Evans, & Schoenfelder, 2013). Hence, the community-based indicators for the long-term care facility residents are (1) medication administration errors reduction, and (2) improvement in the activities of the daily living and functional health.

Long-term care is a range of services and supports you may need to meet your personal care needs, which required extended care may need it for either a relatively short time or for a long time. “Health is the major factor in creating the need for Long-term care. People often need long-term care when they have serious, ongoing health conditions or disabilities” (Batnitzky, Hayes, & Vinall, 2014). A person needing long term care may need assistance with activities of daily living (ALDLs) of eating, dressing, grooming, and assistance with everyday task or instrumental activities of daily living (IADLs) of taking medicine, managing money, shopping for groceries.

From the passage of the Patient Protection and Affordable Care Act in 2010 through the end of last year, merger and acquisition transactions involving acute-care hospitals increased 55% from 66 announced deals to 102 (Barlas, 2014). This movement is increasing for reasons that are evident. For providers, it is becoming a challenging environment to be a small medical practice. The system is going through a difficult switch to electronic medical records, which is expensive and requires specialized experience to avoid downsides. These challenges push physicians to pursue employment in large organizations rather than solo ownerships or partnerships in small

A single subject design will be used to assess the client’s progress. This model encompasses various components which includes the repeated measurement, baseline/ non-interventive status, treatment phase, and modification of service programs (Campbell, 1992). The baseline identifies targeting problems through initial assessments which then leads to establishing interventions that will benefit the

Your outcome interest regarding readmissions of patients within 30 days of discharge from acute care is definitely an ongoing dilemma and as you mentioned there are several contributing factors that impact a successful or unsuccessful outcome. A couple of classes ago, Tammy introduced the concept of Project RED (Re-Engineered Discharge), which I am still very interested in becoming familiar with. According to the founder of this concept, Dr. Brian Jack, believes that "At the heart of many preventable readmissions lie poorly coordinated care, including unreconciled medications, still-pending test results and still-needed tests, poorly communicated discharge instructions, and rushed staff who don't have adequate time to spend with

As previously stated, after performing as assessment with the client, a treatment plan needs to take place. This treatment plan can be devised between client and clinician or with client and the staff at the program. Treatment planning plays a significant role

The idea of a HIPAA compliant; one point access site to allow for continuity of care for patients is an amazing concept. As the future of healthcare becomes more digital, being on the forefront of the communication aspect is an exciting opportunity. In addition to continuity of care, allowing remote areas to have access to specialists, not easily accessible in the past, will go a long way in creating better care overall throughout the world. The possibilities appear to be limitless. A truly exciting experience.